Clinical practice guideline for endoscopic resection of early gastrointestinal cancer

Chan Hyuk Park; Dong Hoon Yang; Jong Wook Kim; Jie Hyun Kim; Ji Hyun Kim; Yang Won Min; Si Hyung Lee; Jung Ho Bae; Hyunsoo Chung; Kee Don Choi; Jun Chul Park; Hyuk Lee; Min Seob Kwak; Bun Kim; Hyun Jung Lee; Hye Seung Lee; Miyoung Choi; Dong Ah Park; Jong Yeul Lee; Jeong Sik Byeon; Chan Guk Park; Joo Young Cho; Soo Teik Lee; Hoon Jai Chun

doi:10.5217/ir.2020.00020

Clinical practice guideline for endoscopic resection of early gastrointestinal cancer

Chan Hyuk Park, Dong Hoon Yang, Jong Wook Kim, Jie Hyun Kim, Ji Hyun Kim, Yang Won Min, Si Hyung Lee, Jung Ho Bae, Hyunsoo Chung, Kee Don Choi, Jun Chul Park, Hyuk Lee, Min Seob Kwak, Bun Kim, Hyun Jung Lee, Hye Seung Lee, Miyoung Choi, Dong Ah Park, Jong Yeul Lee, Jeong Sik ByeonChan Guk Park, Joo Young Cho, Soo Teik Lee, Hoon Jai Chun

Department of Internal Medicine

Research output: Contribution to journal › Article › peer-review

14 Citations (Scopus)

Abstract

Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment for early gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromoendoscopy, and image-enhanced endoscopy such as narrow band imaging are performed to assess the edge and depth of early gastrointestinal cancers for delineation of resection boundaries and prediction of the possibility of lymph node metastasis before the decision of endoscopic resection. Endoscopic mucosal resection and/or endoscopic submucosal dissection can be performed to remove early gastrointestinal cancers completely by en bloc fashion. Histopathological evaluation should be carefully made to investigate the presence of risk factors for lymph node metastasis such as depth of cancer invasion and lymphovascular invasion. Additional treatment such as radical surgery with regional lymphadenectomy should be considered if the endoscopically resected specimen shows risk factors for lymph node metastasis. This is the first Korean clinical practice guideline for endoscopic resection of early gastrointestinal cancer. This guideline was developed by using mainly de novo methods and encompasses endoscopic management of superficial esophageal squamous cell carcinoma, early gastric cancer, and early colorectal cancer. This guideline will be revised as new data on early gastrointestinal cancer are collected.

Original language	English
Pages (from-to)	127-157
Number of pages	31
Journal	Intestinal Research
Volume	19
Issue number	2
DOIs	https://doi.org/10.5217/ir.2020.00020
Publication status	Published - 2021 Apr

Bibliographical note

Funding Information:
This guideline project was financially supported by Korean Society of Gastrointestinal Endoscopy (KSGE).

Funding Information:
This clinical practice guideline is a project selected and funded by KSGE. KSGE did not influence the process of guideline development in any manner. All parties involved in the guide- line development had no conflict of interests regarding the guideline development.

Publisher Copyright:
© Copyright 2021. Korean Association for the Study of Intestinal Diseases. All rights reserved. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

All Science Journal Classification (ASJC) codes

Gastroenterology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.5217/ir.2020.00020

Cite this

Park, C. H., Yang, D. H., Kim, J. W., Kim, J. H., Kim, J. H., Min, Y. W., Lee, S. H., Bae, J. H., Chung, H., Choi, K. D., Park, J. C., Lee, H., Kwak, M. S., Kim, B., Lee, H. J., Lee, H. S., Choi, M., Park, D. A., Lee, J. Y., ... Chun, H. J. (2021). Clinical practice guideline for endoscopic resection of early gastrointestinal cancer. Intestinal Research, 19(2), 127-157. https://doi.org/10.5217/ir.2020.00020

@article{b17b4881401048c49bc81d44728c811c,

title = "Clinical practice guideline for endoscopic resection of early gastrointestinal cancer",

abstract = "Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment for early gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromoendoscopy, and image-enhanced endoscopy such as narrow band imaging are performed to assess the edge and depth of early gastrointestinal cancers for delineation of resection boundaries and prediction of the possibility of lymph node metastasis before the decision of endoscopic resection. Endoscopic mucosal resection and/or endoscopic submucosal dissection can be performed to remove early gastrointestinal cancers completely by en bloc fashion. Histopathological evaluation should be carefully made to investigate the presence of risk factors for lymph node metastasis such as depth of cancer invasion and lymphovascular invasion. Additional treatment such as radical surgery with regional lymphadenectomy should be considered if the endoscopically resected specimen shows risk factors for lymph node metastasis. This is the first Korean clinical practice guideline for endoscopic resection of early gastrointestinal cancer. This guideline was developed by using mainly de novo methods and encompasses endoscopic management of superficial esophageal squamous cell carcinoma, early gastric cancer, and early colorectal cancer. This guideline will be revised as new data on early gastrointestinal cancer are collected.",

author = "Park, {Chan Hyuk} and Yang, {Dong Hoon} and Kim, {Jong Wook} and Kim, {Jie Hyun} and Kim, {Ji Hyun} and Min, {Yang Won} and Lee, {Si Hyung} and Bae, {Jung Ho} and Hyunsoo Chung and Choi, {Kee Don} and Park, {Jun Chul} and Hyuk Lee and Kwak, {Min Seob} and Bun Kim and Lee, {Hyun Jung} and Lee, {Hye Seung} and Miyoung Choi and Park, {Dong Ah} and Lee, {Jong Yeul} and Byeon, {Jeong Sik} and Park, {Chan Guk} and Cho, {Joo Young} and Lee, {Soo Teik} and Chun, {Hoon Jai}",

note = "Funding Information: This guideline project was financially supported by Korean Society of Gastrointestinal Endoscopy (KSGE). Funding Information: This clinical practice guideline is a project selected and funded by KSGE. KSGE did not influence the process of guideline development in any manner. All parties involved in the guide- line development had no conflict of interests regarding the guideline development. Publisher Copyright: {\textcopyright} Copyright 2021. Korean Association for the Study of Intestinal Diseases. All rights reserved. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.",

year = "2021",

month = apr,

doi = "10.5217/ir.2020.00020",

language = "English",

volume = "19",

pages = "127--157",

journal = "Intestinal Research",

issn = "1598-9100",

publisher = "Korean Association for the Study of Intestinal Diseases",

number = "2",

}

Park, CH, Yang, DH, Kim, JW, Kim, JH, Kim, JH, Min, YW, Lee, SH, Bae, JH, Chung, H, Choi, KD, Park, JC, Lee, H, Kwak, MS, Kim, B, Lee, HJ, Lee, HS, Choi, M, Park, DA, Lee, JY, Byeon, JS, Park, CG, Cho, JY, Lee, ST & Chun, HJ 2021, 'Clinical practice guideline for endoscopic resection of early gastrointestinal cancer', Intestinal Research, vol. 19, no. 2, pp. 127-157. https://doi.org/10.5217/ir.2020.00020

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T1 - Clinical practice guideline for endoscopic resection of early gastrointestinal cancer

AU - Park, Chan Hyuk

AU - Yang, Dong Hoon

AU - Kim, Jong Wook

AU - Kim, Jie Hyun

AU - Kim, Ji Hyun

AU - Min, Yang Won

AU - Lee, Si Hyung

AU - Bae, Jung Ho

AU - Chung, Hyunsoo

AU - Choi, Kee Don

AU - Park, Jun Chul

AU - Lee, Hyuk

AU - Kwak, Min Seob

AU - Kim, Bun

AU - Lee, Hyun Jung

AU - Lee, Hye Seung

AU - Choi, Miyoung

AU - Park, Dong Ah

AU - Lee, Jong Yeul

AU - Byeon, Jeong Sik

AU - Park, Chan Guk

AU - Cho, Joo Young

AU - Lee, Soo Teik

AU - Chun, Hoon Jai

N1 - Funding Information: This guideline project was financially supported by Korean Society of Gastrointestinal Endoscopy (KSGE). Funding Information: This clinical practice guideline is a project selected and funded by KSGE. KSGE did not influence the process of guideline development in any manner. All parties involved in the guide- line development had no conflict of interests regarding the guideline development. Publisher Copyright: © Copyright 2021. Korean Association for the Study of Intestinal Diseases. All rights reserved. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

PY - 2021/4

Y1 - 2021/4

N2 - Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment for early gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromoendoscopy, and image-enhanced endoscopy such as narrow band imaging are performed to assess the edge and depth of early gastrointestinal cancers for delineation of resection boundaries and prediction of the possibility of lymph node metastasis before the decision of endoscopic resection. Endoscopic mucosal resection and/or endoscopic submucosal dissection can be performed to remove early gastrointestinal cancers completely by en bloc fashion. Histopathological evaluation should be carefully made to investigate the presence of risk factors for lymph node metastasis such as depth of cancer invasion and lymphovascular invasion. Additional treatment such as radical surgery with regional lymphadenectomy should be considered if the endoscopically resected specimen shows risk factors for lymph node metastasis. This is the first Korean clinical practice guideline for endoscopic resection of early gastrointestinal cancer. This guideline was developed by using mainly de novo methods and encompasses endoscopic management of superficial esophageal squamous cell carcinoma, early gastric cancer, and early colorectal cancer. This guideline will be revised as new data on early gastrointestinal cancer are collected.

AB - Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treatment for early gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromoendoscopy, and image-enhanced endoscopy such as narrow band imaging are performed to assess the edge and depth of early gastrointestinal cancers for delineation of resection boundaries and prediction of the possibility of lymph node metastasis before the decision of endoscopic resection. Endoscopic mucosal resection and/or endoscopic submucosal dissection can be performed to remove early gastrointestinal cancers completely by en bloc fashion. Histopathological evaluation should be carefully made to investigate the presence of risk factors for lymph node metastasis such as depth of cancer invasion and lymphovascular invasion. Additional treatment such as radical surgery with regional lymphadenectomy should be considered if the endoscopically resected specimen shows risk factors for lymph node metastasis. This is the first Korean clinical practice guideline for endoscopic resection of early gastrointestinal cancer. This guideline was developed by using mainly de novo methods and encompasses endoscopic management of superficial esophageal squamous cell carcinoma, early gastric cancer, and early colorectal cancer. This guideline will be revised as new data on early gastrointestinal cancer are collected.

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JO - Intestinal Research

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IS - 2

ER -

Clinical practice guideline for endoscopic resection of early gastrointestinal cancer

Abstract

Bibliographical note

All Science Journal Classification (ASJC) codes

UN SDGs

Access to Document

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