Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer

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 nar...

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Main 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
Format: Article
Language:English
Published: Korean College of Helicobacter and Upper Gastrointestinal Research 2020-06-01
Series:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
Subjects:
Online Access:http://www.helicojournal.org/upload/pdf/kjhugr-2020-0023.pdf
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author 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
author_facet 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
author_sort Chan Hyuk Park
collection DOAJ
description 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.
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publisher Korean College of Helicobacter and Upper Gastrointestinal Research
record_format Article
series The Korean Journal of Helicobacter and Upper Gastrointestinal Research
spelling doaj-art-3ad4bf019ac74fefb1dc0cd52764eb612025-08-20T03:58:19ZengKorean College of Helicobacter and Upper Gastrointestinal ResearchThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312020-06-0120211714510.7704/kjhugr.2020.0023620Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal CancerChan Hyuk Park0Dong-Hoon Yang1Jong Wook Kim2Jie-Hyun Kim3Ji Hyun Kim4Yang Won Min5Si Hyung Lee6Jung Ho Bae7Hyunsoo Chung8Kee Don Choi9Jun Chul Park10Hyuk Lee11Min-Seob Kwak12Bun Kim13Hyun Jung Lee14Hye Seung Lee15Miyoung Choi16Dong-Ah Park17Jong Yeul Lee18Jeong-Sik Byeon19Chan Guk Park20Joo Young Cho21Soo Teik Lee22Hoon Jai Chun23Department of Gastroenterology, Hanyang University Guri Hospital, Guri, KoreaDepartment of Gastroenterology, Asan Medical Center, Seoul, KoreaDepartment of Gastroenterology, Inje University Ilsan Paik Hospital, Goyang, KoreaDepartment of Gastroenterology, Yonsei University Gangnam Severance Hospital, Seoul, KoreaDepartment of Gastroenterology, Inje University Busan Paik Hospital, Busan, KoreaDepartment of Gastroenterology, Samsung Medical Center, Seoul, KoreaDepartment of Gastroenterology, Yeungnam University Medical Center, Daegu, KoreaDepartment of Gastroenterology, Seoul National University Hospital Healthcare System Gangnam Center, Seoul, KoreaDepartment of Gastroenterology, Seoul National University Hospital, Seoul, KoreaDepartment of Gastroenterology, Asan Medical Center, Seoul, KoreaDepartment of Gastroenterology, Yonsei University Severance Hospital, Seoul, KoreaDepartment of Gastroenterology, Samsung Medical Center, Seoul, KoreaDepartment of Gastroenterology, Kyung Hee University Hospital at Gangdong, Seoul,Center for Colorectal Cancer, National Cancer Center, Goyang, KoreaKoreaDepartment of Gastroenterology, Seoul National University Hospital, Seoul, KoreaDepartment of Pathology, Seoul National University Bundang Hospital, Seongnam, KoreaNational Evidence-based Healthcare Collaborating Agency, Seoul, KoreaNational Evidence-based Healthcare Collaborating Agency, Seoul, KoreaCenter for Gastric Cancer, National Cancer Center, Goyang, KoreaDepartment of Gastroenterology, Asan Medical Center, Seoul, KoreaDepartment of Gastroenterology, Chosun University Hospital, Gwangju, KoreaDepartment of Gastroenterology, Cha University Bundang Medical Center, Seongnam, KoreaDepartment of Gastroenterology, Jeonbuk National University Hospital, Jeonju, KoreaDepartment of Gastroenterology, Korea University Anam Hospital, Seoul, KoreaAlthough 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.http://www.helicojournal.org/upload/pdf/kjhugr-2020-0023.pdfearly colorectal cancerearly gastric cancerendoscopic resectionguidelinesuperficial esophageal squamous cell carcinoma
spellingShingle 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
Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
early colorectal cancer
early gastric cancer
endoscopic resection
guideline
superficial esophageal squamous cell carcinoma
title Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer
title_full Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer
title_fullStr Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer
title_full_unstemmed Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer
title_short Clinical Practice Guideline for Endoscopic Resection of Early Gastrointestinal Cancer
title_sort clinical practice guideline for endoscopic resection of early gastrointestinal cancer
topic early colorectal cancer
early gastric cancer
endoscopic resection
guideline
superficial esophageal squamous cell carcinoma
url http://www.helicojournal.org/upload/pdf/kjhugr-2020-0023.pdf
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