Overutilization of surgery for superficial gastric carcinoma in USA: is it still the case in 2020?

Gastric cancer is the fifth most common cancer worldwide and the third leading cause of cancer-related death in the world [1] [2]. Given the high incidence of gastric cancer in Asia, rigorous screening strategies have been implemented over the years, resulting in enhanced detection at an early stage. This shift in the timing of diagnosis is critical for prognosis, as early gastric cancers (EGCs) have negligible risk for lymph node metastasis (LNM) [3] [4]. Importantly, endoscopic resection can be curative for select EGCs that meet curative resection criteria, as established by the Japanese Gastric Cancer Association (JGCA) [5]. When compared to surgery, endoscopic resection for EGCs in Asia is associated with similar oncological outcomes, yet it is a less invasive stomach-preserving technique with improved quality of life [6]. Hence, ESD has become the standard of care for EGCs in Asia, with an increasing interest in the West over recent years.

Publikationsverlauf

Artikel online veröffentlicht:
17. Juni 2021

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