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Updated: Feb 23, 2026

Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
Published on: August 9, 2016
A minimally invasive treatment for early GI cancers
Lady Katherine Mejía-Pérez1, Seiichiro Abe2, Tyler Stevens3,4
1Department of Internal Medicine, Cleveland Clinic, Cleveland, OH, USA.
Abstract:
Endoscopic submucosal dissection (ESD) allows curative resection of early malignant gastrointestinal (GI) lesions, potentially avoiding open surgery. Unfortunately, awareness of this technique is low, and many patients undergo surgery without consideration of ESD. This article reviews the indications for ESD and its advantages and limitations, and guides internists in their approach to patients with early GI cancer.
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