[Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer].

{"article_title":"[Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer].","author":"Park CH, Yang DH, Kim JW, Kim JH, Kim JH, Min YW, Lee SH, Bae JH, Chung H, Choi KD, Park JC, Lee H, Kwak MS, Kim B, Lee HJ, Lee HS, Choi M, Park DA, Lee JY, Byeon JS, Park CG, Cho JY, Lee ST, Chun HJ","journal_title":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","issn":"2233-6869","isbn":"","publication_date":"2021 May 25","volume":"75","issue":"5","first_page":"264","page_count":"","accession_number":"32448858","doi":"10.4166\/kjg.2020.75.5.264","publisher":"Korean Society of Gastroenterology","doctype":"Journal Article","subjects":"Endoscopy, Gastrointestinal; Gastrointestinal Neoplasms surgery; Adenocarcinoma, Papillary diagnosis; Adenocarcinoma, Papillary pathology; Adenocarcinoma, Papillary surgery; Anti-Bacterial Agents therapeutic use; Colonic Diseases diagnosis; Colonic Diseases pathology; Colonic Diseases surgery; Endoscopic Mucosal Resection; Endosonography; Esophageal Squamous Cell Carcinoma diagnosis; Esophageal Squamous Cell Carcinoma pathology; Esophageal Squamous Cell Carcinoma surgery; Esophageal Stenosis prevention & control; Gastrointestinal Neoplasms pathology; Helicobacter Infections drug therapy; Humans; Intestinal Perforation surgery; Lymphatic Metastasis; Neoplasm Staging; Steroids therapeutic use; Stomach Neoplasms diagnosis; Stomach Neoplasms pathology; Stomach Neoplasms surgery","interest_area":["Oncology"," Gastroenterology"," Radiology"," Surgery"],"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.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=32448858&authtype=shib&custid=ns346513&group=main&profile=eds","isPdfLink":true,"isSAML":false,"additionalInfo":{"Authored_By":"Park CH, Yang DH, Kim JW, Kim JH, Kim JH, Min YW, Lee SH, Bae JH, Chung H, Choi KD, Park JC, Lee H, Kwak MS, Kim B, Lee HJ, Lee HS, Choi M, Park DA, Lee JY, Byeon JS, Park CG, Cho JY, Lee ST, Chun HJ","Journal_Info":"Publisher: Korean Society of Gastroenterology Country of Publication: Korea (South) NLM ID: 101189416 Publication Model: Print Cited Medium: Internet ISSN: 2233-6869 (Electronic) Linking ISSN: 15989992 NLM ISO Abbreviation: Korean J Gastroenterol Subsets: MEDLINE","Publication_Type":"Journal Article; Practice Guideline","Published_Date":"2020-05-25","Source":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi [Korean J Gastroenterol] 2020 May 25; Vol. 75 (5), pp. 264-291.","Languages":"Korean","Electronic_ISSN":"2233-6869","MeSH_Terms":"Endoscopy, Gastrointestinal*, Gastrointestinal Neoplasms\/*surgery, Adenocarcinoma, Papillary\/diagnosis ; Adenocarcinoma, Papillary\/pathology ; Adenocarcinoma, Papillary\/surgery ; Anti-Bacterial Agents\/therapeutic use ; Colonic Diseases\/diagnosis ; Colonic Diseases\/pathology ; Colonic Diseases\/surgery ; Endoscopic Mucosal Resection ; Endosonography ; Esophageal Squamous Cell Carcinoma\/diagnosis ; Esophageal Squamous Cell Carcinoma\/pathology ; Esophageal Squamous Cell Carcinoma\/surgery ; Esophageal Stenosis\/prevention & control ; Gastrointestinal Neoplasms\/pathology ; Helicobacter Infections\/drug therapy ; Humans ; Intestinal Perforation\/surgery ; Lymphatic Metastasis ; Neoplasm Staging ; Steroids\/therapeutic use ; Stomach Neoplasms\/diagnosis ; Stomach Neoplasms\/pathology ; Stomach Neoplasms\/surgery","Subjects":"Adenocarcinoma, Papillary diagnosis, Adenocarcinoma, Papillary pathology, Adenocarcinoma, Papillary surgery, Anti-Bacterial Agents therapeutic use, Colonic Diseases diagnosis, Colonic Diseases pathology, Colonic Diseases surgery, Endoscopic Mucosal Resection, Endosonography, Esophageal Squamous Cell Carcinoma diagnosis, Esophageal Squamous Cell Carcinoma pathology, Esophageal Squamous Cell Carcinoma surgery, Esophageal Stenosis prevention & control, Gastrointestinal Neoplasms pathology, Helicobacter Infections drug therapy, Humans, Intestinal Perforation surgery, Lymphatic Metastasis, Neoplasm Staging, Steroids therapeutic use, Stomach Neoplasms diagnosis, Stomach Neoplasms pathology, Stomach Neoplasms surgery, Endoscopy, Gastrointestinal, Gastrointestinal Neoplasms surgery","Title_Abbreviations":"The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi","Volume":"75"},"header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"32448858","RelevancyScore":"868","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"868.468933105469"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=32448858&authtype=shib&custid=ns346513&group=main&profile=eds","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=32448858&authtype=shib&custid=ns346513&group=main&profile=eds"}