Differences in endoscopic submucosal dissection (ESD) performed in Japan and the United States -based on the experience of ESD in Japan and the US Journal Article


Author: Nishimura, M.
Article Title: Differences in endoscopic submucosal dissection (ESD) performed in Japan and the United States -based on the experience of ESD in Japan and the US
Abstract: It is well known that there have been gaps in the pathological diagnosis and definition of endoscopic findings between Japan and the US. Specifically the difference in the pathological definition of intraepithelial neoplasm is well known. In Japan, gastrointestinal epithelial neoplasm tends to be diagnosed and removed focally, while in the US, it tends to be recognized as a premalignant field defect and is treated in the field. These differences may be due to differences in surveying technique where targeted biopsy tends to be performed in Japan while random biopsy tends to be performed in the US. In Japan, endoscopic submucosal dissection (ESD) has been performed to treat esophageal squamous cell carcinoma, gastric cancer associated with H. pylori infection, and colorectal lesions. On the other hand, in the US, ESD is performed to treat Barrett's adenocarcinoma, gastric cancer without H. pylori infection, and hereditary colorectal neoplasm. Other differences include sedation techniques, performing advanced procedures on an inpatient verses outpatient basis and overall health care delivery. As globalization progresses, we should continue to share endoscopic knowledge and resection techniques across the world. © 2020 Japan Gastroenterological Endoscopy Society. All rights reserved.
Keywords: united states; colorectal cancer; biopsy; stomach cancer; epithelium; japan; esophageal squamous cell carcinoma; barrett esophagus; helicobacter infection; endoscopic submucosal dissection; fap; human; article; barrett; cdh1 胃癌; esd; lynch 症候群; nbi; アメリカ; 全層切除
Journal Title: Gastroenterological Endoscopy
Volume: 62
Issue: 2
ISSN: 0387-1207
Publisher: Nihon Shokaki Naishikyo Gakkai  
Date Published: 2020-02-01
Start Page: 137
End Page: 147
Language: Japanese
DOI: 10.11280/gee.62.137
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 1 May 2020 -- Source: Scopus
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