Gastric cancer- endoscopic treatment of early lesions, the West learns from the East

Gastric cancer still has one of the highest incidence rates worldwide. Screening programs have been established in high incidence regions, especially in Asia, but in the West, screening for gastric cancer is not generally recommended. Gastroscopy is the gold standard for diagnosing gastric cancer. For the treatment of early gastric cancer, endoscopic resection is the method of choice. With the ESD technique, larger lesions can be resected en-bloc. Guideline and extended guideline criteria for the choice of lesions for ESD have been evaluated extensively, initially in Asia and later in the West as well. For lesions which are out of indication, a surgical approach must be recommended. To detect early recurrence or metachronous lesions, follow-up should be performed after ER. (c) 2021 Published by Elsevier Ltd.

Automated summary

Gastric cancer remains one of the highest incidence diseases globally. Endoscopic resection is the preferred method for treating early lesions, while surgical treatment is recommended for lesions beyond the indication. Follow-up examinations can help detect early recurrence or metachronous lesions.