Endoscopic submucosal dissection for early gastric cancer: A major challenge for the west

IF 17.7 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-07-27 DOI:10.4240/wjgs.v16.i7.1965

Francisco Schlottmann

引用次数: 0

Abstract

Gastric cancer (GC) is the 5th most common cancer and the 3rd most common cause of cancer mortality worldwide. Two main endoscopic resective techniques exist for early GC (EGC): Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD). ESD has been widely embraced in the last decade because it allows radical en bloc resections and is associated with better outcomes, as compared to EMR. However, the lack of training opportunities and flat learning curve due to low volume of EGC cases represent major obstacles to obtain proficiency on ESD in the West. As this procedure is highly efficient for the treatment of EGC, dedicated training programs with a stepwise approach and updated guidelines for ESD embracement are needed in Western countries.

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早期胃癌的内镜黏膜下剥离术：西方面临的重大挑战

胃癌（GC）是全球第五大常见癌症，也是第三大常见癌症死因。早期胃癌（EGC）主要有两种内镜切除技术：内镜粘膜切除术（EMR）和内镜粘膜下剥离术（ESD）。与 EMR 相比，ESD 可进行根治性全切，且疗效更佳，因此在过去十年中被广泛接受。然而，在西方，由于 EGC 病例量少，缺乏培训机会和学习曲线平缓，是熟练掌握 ESD 的主要障碍。由于这种手术治疗 EGC 的效率很高，西方国家需要制定专门的培训计划，采用循序渐进的方法，并更新 ESD 的使用指南。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.