Endoscopic Submucosal Dissection (ESD) provides an advanced local treatment option for early upper gastrointestinal carcinomas, enabling complete tumor removal and improved patient outcomes.
- ESD allows for en bloc resection of early GI neoplasia, aiding in precise pathology and risk assessment.
- Key candidates for ESD include high-grade intraepithelial neoplasia and superficial early carcinomas without visible deep invasion or lymph node metastasis risk.
Thoughtful patient selection using high-definition imaging is crucial to maximize ESD benefits.
- Consider additional surgery for tumors with deep invasion or poor differentiation, guided by validated risk scores.
Review by Ziachehabi A, Worm M (…) Langer R et 2 al. in J Clin Med