ASGE-JGES Endoscopic Submucosal Dissection ESD (On-demand) | October 2025-Indications Upper ESD - Esophogeal SCC & Gastric Cancer

Indications Upper ESD - Esophogeal SCC & Gastric Cancer - Takizawa

Video Transcription

Video Summary

Dr. Kohei Takizawa from Kanagawa Cancer Center presented on the indications and evaluation of upper endoscopic submucosal dissection (ESD) for early gastric and esophageal squamous cell carcinoma. He detailed the diagnostic steps from detection, assessment of lesion characteristics via endoscopy and NBI, to staging by size, depth, ulceration, and histology according to Japanese guidelines. Case studies highlighted synchronous lesions, pathological evaluation post-ESD, and criteria for curative resection. The JES classification system was explained for esophageal cancer depth prediction, guiding treatment decisions. Non-curative cases may require additional surgery or chemoradiotherapy to address lymph node metastasis risk.

Keywords

Upper endoscopic submucosal dissection

Early gastric cancer

Esophageal squamous cell carcinoma

Japanese guidelines

JES classification system