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Endoscopic Resection for EG Cancers: Recent Advances

Speaker

James LIJames LI
Consultant
Department of Gastroenterology and Hepatology
Changi General Hospital, Singapore
James LIJames LI
Consultant
Department of Gastroenterology and Hepatology
Changi General Hospital, Singapore

Talk Abstract

Advancements in image-enhanced endoscopy have enabled the detection and diagnosis of superficial esophageal cancer and early gastric cancer, as well as their precursors. Endoscopic resection is recognized as the first line, minimally invasive strategy for early upper gastrointestinal (GI) cancers and their precursors and encompasses techniques such as endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), and variations of the two procedures. The indications for endoscopic resection and the criteria used to determine if the endoscopic resection is curative are primarily based on the estimated risk of lymph node metastasis. While ESD is associated with higher en bloc and curative resection rates, it is also more technically demanding then EMR and carries higher periprocedural risks such as bleeding and perforation. Careful patient selection, adequate procedural training, and appropriate specimen handling are all needed to ensure good long-term outcomes for endoscopic resection of early upper GI cancers.