Curative criteria for endoscopic treatment of gastric cancer

IF 3.2 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
João A. Cunha Neves , Pedro G. Delgado-Guillena , Patrícia Queirós , Diogo Libânio , Enrique Rodríguez de Santiago
{"title":"Curative criteria for endoscopic treatment of gastric cancer","authors":"João A. Cunha Neves ,&nbsp;Pedro G. Delgado-Guillena ,&nbsp;Patrícia Queirós ,&nbsp;Diogo Libânio ,&nbsp;Enrique Rodríguez de Santiago","doi":"10.1016/j.bpg.2024.101884","DOIUrl":null,"url":null,"abstract":"<div><p><span><span><span>Endoscopic treatment, particularly </span>endoscopic submucosal dissection, has become the primary treatment for early gastric cancer. A comprehensive optical assessment, including </span>white light endoscopy<span>, image-enhanced endoscopy, and magnification, are the cornerstones for clinical staging and determining the resectability of lesions. This paper discusses factors that influence the indication for endoscopic resection and the likelihood of achieving a curative resection. Our review stresses the critical need for interpreting the histopathological report in accordance with clinical guidelines and the imperative of tailoring decisions based on the patients' and lesions’ characteristics and preferences. Moreover, we offer guidance on managing complex scenarios, such as those involving non-curative resection. Finally, we identify future research avenues, including the role of artificial intelligence in estimating the depth of invasion and the urgent need to refine predictive scores for </span></span>lymph node metastasis and metachronous lesions.</p></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":null,"pages":null},"PeriodicalIF":3.2000,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Best Practice & Research Clinical Gastroenterology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1521691824000039","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Endoscopic treatment, particularly endoscopic submucosal dissection, has become the primary treatment for early gastric cancer. A comprehensive optical assessment, including white light endoscopy, image-enhanced endoscopy, and magnification, are the cornerstones for clinical staging and determining the resectability of lesions. This paper discusses factors that influence the indication for endoscopic resection and the likelihood of achieving a curative resection. Our review stresses the critical need for interpreting the histopathological report in accordance with clinical guidelines and the imperative of tailoring decisions based on the patients' and lesions’ characteristics and preferences. Moreover, we offer guidance on managing complex scenarios, such as those involving non-curative resection. Finally, we identify future research avenues, including the role of artificial intelligence in estimating the depth of invasion and the urgent need to refine predictive scores for lymph node metastasis and metachronous lesions.

胃癌内镜治疗的治愈标准
内镜治疗,尤其是内镜黏膜下剥离术,已成为早期胃癌的主要治疗方法。包括白光内镜、图像增强内镜和放大镜在内的综合光学评估是临床分期和确定病灶可切除性的基石。本文讨论了影响内镜切除术适应症和实现根治性切除术可能性的因素。我们的综述强调了根据临床指南解释组织病理学报告的关键必要性,以及根据患者和病变的特点和偏好做出决定的必要性。此外,我们还就如何处理复杂情况(如涉及非根治性切除的情况)提供了指导。最后,我们确定了未来的研究方向,包括人工智能在估计侵袭深度中的作用,以及完善淋巴结转移和晚期病变预测评分的迫切需要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
5.50
自引率
0.00%
发文量
23
审稿时长
69 days
期刊介绍: Each topic-based issue of Best Practice & Research Clinical Gastroenterology will provide a comprehensive review of current clinical practice and thinking within the specialty of gastroenterology.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信