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Stomach: Mucosal Neoplasias

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Atlas of Early Neoplasias of the Gastrointestinal Tract

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Abstract

The high incidence of gastric cancer justifies screening gastroscopy in Japan, whereas in most Western countries the incidence is five- to ten-fold lower allowing opportunistic gastroscopic screening and surveillance for high-risk individuals only. The major risk factors of gastric cancer are H. pylori infection and atrophic gastritis. Therefore, endoscopic diagnosis for H. pylori infection and atrophic gastritis also is important for the early detection of gastric cancers. We aim to improve endoscopic detection of minute premalignant/malignant flat lesions (type 0-IIa/b/c) as well as and endoscopic prediction of the T category. This serves to distinguish lesions suitable for endoscopic snare mucosectomy, en bloc submucosal dissection, or resective surgery.

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References

  1. Hamashima C, et al. The Japanese guidelines for gastric cancer screening. Jpn J Clin Oncol. 2008;38:259–67.

    Article  Google Scholar 

  2. Hirota WK, et al. ASGE guideline: the role of endoscopy in the surveillance of premalignant conditions of the upper GI tract. Gastrointest Endosc. 2006;63:570–80.

    Article  Google Scholar 

  3. Shimodate Y, et al. Gastric superficial neoplasia: high miss rate but slow progression. Endosc Int Open. 2017;5:E722–6.

    Article  Google Scholar 

  4. Oyama T. Diagnosis of gastric adenocarcinoma with magnified endoscopy. In: Oyama T, editor. Endoscopic diagnosis of superficial gastric cancer for ESD: Springer Japan; 2016. p. 39–51.

    Google Scholar 

  5. Leung WK, et al. Screening for gastric cancer in Asia: current evidence and practice. Lancet Oncol. 2008;9:279–87.

    Article  Google Scholar 

  6. Yao K, et al. Development of an e-learning system for teaching endoscopists how to diagnose early gastric cancer: basic principles for improving early detection. Gastric Cancer. 2017;20:28–38.

    Article  Google Scholar 

  7. Lambert R. The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002. Gastrointest Endosc. 2003;58:S3–43.

    Article  Google Scholar 

  8. Muto M, et al. Magnifying endoscopy simple diagnostic algorithm for early gastric cancer (MESDA-G). Dig Endosc. 2016;28:379–93.

    Article  Google Scholar 

  9. Yagi K, et al. Magnifying endoscopy with narrow band imaging for early differentiated gastric adenocarcinoma. Dig Endosc. 2008;20:115–22.

    Article  Google Scholar 

  10. Yagi K, et al. Characteristic endoscopic and magnified endoscopic findings in the normal stomach without Helicobacter pylori infection. J Gastroenterol Hepatol. 2002;17:39–45.

    Article  Google Scholar 

  11. Kawamura M, et al. Magnifying endoscopic findings of the surface structure of non-cancerous mucosa surrounding differentiated and undifferentiated gastric carcinoma. Dig Endosc. 2011;23:37–42.

    Article  Google Scholar 

  12. Tanaka K, et al. Features of early gastric cancer and gastric adenoma by enhanced-magnification endoscopy. J Gastroenterol. 2006;41:332–8.

    Article  Google Scholar 

  13. Nakayoshi T, et al. Magnifying endoscopy combined with narrow band imaging system for early gastric cancer: correlation of vascular pattern with histopathology (including video). Endoscopy. 2004;36:1080–4.

    Article  CAS  Google Scholar 

  14. Yao K, et al. Detection and characterization of early gastric cancer for curative endoscopic submucosal dissection. Dig Endosc. 2013;25(Suppl 1):44–54.

    Article  Google Scholar 

  15. Okada K, et al. Diagnosis of undifferentiated type early gastric cancers by magnification endoscopy with narrow-band imaging. J Gastroenterol Hepatol. 2011;26:1262–9.

    Article  Google Scholar 

  16. Oyama T. Endoscopic diagnosis of gastric adenocarcinoma for ESD. Tokyo: Nankodo Co., Ltd; 2010.

    Google Scholar 

  17. Nonaka K, et al. Magnifying endoscopic observation of mantle cell lymphoma in the stomach using the narrow-band imaging system. Endoscopy. 2010;42(Suppl 2):E94–5.

    Article  Google Scholar 

  18. Tomori A, et al. Diagnosis of invasion depth. In: Oyama T, editor. Endoscopic diagnosos of superficial gastric cancer for ESD: Springer Japan; 2016. p. 17–27.

    Google Scholar 

  19. Sakai Y, et al. Chromoendoscopy with indigo carmine dye added to acetic acid in the diagnosis of gastric neoplasia: a prospective comparative study. Gastrointest Endosc. 2008;68:635–41.

    Article  Google Scholar 

  20. Abe S, et al. Depth-predicting score for differentiated early gastric cancer. Gastric Cancer. 2011;14:35–40.

    Article  Google Scholar 

  21. Gotoda T, et al. Endoscopic submucosal dissection of early gastric cancer. J Gastroenterol. 2006;41:929–42.

    Article  Google Scholar 

  22. Ono H, et al. Guidelines for endoscopic submucosal dissection and endoscopic mucosal resection for early gastric cancer. Dig Endosc. 2016;28:3–15.

    Article  Google Scholar 

  23. Soetikno R, et al. Endoscopic mucosal resection for early cancers of the upper gastrointestinal tract. J Clin Oncol. 2005;23:4490–8.

    Article  Google Scholar 

  24. Abe S, et al. Short- and long-term outcomes of endoscopic submucosal dissection for undifferentiated early gastric cancer. Endoscopy. 2013;45:703–7.

    Article  Google Scholar 

  25. Gotoda T, et al. Incidence of lymph node metastasis from early gastric cancer: estimation with a large number of cases at two large centers. Gastric Cancer. 2000;3:219–25.

    Article  Google Scholar 

  26. Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2014 (ver. 4). Gastric Cancer. 2017;20:1–19.

    Article  Google Scholar 

  27. Gotoda T, et al. Endoscopic resection of early gastric cancer treated by guideline and expanded National Cancer Centre criteria. Br J Surg. 2010;97:868–71.

    Article  CAS  Google Scholar 

  28. Sekiguchi M, et al. Favorable long-term outcomes of endoscopic submucosal dissection for locally recurrent early gastric cancer after endoscopic resection. Endoscopy. 2013;45:708–13.

    Article  Google Scholar 

  29. Hirasawa T, et al. Incidence of lymph node metastasis and the feasibility of endoscopic resection for undifferentiated-type early gastric cancer. Gastric Cancer. 2009;12:148–52.

    Article  Google Scholar 

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Acknowledgments

The contribution of cases by Dr. Hans P. Allgaier/Freiburg, Germany and some images and histology by Dr. Tobias Kiesslich and Dr. Daniel Neureiter/Salzburg, Austria, is gratefully acknowledged.

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Authors and Affiliations

  1. Department of Endoscopy, Saku Central Hospital Advanced Care Center, Saku, Nagano, Japan

    Tsuneo Oyama

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  1. Tsuneo Oyama
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Correspondence to Tsuneo Oyama .

Editor information

Editors and Affiliations

  1. Department of Internal Medicine I, Paracelsus Medical University, Salzburg, Austria

    Frieder Berr

  2. Department of Endoscopy, Saku Central Hospital Advanced Care Center, Saku, Nagano, Japan

    Tsuneo Oyama

  3. Department of Digestive Diseases, Hôpital Eduard Herriot, Lyon, France

    Thierry Ponchon

  4. Division of Research and Development for Minimally Invasive Treatment Cancer Center, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan

    Naohisa Yahagi

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Oyama, T. (2019). Stomach: Mucosal Neoplasias. In: Berr, F., Oyama, T., Ponchon, T., Yahagi, N. (eds) Atlas of Early Neoplasias of the Gastrointestinal Tract. Springer, Cham. https://doi.org/10.1007/978-3-030-01114-7_9

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  • DOI: https://doi.org/10.1007/978-3-030-01114-7_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-01113-0

  • Online ISBN: 978-3-030-01114-7

  • eBook Packages: MedicineMedicine (R0)

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