The increasing popularity of endoscopic submucosal dissection(ESD)as a treatment for early gastric cancer has highlighted the importance of quality assessment in achieving curative resections.This article emphasizes t...The increasing popularity of endoscopic submucosal dissection(ESD)as a treatment for early gastric cancer has highlighted the importance of quality assessment in achieving curative resections.This article emphasizes the significance of evaluating ESD quality,not only for curative cases but also for non-curative ones.Postoperative assessment relies on the endoscopic curability(eCura)classification,but management strategies for eCuraC-1 tumour with a positive horizontal margin are unclear.Current research primarily focuses on comparing additional surgical procedures in high-risk patients,while studies specifically targeting eCuraC-1 patients are limited.Exploring management strategies and follow-up outcomes for such cases could provide valuable insights.Furthermore,the application of molecular imaging using near-infrared fluorescent tracers holds promise for precise tumour diagnosis and navigation,potentially impacting the management of early-stage gastric cancer patients.Advancing research in these areas is essential for improving the overall efficacy of endoscopic techniques and refining treatment indications.展开更多
The publication by Qu et al provided a comprehensive discussion about the epidemiology,etiology,histopathology,early detection,and endoscopic treatment of esophageal carcinoma(EC)and summarized the progress in the adv...The publication by Qu et al provided a comprehensive discussion about the epidemiology,etiology,histopathology,early detection,and endoscopic treatment of esophageal carcinoma(EC)and summarized the progress in the advanced technologies for screening and endoscopic resection for EC.In this editorial,we will provide deeper insight into the challenges that hinder practical application of these advanced technologies along with the role of these technologies in upper endoscopy quality.More efforts need to be made to overcome the challenges and add the value of these technologies in upper endoscopy quality.Clinical outcomes of management strategies after noncurative endoscopic dissection for early EC patients need further investigation.The experiences with noncurative endoscopic resection of other organs may have certain implications for noncurative resection of early EC.展开更多
The development of endoscopic treatment technology has further promoted the minimally invasive treatment of early gastric cancer(EGC).Endoscopic treatment has achieved better therapeutic effects in terms of safety and...The development of endoscopic treatment technology has further promoted the minimally invasive treatment of early gastric cancer(EGC).Endoscopic treatment has achieved better therapeutic effects in terms of safety and prognosis and is the preferred treatment method for patients who meet the indications for endoscopic treatment.However,the consequent problem is that some patients receiving endoscopic treatment may undergo non-curative resection,and the principle of follow-up management for non-curative resection patients deserves further attention.In addition,there are still debates on how to improve the accuracy of clinical staging,select a reasonable treatment method for patients who meet the expanded indications for endoscopic treatment,manage patients with positive endoscopic surgical margins,conduct research on function-preserving surgery,and manage the treatment of EGC under the current situation in China.Consequently,we aim to review current indications for endoscopic submucosal dissection of EGC in order to better inform treatment options.展开更多
基金the China Postdoctoral Science Foundation,No.2022M712265.
文摘The increasing popularity of endoscopic submucosal dissection(ESD)as a treatment for early gastric cancer has highlighted the importance of quality assessment in achieving curative resections.This article emphasizes the significance of evaluating ESD quality,not only for curative cases but also for non-curative ones.Postoperative assessment relies on the endoscopic curability(eCura)classification,but management strategies for eCuraC-1 tumour with a positive horizontal margin are unclear.Current research primarily focuses on comparing additional surgical procedures in high-risk patients,while studies specifically targeting eCuraC-1 patients are limited.Exploring management strategies and follow-up outcomes for such cases could provide valuable insights.Furthermore,the application of molecular imaging using near-infrared fluorescent tracers holds promise for precise tumour diagnosis and navigation,potentially impacting the management of early-stage gastric cancer patients.Advancing research in these areas is essential for improving the overall efficacy of endoscopic techniques and refining treatment indications.
基金Supported by the National Natural Science Foundation of China,No.82170675135 Project for Disciplines of Excellence,West China Hospital,Sichuan University,No.ZYJC21011.
文摘The publication by Qu et al provided a comprehensive discussion about the epidemiology,etiology,histopathology,early detection,and endoscopic treatment of esophageal carcinoma(EC)and summarized the progress in the advanced technologies for screening and endoscopic resection for EC.In this editorial,we will provide deeper insight into the challenges that hinder practical application of these advanced technologies along with the role of these technologies in upper endoscopy quality.More efforts need to be made to overcome the challenges and add the value of these technologies in upper endoscopy quality.Clinical outcomes of management strategies after noncurative endoscopic dissection for early EC patients need further investigation.The experiences with noncurative endoscopic resection of other organs may have certain implications for noncurative resection of early EC.
基金Beijing Municipal Science&Technology Commission,No.D171100006517003 and No.Z181100001718223Research Foundation of Beijing Friendship Hospital,Capital Medical University,No.Y2018-3+1 种基金Beijing Municipal Administration of Hospitals Incubating Program,No.PX2020001Digestive Medical Coordinated Development Center of Beijing Hospital Authority,No.XXX0102.
文摘The development of endoscopic treatment technology has further promoted the minimally invasive treatment of early gastric cancer(EGC).Endoscopic treatment has achieved better therapeutic effects in terms of safety and prognosis and is the preferred treatment method for patients who meet the indications for endoscopic treatment.However,the consequent problem is that some patients receiving endoscopic treatment may undergo non-curative resection,and the principle of follow-up management for non-curative resection patients deserves further attention.In addition,there are still debates on how to improve the accuracy of clinical staging,select a reasonable treatment method for patients who meet the expanded indications for endoscopic treatment,manage patients with positive endoscopic surgical margins,conduct research on function-preserving surgery,and manage the treatment of EGC under the current situation in China.Consequently,we aim to review current indications for endoscopic submucosal dissection of EGC in order to better inform treatment options.
