, Volume 24, Issue 12, pp 3244-3246

Endoscopic submucosal dissection for remnant gastric cancer

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Progress in the prevention, early detection, and treatment of gastric cancer in day-to-cay clinical practice in Japan and Korea is so rapid that we in the Western world cannot imagine, even after a decade. It is not surprising. The incidence of gastric cancer in Asian countries is still very high, whereas in the U.S. and Western Europe the incidence of the disease has been reduced dramatically over the last few decades. Our colleagues in Japan and Korea are working intensively on how to improve not only the oncological but also the quality-of-life outcomes of patients with gastric cancer [13].

An example of such progress is now provided by Lee et al. [4] in an article in a recent issue of this journal. The authors report excellent results with endoscopic submucosal dissection (ESD) for metachronous remnant gastric tumor. An analysis of the findings of this study may provide useful information on prevention or early detection of remnant gastric cancer.

Distal gastrectomy is very common i