Editorial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Oncol. Jan 15, 2024; 16(1): 8-12
Published online Jan 15, 2024. doi: 10.4251/wjgo.v16.i1.8
Early gastric cancer recurrence after endoscopic submucosal dissection: Not to be ignored!
Yan Zeng, Jian Yang, Jun-Wen Zhang
Yan Zeng, Department of Psychology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
Jian Yang, Department of Gastroenterology, Changdu People's Hospital of Xizang, Changdu 854000, Tibet Autonomous Region, China
Jian Yang, Jun-Wen Zhang, Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Author contributions: Zeng Y, Yang J, and Zhang JW conceptualized and designed the research; Zeng Y and Yang J performed the literature search, analyzed the data, and wrote the original manuscript; Zhang JW edited the final manuscript; All authors have read and approved the final manuscript.
Supported by Program for Youth Innovation in Future Medicine, Chongqing Medical University, No. W0138.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jian Yang, MD, PhD, Associate Chief Physician, Deputy Director, Department of Gastroenterology, Changdu People's Hospital of Xizang, No. 168 Macaoba Road, Changdu 854000, Tibet Autonomous Region, China. yangjian@hospital.cqmu.edu.cn
Received: November 3, 2023
Peer-review started: November 3, 2023
First decision: December 11, 2023
Revised: December 11, 2023
Accepted: December 18, 2023
Article in press: December 18, 2023
Published online: January 15, 2024
Abstract

This editorial comments on the article “Efficacy of multi-slice spiral computed tomography in evaluating gastric cancer recurrence after endoscopic submucosal dissection”. We focus on the importance of paying more attention to post-endoscopic submucosal dissection (ESD) gastric cancer recurrence in patients with early gastric cancer (EGC) and how to manage it effectively. ESD has been a well-known treatment and the mainstay for EGC, with the advantages of less invasion and fewer complications when compared with traditional surgical procedures. Despite a lower local recurrence rate after ESD, the problem of postoperative recurrence in patients with EGC has become increasingly non-ignorable with the global popularization of ESD technology and the increasing number of post-ESD patients.

Keywords: Early gastric cancer, Recurrence, Endoscopic submucosal dissection, Postoperative, Prediction

Core Tip: Post-endoscopic submucosal dissection (ESD) gastric cancer recurrence in patients with early gastric cancer has become increasingly non-ignorable with the global popularization of ESD technology and the increasing number of post-ESD patients. A combination approach, including endoscopic techniques, radiographic examinations, predictive biological markers, and machine learning-based prediction models, should be recommended in the individualized surveillance and management of gastric cancer recurrence after ESD.