Upper GI 2017

3/28/2017

TheRoyalMarsden

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State of Art of Surgery in a Combined Treatment Perspective: Oesophageal Cancer

William Allum

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LEFT

RIGHT

ANTERIOR

TheRoyalMarsden

EMR vs ESD

ENDOSCOPIC RESECTION

T1a

•

EMR

ESD

pT1 sm1 <500 micro mm

•

– Polypectomy

– En bloc

• well / moderately well differentiated adenocarcinoma

– Piecemeal

– Complications

no lymphatic or venous invasion

•

• intramucosal cancer regardless of size without ulceration

• minute submucosal penetration (sm1) and <20mm

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