作者
Pedro Pimentel-Nunes, Mário Dinis-Ribeiro, Thierry Ponchon, Alessandro Repici, Michael Vieth, Antonella De Ceglie, Arnaldo Amato, Frieder Berr, Pradeep Bhandari, Andrzej Bialek, Massimo Conio, Jelle Haringsma, Cord Langner, Søren Meisner, Helmut Messmann, Mario Morino, Horst Neuhaus, Hubert Piessevaux, Massimo Rugge, Brian P Saunders, Michel Robaszkiewicz, Stefan Seewald, Sergey Kashin, Jean-Marc Dumonceau, Cesare Hassan, Pierre H Deprez
发表日期
2015/9
来源
Endoscopy
卷号
47
期号
09
页码范围
829-854
出版商
© Georg Thieme Verlag KG
简介
This Guideline is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE). The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system 1 2 was adopted to define the strength of recommendations and the quality of evidence.
Main recommendations
1 ESGE recommends endoscopic en bloc resection for superficial esophageal squamous cell cancers (SCCs), excluding those with obvious submucosal involvement (strong recommendation, moderate quality evidence). Endoscopic mucosal resection (EMR) may be considered in such lesions when they are smaller than 10 mm if en bloc resection can be assured. However, ESGE recommends endoscopic submucosal dissection (ESD) as the first option, mainly to provide an en bloc resection with accurate pathology staging and to avoid missing important histological features (strong recommendation …
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P Pimentel-Nunes, M Dinis-Ribeiro, T Ponchon… - Endoscopy, 2015