Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer

Chan Hyuk Park, Dong Hoon Yang, Jong Wook Kim, Jie Hyun Kim, Ji Hyun Kim, Yang Won Min, Si Hyung Lee, Jung Ho Bae, Hyunsoo Chung, Kee Don Choi, Jun Chul Park, Hyuk Lee, Min Seob Kwak, Bun Kim, Hyun Jung Lee, Hye Seung Lee, Miyoung Choi, Dong Ah Park, Jong Yeul Lee, Jeong Sik ByeonChan Guk Park, Joo Young Cho, Soo Teik Lee, Hoon Jai Chun

Research output: Contribution to journalReview articlepeer-review

Abstract

Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment for early gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromoendoscopy, and image-enhanced endoscopy such as narrow band imaging are performed to assess the edge and depth of early gastrointestinal cancers for delineation of resection boundaries and prediction of the possibility of lymph node metastasis before the decision of endoscopic resection. Endoscopic mucosal resection and/or endoscopic submucosal dissection can be performed to remove early gastrointestinal cancers completely by en bloc fashion. Histopathological evaluation should be carefully made to investigate the presence of risk factors for lymph node metastasis such as depth of cancer invasion and lymphovascular invasion. Additional treatment such as radical surgery with regional lymphadenectomy should be considered if the endoscopically resected specimen shows risk factors for lymph node metastasis. This is the first Korean clinical practice guideline for endoscopic resection of early gastrointestinal cancer. This guideline was developed by using mainly de novo methods and encompasses endoscopic management of superficial esophageal squamous cell carcinoma, early gastric cancer, and early colorectal cancer. This guideline will be revised as new data on early gastrointestinal cancer are collected.

Original languageEnglish
Pages (from-to)264-291
Number of pages28
JournalThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
Volume75
Issue number5
DOIs
Publication statusPublished - 2020 May 25

Keywords

  • Early colorectal cancer
  • Early gastric cancer
  • Endoscopic resection
  • Guideline
  • Superficial esophageal squamous cell carcinoma

ASJC Scopus subject areas

  • Medicine(all)

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