Endoscopic Treatment for Esophageal Cancer

Esophageal cancer incidence rate per 100,000 is 4.7 in 2013, which accounts for 1.1% of the total cancer incidence in Korea. Superficial esophageal squamous cell carcinoma is frequently detected in persons undergoing upper endoscopy for gastrointestinal symptoms or for gastric cancer screening. Esop...

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Main Author: Yang Won Min
Format: Article
Language:English
Published: Jin Publishing & Printing Co. 2018-03-01
Series:The Korean Journal of Gastroenterology
Subjects:
Online Access:http://www.kjg.or.kr/journal/view.html?doi=10.4166/kjg.2018.71.3.116
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author Yang Won Min
author_facet Yang Won Min
author_sort Yang Won Min
collection DOAJ
description Esophageal cancer incidence rate per 100,000 is 4.7 in 2013, which accounts for 1.1% of the total cancer incidence in Korea. Superficial esophageal squamous cell carcinoma is frequently detected in persons undergoing upper endoscopy for gastrointestinal symptoms or for gastric cancer screening. Esophagectomy with lymph node dissection is the standard treatment for esophageal cancer. However, given the considerable morbidity and mortality of esophagectomy, endoscopic resection has become the standard of care for most cases of superficial esophageal squamous cell carcinoma without metastasis. In addition, endoscopic submucosal dissection has increased the cure rate, even when the tumor is large, compared to endoscopic mucosal resection. Thus, endoscopic submucosal dissection is the treatment of choice for superficial esophageal squamous cell carcinoma with a negligible risk of lymph node metastasis. Endoscopic resection is usually associated with a low risk of morbidity and no mortality, and has also shown favorable long-term outcomes. However, the long-term risk of metastasis remains after endoscopic resection, which varies according to the characteristics of tumor. This review describes the indication and outcomes of endoscopic resection, complications of endoscopic resection, and management after treatment.
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spelling doaj.art-d7e255960bc340dfacd7dfea8e0bced72022-12-21T23:56:19ZengJin Publishing & Printing Co.The Korean Journal of Gastroenterology1598-99922018-03-0171311612310.4166/kjg.2018.71.3.116kjg.2018.71.3.116Endoscopic Treatment for Esophageal CancerYang Won Min0Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaEsophageal cancer incidence rate per 100,000 is 4.7 in 2013, which accounts for 1.1% of the total cancer incidence in Korea. Superficial esophageal squamous cell carcinoma is frequently detected in persons undergoing upper endoscopy for gastrointestinal symptoms or for gastric cancer screening. Esophagectomy with lymph node dissection is the standard treatment for esophageal cancer. However, given the considerable morbidity and mortality of esophagectomy, endoscopic resection has become the standard of care for most cases of superficial esophageal squamous cell carcinoma without metastasis. In addition, endoscopic submucosal dissection has increased the cure rate, even when the tumor is large, compared to endoscopic mucosal resection. Thus, endoscopic submucosal dissection is the treatment of choice for superficial esophageal squamous cell carcinoma with a negligible risk of lymph node metastasis. Endoscopic resection is usually associated with a low risk of morbidity and no mortality, and has also shown favorable long-term outcomes. However, the long-term risk of metastasis remains after endoscopic resection, which varies according to the characteristics of tumor. This review describes the indication and outcomes of endoscopic resection, complications of endoscopic resection, and management after treatment.http://www.kjg.or.kr/journal/view.html?doi=10.4166/kjg.2018.71.3.116Endoscopic mucosal resectionEndoscopic submucosal dissectionEsophageal squamous cell carcinoma
spellingShingle Yang Won Min
Endoscopic Treatment for Esophageal Cancer
The Korean Journal of Gastroenterology
Endoscopic mucosal resection
Endoscopic submucosal dissection
Esophageal squamous cell carcinoma
title Endoscopic Treatment for Esophageal Cancer
title_full Endoscopic Treatment for Esophageal Cancer
title_fullStr Endoscopic Treatment for Esophageal Cancer
title_full_unstemmed Endoscopic Treatment for Esophageal Cancer
title_short Endoscopic Treatment for Esophageal Cancer
title_sort endoscopic treatment for esophageal cancer
topic Endoscopic mucosal resection
Endoscopic submucosal dissection
Esophageal squamous cell carcinoma
url http://www.kjg.or.kr/journal/view.html?doi=10.4166/kjg.2018.71.3.116
work_keys_str_mv AT yangwonmin endoscopictreatmentforesophagealcancer