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Title: Recent advances in endoscopic management of gastric neoplasms
Authors: Cheema, Hira Imad
Tharian, Benjamin
İnamdar, Sumant
Garcia-Saenz-de-Sicilia, Mauricio
Cengiz, Cem
Keywords: Gastric tumors
Endoscopic ultrasound
Endoscopic mucosal resection
Endoscopic submucosal dissection
Endoscopic surveillance
Gastric neoplasm
Full-Thickness Resection
Gastrointestinal Stromal Tumors
Confocal Laser Endomicroscopy
Muscularis Propria Layer
Indigo-Carmine Dye
Fundic Gland Type
Submucosal Dissection
Subepithelial Tumors
Magnifying Endoscopy
Issue Date: 2023
Publisher: Baishideng Publishing Group Inc
Abstract: The development and clinical application of new diagnostic endoscopic technologies such as endoscopic ultrasonography with biopsy, magnification endoscopy, and narrow-band imaging, more recently supplemented by artificial intelligence, have enabled wider recognition and detection of various gastric neoplasms including early gastric cancer (EGC) and subepithelial tumors, such as gastrointestinal stromal tumors and neuroendocrine tumors. Over the last decade, the evolution of novel advanced therapeutic endoscopic techniques, such as endoscopic mucosal resection, endoscopic submucosal dissection, endoscopic full-thickness resection, and submucosal tunneling endoscopic resection, along with the advent of a broad array of endoscopic accessories, has provided a promising and yet less invasive strategy for treating gastric neoplasms with the advantage of a reduced need for gastric surgery. Thus, the management algorithms of various gastric tumors in a defined subset of the patient population at low risk of lymph node metastasis and amenable to endoscopic resection, may require revision considering upcoming data given the high success rate of en bloc resection by experienced endoscopists. Moreover, endoscopic surveillance protocols for precancerous gastric lesions will continue to be refined by systematic reviews and meta-analyses of further research. However, the lack of familiarity with subtle endoscopic changes associated with EGC, as well as longer procedural time, evolving resection techniques and tools, a steep learning curve of such high-risk procedures, and lack of coding are issues that do not appeal to many gastroenterologists in the field. This review summarizes recent advances in the endoscopic management of gastric neoplasms, with special emphasis on diagnostic and therapeutic methods and their future prospects.
ISSN: 1948-5190
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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