Endoscopic management of gastric dysplasia:Cutting edge technology needs a new paradigm

• 作 者: Seong Woo Jeon
• 机 构: Department of Internal Medicine,Kyungpook National University School of Medicine,
• 出 处: World Journal of Gastrointestinal Endoscopy
• 发表日期: 2010年09期
• 关键词: dysplasia paradigm clarify controversial stratification mortality Cutting consen

There has been tremendous progress in endoscopic techniques for the management of premalignant or malignant gastric lesions.Gastric cancer remains the second most common cause of cancer related mortality worldwide.This means that there is a need for early detection and diagnosis of premalignant lesions or early cancer in clinical practice.Despite substantial development of endoscopic resection techniques,the management of gastric premalignant lesions is controversial because of the lack of consensus and accurate risk stratification.Future study of various aspects would clarify these issues but in the meantime we should reconsider the current algorithm approach for the management of gastric low grade dysplasia.

There has been been tremendous progress in endoscopic techniques for the management of premalignant or malignant gastric lesions. Gastric cancer remains the second most common cause of cancer related mortality worldwide. This means that there is a need for early detection and diagnosis of premalignant lesions or early cancer in clinical practice. Despite substantial development of endoscopic resection techniques, the management of gastric premalignant lesions is controversial because of lack of consensus and accurate risk stratification. Future study of various aspects would clarify these issues but in the meantime we should reconsider the current algorithm approach for the management of gastric low grade dysplasia.