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논문 기본 정보

자료유형
학술저널
저자정보
Park Chan Hyuk (Department of Internal Medicine Hanyang University Guri Hospital Hanyang University College of Medi) Yang Dong-Hoon (Department of Gastroenterology University of Ulsan College of Medicine and Asan Medical Center Seou) 김종욱 (Department of Internal Medicine Ilsan Paik Hospital Inje University College of Medicine Goyang) Kim Jie-Hyun (Department of Internal Medicine Gangnam Severance Hospital Yonsei University College of Medicine Se) 김지현 (인제대학교) 민양원 (성균관대학교) 이시형 (영남대학교) 배정호 (서울대학교병원) 정현수 (서울대학교) 최기돈 (울산대학교) Park Jun Chul (Division of Gastroenterology Department of Internal Medicine Severance Hospital Institute of Gastro) 이혁 (성균관대학교) Kwak Min Seob (Department of Internal Medicine Kyung Hee University Hospital at Gangdong Kyung Hee University Scho) 김분 (국립암센터) 이현정 (서울대학교) 이혜승 (서울대학교) Choi Miyoung (National Evidence-based Healthcare Collaborating Agency Seoul Korea.) Park Dong-ah (Division of Healthcare Technology Assessment Research National Evidence-based Healthcare Collaborat) 이종열 (국립암센터) 변정식 (서울아산병원) 박찬국 (조선대학교) 조주영 (차의과학대학교) 이수택 (전북대학교) 전훈재 (고려대학교)
저널정보
대한장연구학회 Intestinal research Intestinal research Vol.19 No.2
발행연도
2021.1
수록면
127 - 157 (31page)

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Although surgery was the standard treatment for early gastrointestinal cancers, endoscopic resection is now a standard treat- ment for early gastrointestinal cancers without regional lymph node metastasis. High-definition white light endoscopy, chromo- endoscopy, 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 per- formed 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 endoscopi- cally resected specimen shows risk factors for lymph node metastasis. This is the first Korean clinical practice guideline for en- doscopic resection of early gastrointestinal cancer. This guideline was developed by using mainly de novo methods and encom- passes 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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