Home > Gastroenterology > EMR versus ESD in oesophageal cancer

EMR versus ESD in oesophageal cancer

Presented By
Dr Vani Konda, Baylor University Medical Center, TX, USA

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Conference
ASCO GI 2022
A controversial topic in early-stage oesophageal cancer is the role of endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD). The advantages and disadvantages of both methods were discussed with respect to the latest evidence on the subject [1]. “The treatment of oesophageal adenocarcinoma (OAC) and squamous cell carcinoma (SCC) require different approaches,” said Dr Vani Konda (Baylor University Medical Center, TX, USA). “In both types of cancer, visible lesions need to be investigated by endoscopic resection to establish an accurate histopathologic diagnosis.” Endoscopic eradication therapy is the standard treatment option for high-grade dysplasia or intramucosal carcinoma in Barrett’s oesophagus. “EMR can eradicate 96.6% or more of the neoplastic tissue,” said Dr Konda. “However, complications (perforation in 2%; stricture in 37%) can occur during this procedure. If a hybrid therapy is used (i.e. EMR + radiofrequency ablat...


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