Endoscopic Management of Early Gastric Adenocarcinoma and Preinvasive Gastric Lesions

Saowanee Ngamruengphong, Seiichiro Abe, Ichiro Oda

Research output: Contribution to journalReview article

Abstract

Early gastric cancer (ECG) can be difficult to diagnose endoscopically. Endoscopists should be familiar with subtle changes and endoscopic features of EGC. Chromoendoscopy and image-enhanced endoscopy improve diagnostic accuracy and facilitate endoscopic resection. Endoscopic submucosal dissection is a preferred endoscopic technique for resection of EGC and offers a comparable overall survival to surgical resection. Endoscopic management of benign gastric epithelial polyps (fundic gland polyps, hyperplastic polyps, and gastric adenoma) depends on patient symptomatology, patient's comorbidities (eg, familial syndromes), lesions’ characteristics, and risk of malignant transformation. This article provides an overview of endoscopic management of EGC and common premalignant gastric lesions.

Original languageEnglish (US)
Pages (from-to)371-385
Number of pages15
JournalSurgical Clinics of North America
Volume97
Issue number2
DOIs
StatePublished - Apr 1 2017

Keywords

  • Detection
  • Early gastric cancer
  • Endoscopic submucosal dissection
  • Gastric cancer
  • Narrow band imaging
  • Screening
  • Stomach neoplasms

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

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