Early esophageal squamous cell carcinoma management through endoscopic submucosal dissection

摘要: Abstract The incidence of esophageal cancer is steadily increasing worldwide. Outcome poor, given that the majority cases are diagnosed at advanced disease stages. However, when detected early stages, tumors can be curatively treated through less invasive methods, resulting in a 5-year survival rate above 90%. Therefore, it essential to identify high-risk population and recommend those patients undergo screening using high-resolution endoscopy, adding resources chromoendoscopy with Lugol solution (or digital chromoendoscopy) magnification. Such systematized examination makes possible recognize early-stage neoplasia propose endoscopic submucosal dissection as treatment. In procedure, tumor resected en bloc , lower morbidity mortality, compared previous standard treatment, including esophagectomy. present article review latest advances management superficial dissection.