Published in:
01-03-2017 | Case Report
Successful Curative Resection of Early Gastric Cancer by Endoscopic Submucosal Dissection in a High-Risk Cirrhotic Patient
Authors:
Dhruvika Mukhija, Sajan Jiv Singh Nagpal, Chung Tsai, Siva Raja, Madhusudhan R. Sanaka
Published in:
Journal of Gastrointestinal Cancer
|
Issue 1/2017
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Excerpt
Endoscopic submucosal dissection (ESD) technique was developed in the 1990s for the treatment of early gastric cancer (EGC) [
1]. ESD enables en bloc resection, provides adequate histopathological staging and long-term cure rates similar to surgery with lower morbidity, and is considered superior to the piecemeal endoscopic mucosal resection (EMR) technique. However, due to the lower prevalence of gastric cancer and the absence of a universal endoscopic screening program in the USA, cases of EGC are extremely rare [
2]. We report a case of EGC in a high-risk surgical patient successfully treated with ESD. …