An update in endoscopic management of gastric cancer

作者：Retana Alexandra; Silverstein Taryn; Wassef Wahid^*

来源：Current Opinion in Gastroenterology, 2011, 27(6): 576-582.

DOI：10.1097/MOG.0b013e32834b9e5e

• chromoendoscopy
• confocal laser endomicroscopy
• endoscopic mucosal resection
• endoscopic submucosal dissection
• endoscopic ultrasound
• gastric adenocarcinoma
• narrow band imaging

Purpose of review
Gastric cancer remains a prevalent disease with a 5-year mortality rate of less than 25%. This review focuses on the endoscopic detection, staging, and management of gastric adenocarcinoma.
Recent findings
Confocal laser endomicroscopy and narrow band imaging have a 77-99.4% sensitivity for early cancer detection, a significant improvement when compared with white light endoscopy. Proper staging can be accomplished through endoscopic ultrasound and multidetector row-computed tomography, with accuracy as high as 90.1%. Endoscopic management of early gastric cancer is minimally invasive and can be preferable to surgery. In properly selected patients, endoscopic submucosal dissection has been found to have 100% 5-year survival.
Summary
The recent advances in gastric cancer have greatly improved the care we can offer our patients in gastric oncology. The emerging technologies will hopefully continue to promote this trend.

• 出版日期2011-10