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Management of Non-curative Resection and Local Recurrence After Endoscopic Resection: Non-curative ER in Esophagus

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Endoscopy in Early Gastrointestinal Cancers, Volume 2

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Abstract

Non-curative endoscopic resection is an important clinical condition that could occur in both squamous cell carcinoma and adenocarcinoma of esophagus. Careful assessment of the cause of non-curative resection is crucial to determine the appropriate treatment modality. Repeated endoscopic resection is an option in selective group of patients with isolated horizontal margin involvement, while most cases with deep submucosal invasion have to be managed with esophagectomy or chemoradiation. Surveillance after successful ER of esophagus is important to detect local recurrence or metachronous cancers. When local recurrence is detected, repeated clinical staging would be necessary. Endoscopic resection remains an option if the recurrent tumor is confined to the superficial part of the esophageal wall. Endoscopic submucosal dissection (ESD), rather than endoscopic mucosal resection (EMR), is the preferred approach owing to the superior performance to tackle potential submucosal fibrosis in these conditions.

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Authors and Affiliations

  1. Division of Upper Gastrointestinal and Metabolic Surgery, Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China

    Hon Chi Yip & Philip W. Y. Chiu

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  1. Hon Chi Yip
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  2. Philip W. Y. Chiu
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Correspondence to Philip W. Y. Chiu .

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Editors and Affiliations

  1. Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China

    Philip W. Y. Chiu

  2. Gastrointestinal Center & Institute of minimally-invasive endoscopic care, Sano Hospital, Kobe, Hyogo, Japan

    Yasushi Sano

  3. Department of Gastrointestinal Oncology, Endoscopy Training and Learning Center, Osaka Medical Center for Cancer & Cardiovascular Diseases, Higashinari-ku, Osaka, Japan

    Noriya Uedo

  4. Gastroenterology Department, Lyell McEwin Hospital, Adelaide, SA, Australia

    Rajvinder Singh

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Yip, H.C., Chiu, P.W.Y. (2021). Management of Non-curative Resection and Local Recurrence After Endoscopic Resection: Non-curative ER in Esophagus. In: Chiu, P.W.Y., Sano, Y., Uedo, N., Singh, R. (eds) Endoscopy in Early Gastrointestinal Cancers, Volume 2. Springer, Singapore. https://doi.org/10.1007/978-981-10-6778-5_14

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  • DOI: https://doi.org/10.1007/978-981-10-6778-5_14

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-6777-8

  • Online ISBN: 978-981-10-6778-5

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