Endoscopic Resection for the Treatment of Superficial Esophageal Neoplasms

Ga Hee Kim; Hwoon-Yong Jung

doi:10.5090/kjtcs.2020.53.4.172

Endoscopic Resection for the Treatment of Superficial Esophageal Neoplasms

Korean J Thorac Cardiovasc Surg. 2020 Aug 5;53(4):172-177. doi: 10.5090/kjtcs.2020.53.4.172.

Authors

Ga Hee Kim¹, Hwoon-Yong Jung¹

Affiliation

¹ Department of Gastroenterology, Asan Digestive Disease Research Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Abstract

Superficial esophageal neoplasms (SENs) are being diagnosed increasingly frequently due to the screening endoscopy and advances in endoscopic techniques. Endoscopic resection (ER) is a relatively noninvasive treatment method with low morbidity and mortality that provides excellent oncologic outcomes. Endoscopic submucosal dissection is associated with higher rates of en bloc, complete and curative resections and lower rates of local recurrence than endoscopic mucosal resection. The most serious complication of ER is stricture, the treatment and prevention of which are crucial to maintain the patient's quality of life. ER for SEN is feasible, effective, and safe and can be considered a first-line treatment for SENs in which it is technically feasible.

Keywords: Endoscopic mucosal resection; Endoscopic submucosal dissection; Endoscopy; Esophageal squamous cell carcinoma; Superficial esophageal neoplasm.