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Is endoscopic ultrasonography useful for endoscopic submucosal dissection?

Endoscopic submucosal dissection (ESD) is an innovative advance in the treatment of early gastrointestinal (GI) cancer without lymph node metastases and precancerous lesions as it is an effective and safe therapeutic method. ESD has also been a promising therapeutic option for removal of submucosal...

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Autores principales: Han, Ye, Sun, Siyu, Guo, Jintao, Ge, Nan, Wang, Sheng, Liu, Xiang, Wang, Guoxin, Hu, Jinlong, Wang, Shupeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5070285/
https://www.ncbi.nlm.nih.gov/pubmed/27803900
http://dx.doi.org/10.4103/2303-9027.191606
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author Han, Ye
Sun, Siyu
Guo, Jintao
Ge, Nan
Wang, Sheng
Liu, Xiang
Wang, Guoxin
Hu, Jinlong
Wang, Shupeng
author_facet Han, Ye
Sun, Siyu
Guo, Jintao
Ge, Nan
Wang, Sheng
Liu, Xiang
Wang, Guoxin
Hu, Jinlong
Wang, Shupeng
author_sort Han, Ye
collection PubMed
description Endoscopic submucosal dissection (ESD) is an innovative advance in the treatment of early gastrointestinal (GI) cancer without lymph node metastases and precancerous lesions as it is an effective and safe therapeutic method. ESD has also been a promising therapeutic option for removal of submucosal tumors (SMTs) for improving the completeness of resection of a large lesion. Endoscopic ultrasonography (EUS) can be used to detect the depth of invasion during the preoperative evaluation because of its close proximity to the lesion. EUS-guided fine-needle aspiration can be used to increase the diagnostic accuracy of EUS in determining the malignant lymph node. EUS is considered to be a useful imaging procedure to characterize early GI cancer, which is suspicious for submucosal invasion, and the most accurate procedure for detecting and diagnosing SMTs for further treatment. In the process of ESD, EUS can also be used to detect surrounding blood vessels and the degree of fibrosis; this may be helpful for predicting procedure time and decreasing the risk of bleeding and perforation. EUS-guided injection before ESD renders the endoscopic resection safe and accurate. Therefore, EUS plays an important role in the use of ESD. However, compared to conventional endoscopic staging, EUS sometimes can under or overstage the lesion, and the diagnostic accuracy is controversial. In this review, we summarize the latest research findings regarding the role of EUS in ESD.
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spelling pubmed-50702852016-11-01 Is endoscopic ultrasonography useful for endoscopic submucosal dissection? Han, Ye Sun, Siyu Guo, Jintao Ge, Nan Wang, Sheng Liu, Xiang Wang, Guoxin Hu, Jinlong Wang, Shupeng Endosc Ultrasound Review Article Endoscopic submucosal dissection (ESD) is an innovative advance in the treatment of early gastrointestinal (GI) cancer without lymph node metastases and precancerous lesions as it is an effective and safe therapeutic method. ESD has also been a promising therapeutic option for removal of submucosal tumors (SMTs) for improving the completeness of resection of a large lesion. Endoscopic ultrasonography (EUS) can be used to detect the depth of invasion during the preoperative evaluation because of its close proximity to the lesion. EUS-guided fine-needle aspiration can be used to increase the diagnostic accuracy of EUS in determining the malignant lymph node. EUS is considered to be a useful imaging procedure to characterize early GI cancer, which is suspicious for submucosal invasion, and the most accurate procedure for detecting and diagnosing SMTs for further treatment. In the process of ESD, EUS can also be used to detect surrounding blood vessels and the degree of fibrosis; this may be helpful for predicting procedure time and decreasing the risk of bleeding and perforation. EUS-guided injection before ESD renders the endoscopic resection safe and accurate. Therefore, EUS plays an important role in the use of ESD. However, compared to conventional endoscopic staging, EUS sometimes can under or overstage the lesion, and the diagnostic accuracy is controversial. In this review, we summarize the latest research findings regarding the role of EUS in ESD. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC5070285/ /pubmed/27803900 http://dx.doi.org/10.4103/2303-9027.191606 Text en Copyright: © 2016 Spring Media Publishing Co. Ltd http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Review Article
Han, Ye
Sun, Siyu
Guo, Jintao
Ge, Nan
Wang, Sheng
Liu, Xiang
Wang, Guoxin
Hu, Jinlong
Wang, Shupeng
Is endoscopic ultrasonography useful for endoscopic submucosal dissection?
title Is endoscopic ultrasonography useful for endoscopic submucosal dissection?
title_full Is endoscopic ultrasonography useful for endoscopic submucosal dissection?
title_fullStr Is endoscopic ultrasonography useful for endoscopic submucosal dissection?
title_full_unstemmed Is endoscopic ultrasonography useful for endoscopic submucosal dissection?
title_short Is endoscopic ultrasonography useful for endoscopic submucosal dissection?
title_sort is endoscopic ultrasonography useful for endoscopic submucosal dissection?
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5070285/
https://www.ncbi.nlm.nih.gov/pubmed/27803900
http://dx.doi.org/10.4103/2303-9027.191606
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