Schlottmann F. Endoscopic submucosal dissection for early gastric cancer: A major challenge for the west. World J Gastrointest Surg 2024; 16(7): 1965-1968 [PMID: 39087132 DOI: 10.4240/wjgs.v16.i7.1965]
Corresponding Author of This Article
Francisco Schlottmann, MD, Surgeon, Department of Surgery, University of Illinois at Chicago, 840 S. Wood Street, Suite 435E, Chicago, IL 60612, United States. fschlottmann@hospitalaleman.com
Research Domain of This Article
Oncology
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Jul 27, 2024; 16(7): 1965-1968 Published online Jul 27, 2024. doi: 10.4240/wjgs.v16.i7.1965
Endoscopic submucosal dissection for early gastric cancer: A major challenge for the west
Francisco Schlottmann
Francisco Schlottmann, Department of Surgery, University of Illinois at Chicago, Chicago, IL 60612, United States
Francisco Schlottmann, Department of Surgery, Hospital Alemán of Buenos Aires, Buenos Aires 1640-C1118AAT, Argentina
Author contributions: Schlottmann F conceived, wrote, and revised the manuscript.
Conflict-of-interest statement: No conflicts of interests.
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: Francisco Schlottmann, MD, Surgeon, Department of Surgery, University of Illinois at Chicago, 840 S. Wood Street, Suite 435E, Chicago, IL 60612, United States. fschlottmann@hospitalaleman.com
Received: February 29, 2024 Revised: April 26, 2024 Accepted: May 15, 2024 Published online: July 27, 2024 Processing time: 143 Days and 16.7 Hours
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.
Core Tip: Endoscopic submucosal dissection (ESD) is a highly efficient treatment modality for early gastric cancer. However, the adoption of ESD in Western countries poses two main challenges: Low prevalence of early gastric cancer and lack of expertise in such advanced endoscopic technique. Dedicated training programs are needed to safely embrace ESD in Western countries.
