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Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer

Authors
 Chan Hyuk Park  ;  Dong-Hoon Yang  ;  Jong Wook Kim  ;  Jie-Hyun Kim  ;  Ji Hyun Kim  ;  Yang Won Min  ;  Si Hyung Lee  ;  Jung Ho Bae  ;  Hyunsoo Chung  ;  Kee Don Choi  ;  Jun Chul Park  ;  Hyuk Lee  ;  Min-Seob Kwak  ;  Bun Kim  ;  Hyun Jung Lee  ;  Hye Seung Lee  ;  Miyoung Choi  ;  Dong-Ah Park  ;  Jong Yeul Lee  ;  Jeong-Sik Byeon  ;  Chan Guk Park  ;  Joo Young Cho  ;  Soo Teik Lee  ;  Hoon Jai Chun 
Citation
 CLINICAL ENDOSCOPY, Vol.53(2) : 142-166, 2020-03 
Journal Title
 CLINICAL ENDOSCOPY 
ISSN
 2234-2400 
Issue Date
2020-03
Keywords
Early colorectal cancer ; Early gastric cancer ; Endoscopic resection ; Guideline ; Superficial esophageal squamous cell carcinoma
Abstract
Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment for early gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromoendoscopy, and image-enhanced endoscopy such as narrow band imaging are performed to assess the edge and depth of early gastrointestinal cancers for delineation of resection boundaries and prediction of the possibility of lymph node metastasis before the decision of endoscopic resection. Endoscopic mucosal resection and/or endoscopic submucosal dissection can be performed to remove early gastrointestinal cancers completely by en bloc fashion. Histopathological evaluation should be carefully made to investigate the presence of risk factors for lymph node metastasis such as depth of cancer invasion and lymphovascular invasion. Additional treatment such as radical surgery with regional lymphadenectomy should be considered if the endoscopically resected specimen shows risk factors for lymph node metastasis. This is the first Korean clinical practice guideline for endoscopic resection of early gastrointestinal cancer. This guideline was developed by using mainly de novo methods and encompasses endoscopic management of superficial esophageal squamous cell carcinoma, early gastric cancer, and early colorectal cancer. This guideline will be revised as new data on early gastrointestinal cancer are collected.
Files in This Item:
T202001320.pdf Download
DOI
10.5946/ce.2020.032
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jie-Hyun(김지현) ORCID logo https://orcid.org/0000-0002-9198-3326
Park, Jun Chul(박준철) ORCID logo https://orcid.org/0000-0001-8018-0010
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/176095
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