Current indications for endoscopic submucosal dissection of early gastric cancer

doi:10.4251/wjgo.v13.i6.560

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World Journal of Gastrointestinal Oncology

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World J Gastrointest Oncol. Jun 15, 2021; 13(6): 560-573
Published online Jun 15, 2021. doi: 10.4251/wjgo.v13.i6.560

Table 1 Absolute and expanded indications for endoscopic submucosal dissection in early gastric cancer patients in Japanese Gastric Cancer Association guideline version 4, 2014 and version 5, 2018

	T1a				T1b
	UL (-)		UL (+)		SM1 (< 500 µm)		SM2 (> 500 µm)
	≤ 2 cm	> 2 cm	≤ 3 cm	> 3 cm	≤ 3 cm	> 3 cm	≤ 3 cm	> 3 cm
JGCA guideline (version 4, 2014)
Differentiated	ESD	EXPANDED(JCOG0607)	EXPANDED(JCOG0607)	SURGERY	EXPANDED	SURGERY	SURGERY	SURGERY
Undifferentiated	EXPANDED	SURGERY	SURGERY	SURGERY	SURGERY	SURGERY	SURGERY	SURGERY
JGCA guideline (version 5, 2018)
Differentiated	ESD	ESD	ESD	SURGERY	EXPANDED	SURGERY	SURGERY	SURGERY
Undifferentiated	EXPANDED(JCOG1009/1010)	SURGERY	SURGERY	SURGERY	SURGERY	SURGERY	SURGERY	SURGERY

JGCA: Japanese Gastric Cancer Association; T1a: Mucosal carcinoma; T1b: Submucosal carcinoma; ESD: Endoscopic submucosal dissection absolute indication; EXPANDED: Endoscopic submucosal dissection expanded indication; SURGERY: Surgical indication; EGC: Early gastric cancer; UL (-): Without ulcer; UL (+): With ulcer; SM1: The submucosal invasion depth is less than 500 µm; SM2: The submucosal invasion depth is more than 500 µm.

Citation: Zheng Z, Yin J, Liu XY, Yan XS, Xu R, Li MY, Cai J, Chen GY, Zhang J, Zhang ZT. Current indications for endoscopic submucosal dissection of early gastric cancer. World J Gastrointest Oncol 2021; 13(6): 560-573
URL: https://www.wjgnet.com/1948-5204/full/v13/i6/560.htm
DOI: https://dx.doi.org/10.4251/wjgo.v13.i6.560