Letter to the Editor
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Oncol. Jul 15, 2024; 16(7): 3364-3367
Published online Jul 15, 2024. doi: 10.4251/wjgo.v16.i7.3364
Challenges in early detection and endoscopic resection of esophageal cancer: There is a long way to go
Shuang Liu, Liu-Xiang Chen, Lian-Song Ye, Bing Hu
Shuang Liu, Liu-Xiang Chen, Lian-Song Ye, Bing Hu, Department of Gastroenterology and Hepatology/Medical Engineering Integration Laboratory of Digestive Endoscopy, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Liu S and Chen LX drafted the manuscript; Ye LS and Hu B revised the manuscript; and all authors reviewed and approved the final manuscript.
Supported by the National Natural Science Foundation of China, No. 82170675; and 135 Project for Disciplines of Excellence, West China Hospital, Sichuan University, No. ZYJC21011.
Conflict-of-interest statement: All the authors have no conflict of interest to disclose.
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: Bing Hu, MD, Editor-in-Chief, Professor, Department of Gastroenterology and Hepatology/Medical Engineering Integration Laboratory of Digestive Endoscopy, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Chengdu 610041, Sichuan Province, China. hubing@wchscu.edu.cn
Received: March 20, 2024
Revised: May 13, 2024
Accepted: June 3, 2024
Published online: July 15, 2024
Processing time: 114 Days and 8.1 Hours
Abstract

The publication by Qu et al provided a comprehensive discussion about the epidemiology, etiology, histopathology, early detection, and endoscopic treatment of esophageal carcinoma (EC) and summarized the progress in the advanced technologies for screening and endoscopic resection for EC. In this editorial, we will provide deeper insight into the challenges that hinder practical application of these advanced technologies along with the role of these technologies in upper endoscopy quality. More efforts need to be made to overcome the challenges and add the value of these technologies in upper endoscopy quality. Clinical outcomes of management strategies after noncurative endoscopic dissection for early EC patients need further investigation. The experiences with noncurative endoscopic resection of other organs may have certain implications for noncurative resection of early EC.

Keywords: Esophageal cancer, Early detection, Endoscopic submucosal dissection, Noncurative endoscopic submucosal dissection

Core Tip: Challenges remain in practical application of advanced technologies in the detection of esophageal carcinoma (EC), and it is also important to add the value of these technologies in upper endoscopy quality. For early EC patients, the clinical outcomes of management strategies after noncurative endoscopic resection need to be further studied and the clinical experiences with noncurative endoscopic resection of other organs are helpful.