Negative Histology after Endoscopic Resection: How to Avoid It

Endoscopic resection (ER) is the current standard of care for selected cases of gastric epithelial dysplasia or early gastric cancer because of its curative en bloc resectability and complete histopathological assessment of the specimen. Although ER provides many advantages to surgery, some adverse...

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Main Author: Yong Hwan Kwon
Format: Article
Language:English
Published: Korean College of Helicobacter and Upper Gastrointestinal Research 2018-03-01
Series:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
Subjects:
Online Access:http://www.helicojournal.org/journal/view.html?doi=10.7704/kjhugr.2018.18.1.25
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author Yong Hwan Kwon
author_facet Yong Hwan Kwon
author_sort Yong Hwan Kwon
collection DOAJ
description Endoscopic resection (ER) is the current standard of care for selected cases of gastric epithelial dysplasia or early gastric cancer because of its curative en bloc resectability and complete histopathological assessment of the specimen. Although ER provides many advantages to surgery, some adverse events, such as bleeding, perforation, and local recurrence, can occur during and after the procedure. Furthermore, negative pathological findings after ER cause concerns about the adequacy of the procedure and local recurrence after ER among endoscopists and patients. Several variant factors, such as complete removal of small gastric tumor lesions by using initial forceps biopsy, pathological inconsistencies between pathologists, and performing ER in the wrong area. Thus, endoscopists must consider these risk factors to avoid and manage negative pathological results.
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publisher Korean College of Helicobacter and Upper Gastrointestinal Research
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series The Korean Journal of Helicobacter and Upper Gastrointestinal Research
spelling doaj-art-0fa2c44c664a41faaf7bb7ca78355b1f2025-07-02T01:55:33ZengKorean College of Helicobacter and Upper Gastrointestinal ResearchThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312018-03-01181252910.7704/kjhugr.2018.18.1.25kjhugr.2018.18.1.25Negative Histology after Endoscopic Resection: How to Avoid ItYong Hwan Kwon0Department of Internal Medicine, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, KoreaEndoscopic resection (ER) is the current standard of care for selected cases of gastric epithelial dysplasia or early gastric cancer because of its curative en bloc resectability and complete histopathological assessment of the specimen. Although ER provides many advantages to surgery, some adverse events, such as bleeding, perforation, and local recurrence, can occur during and after the procedure. Furthermore, negative pathological findings after ER cause concerns about the adequacy of the procedure and local recurrence after ER among endoscopists and patients. Several variant factors, such as complete removal of small gastric tumor lesions by using initial forceps biopsy, pathological inconsistencies between pathologists, and performing ER in the wrong area. Thus, endoscopists must consider these risk factors to avoid and manage negative pathological results.http://www.helicojournal.org/journal/view.html?doi=10.7704/kjhugr.2018.18.1.25Endoscopic mucosal resectionPathologyStomach neoplasms
spellingShingle Yong Hwan Kwon
Negative Histology after Endoscopic Resection: How to Avoid It
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
Endoscopic mucosal resection
Pathology
Stomach neoplasms
title Negative Histology after Endoscopic Resection: How to Avoid It
title_full Negative Histology after Endoscopic Resection: How to Avoid It
title_fullStr Negative Histology after Endoscopic Resection: How to Avoid It
title_full_unstemmed Negative Histology after Endoscopic Resection: How to Avoid It
title_short Negative Histology after Endoscopic Resection: How to Avoid It
title_sort negative histology after endoscopic resection how to avoid it
topic Endoscopic mucosal resection
Pathology
Stomach neoplasms
url http://www.helicojournal.org/journal/view.html?doi=10.7704/kjhugr.2018.18.1.25
work_keys_str_mv AT yonghwankwon negativehistologyafterendoscopicresectionhowtoavoidit