Endoscopic Mucosal Resection for Superficial Esophageal Cancer Hideo Shimada 1 , Hiroyasu Makuuchi 2 , Soji Ozawa 3 , Osamu Chino 3 , Takayuki Nishi 1 , Tomoko Hanashi 3 , Soichiro Yamamoto 3 , Minoru Nakui 3 , Akihito Kazuno 3 1Department of Surgery, Tokai University Oiso Hospital, Kanagawa, Japan 2Department of General Surgery, Tokai University, Isehara, Japan 3Department of Surgery, Tokai University School of Medicine, Isehara, Japan Keyword: 食道表在癌 , 早期食道癌 , 内視鏡的切除 , EMR , ESD pp.694-704
Published Date 2011/5/24
DOI https://doi.org/10.11477/mf.1403102229
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 Treatment strategy for superficial esophageal cancer has changed a great deal by developing EMR(endoscopic mucosal resection).

 ER(endoscopic resection)has now become the treatment of first choice for early esophageal cancer.

 Our standard EMR way is the EEMR-tube method which was developed by Makuuchi et al. And the four-step method is regarded as a very safe maneuver, and is recommended as an effective way to detect local recurrence after EMR.

 A wide lesion can be resected by repeating EMR, but has been recently resected in an en-bloc manner by ESD(endoscopic submucosal dissection), which was first indicated for gastric cancer.

 Nowadays, which two types of ER,EMR or ESD, should be chosen depends on the size or number of the lesions, the technique of the operator and, the time available, etc.

Copyright © 2011, Igaku-Shoin Ltd. All rights reserved.


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