An update in the endoscopic management of gastric cancer

Samuel Han, Andrew Hsu, Wahid Y. Wassef

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

Abstract

Purpose of review Gastric cancer remains a leading cause of mortality worldwide and gastroenterologists are playing an increasingly larger role in its management. This article reviews the endoscopic management of gastric cancer, with emphasis on recent advances in the field. Recent findings Long-term studies comparing surgery and endoscopic resection for early gastric cancer have shown no difference in 10-year survival rates. Second-look endoscopy, performed 2 days after endoscopic submucosal dissection (ESD) to address the concern of delayed bleeding, may not affect rebleeding rates. Magnesium, proton pump inhibitors, and bupivacaine may help reduce post-ESD pain. New devices such as the Clutch Cutter and EndoLifter may help make ESD easier and safer. Summary Endoscopic therapy for early gastric cancer is becoming increasingly popular and innovations are constantly being made to improve technique and technology. This review focuses on the latest approaches to the endoscopic management of gastric cancer.

Original languageEnglish (US)
Pages (from-to)492-500
Number of pages9
JournalCurrent Opinion in Gastroenterology
Volume32
Issue number6
DOIs
StatePublished - Oct 23 2016
Externally publishedYes

Keywords

  • Endoscopic mucosal resection
  • Endoscopic submucosal dissection
  • Gastric cancer surveillance
  • Narrow band imaging

ASJC Scopus subject areas

  • Gastroenterology

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