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Principles of Endoscopic Resection: Diagnostic and Curative Resection of Mucosal Neoplasias

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Atlas of Early Neoplasias of the Gastrointestinal Tract

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Abstract

Endoscopic detection and analysis has set the stage for endoscopic cure of early cancers of the gastrointestinal tract. Endoscopic submucosal dissection (ESD) introduced the principle of oncosurgical en-bloc resection to mucosal neoplasms, providing histological grading, pT staging, and resection R status. ESD aims for curative resection of mucosal cancer. The risk of local recurrence—in the range of 10–35% with snare ablation in piecemeal fashion—is reduced close to zero after curative ESD. Accurate endoscopic analysis of early neoplasias is necessary to decide the differential indication for snare resection, ESD, or surgical resection. ESD is now spreading in Western countries, but requires a twofold learning curve: endo-diagnostic for correct indications and endo-electrosurgical for curative tumor resection.

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Authors and Affiliations

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

    Tsuneo Oyama

  2. 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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  1. Tsuneo Oyama
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  2. Naohisa Yahagi
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Correspondence to Naohisa Yahagi .

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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., Yahagi, N. (2019). Principles of Endoscopic Resection: Diagnostic and Curative Resection of 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_3

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  • DOI: https://doi.org/10.1007/978-3-030-01114-7_3

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