Early esophageal squamous cell carcinoma management through endoscopic submucosal dissection.

Autor:	Arantes V; Unidad de Endoscopia, Instituto Alfa de Gastroenterología, Facultad de Medicina de la Universidad Federal de Minas Gerais, Unidad de Endoscopia, Hospital Mater Dei Contorno, Belo Horizonte, Minas Gerais, Brasil. Electronic address: arantesvitor@ufmg.br., Espinoza-Ríos J; Servicio de Gastroenterología, Hospital Cayetano Heredia, Facultad de Medicina «Alberto Hurtado», Universidad Peruana Cayetano Heredia, Lima, Perú.
Jazyk:	English; Spanish; Castilian
Zdroj:	Revista de gastroenterologia de Mexico (English) [Rev Gastroenterol Mex (Engl Ed)] 2018 Jul - Sep; Vol. 83 (3), pp. 259-267. Date of Electronic Publication: 2018 Mar 16.
DOI:	10.1016/j.rgmx.2017.12.004
Abstrakt:	The incidence of esophageal cancer is steadily increasing worldwide. Outcome is poor, given that the majority of cases are diagnosed at advanced disease stages. However, when detected at early stages, esophageal tumors can be curatively treated through less invasive methods, resulting in a 5-year survival rate above 90%. Therefore, it is essential to identify the high-risk population and recommend those patients undergo screening using high-resolution endoscopy, adding the resources of chromoendoscopy with Lugol's solution (or digital chromoendoscopy) and magnification. Such systematized examination makes it possible to recognize early-stage esophageal neoplasia and propose endoscopic submucosal dissection as treatment. In that procedure, the tumor is resected en bloc, resulting in lower morbidity and mortality, compared with previous standard treatment, including early-stage esophagectomy. The present article is a review of the latest advances in the management of superficial esophageal tumors through endoscopic submucosal dissection. (Copyright © 2018 Asociación Mexicana de Gastroenterología. Publicado por Masson Doyma México S.A. All rights reserved.)
Databáze:	MEDLINE
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