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©The Author(s) 2015.
World J Gastroenterol. Oct 28, 2015; 21(40): 11209-11220
Published online Oct 28, 2015. doi: 10.3748/wjg.v21.i40.11209
Published online Oct 28, 2015. doi: 10.3748/wjg.v21.i40.11209
Table 1 Indications for endoscopic en-bloc resection of gastrointestinal neoplasias (modified from[6])
Organ | Indications for … | Ref. |
Stomach | ESD - classical indications1 | [1,4,5,13] |
mucosal adenocarcinoma; intestinal type G1 or G2, size d ≤ 2 cm, no ulcer | ||
ESD - expanded indications2 | ||
adenocarcinoma, intestinal type, G1 or G2, any size without ulcer/adenocarcinoma, intestinal type, G1 or G2, sm-invasive < 500 μm/adenocarcinoma, intestinal type, G1 or G2, d ≤ 3 cm, with ulcer/adenocarcinoma diffuse type, G3 or G4, size d ≤ 2 cm, no ulcer | ||
Esophagus | ESD - classical indications1 | [5,8,9,12,14,15] |
SCC type 0-IIb (HGIN or G1, G2), intramucosal (m1, m2), any size | ||
Barrett adenoca. type 0-II (G1, G2), intramucosal (m1, LPM), no ulcer | ||
ESD - expanded indications2 | ||
SCC type 0-II (HGIN, G1, G2) slightly invasive (m3, sm < 200 μm), any size3, clinical N 0 | ||
Barrett adenocarcinoma type 0-II (HGIN or G1, G2), mucosal ( ≤ MM), clinical N 0 | ||
Colorectum | ESD Indications | [5,10,11,16,64] |
Any neoplasias > 20 mm in diameter without signs of deep submucosal invasion, indicative for en-bloc resection and unsuitable for EMR en-bloc: | ||
LST-granular type d ≥ 4 cm (villous adenoma +/- HGIN)4 | ||
LST-nongranular type d ≥ 2 cm | ||
Mucosal carcinoma (HGIN, G1 or G2), or superficially sm-invasive5 | ||
Depressed-type neoplasias (0-IIc) | ||
Neoplasias type 0-I or 0-II with pit pattern type VI (irregular) | ||
Sporadic localized neoplasias in chronic ulcerative colitis | ||
Colorectal carcinoids of diameter < 20 mm (EMR, when diameter < 10 mm) |
- Citation: Oyama T, Yahagi N, Ponchon T, Kiesslich T, Berr F. How to establish endoscopic submucosal dissection in Western countries. World J Gastroenterol 2015; 21(40): 11209-11220
- URL: https://www.wjgnet.com/1007-9327/full/v21/i40/11209.htm
- DOI: https://dx.doi.org/10.3748/wjg.v21.i40.11209