《早期胃癌内镜黏膜下剥离术和内镜黏膜切除术治疗指南（第二版）》的更新与解读

Update and interpretation of Guidelines for endoscopic submucosal dissection and endoscopic mucosal resection for early gastric cancer (second edition)

摘要:

2014年日本胃肠内镜学会与日本胃癌学会联合发布了基于循证医学原则的《早期胃癌内镜黏膜下剥离术和内镜黏膜切除术治疗指南》。然而由于当时该领域的许多证据级别较低，部分准则只能通过专家共识来建立。近年来，设计规范的临床研究数量激增。基于这些新的证据，日本胃肠内镜学会发布了上述治疗指南的修订第二版。本文将基于新版指南中更新和新增的内容进行介绍与解读。

Abstract:

In response to the rapid and wide acceptance and use of endoscopic treatments for early gastric cancer, the Japan Gastroenterological Endoscopy Society, in collaboration with the Japanese Gastric Cancer Association, has produced “Guidelines for Endoscopic Submucosal Dissection and Endoscopic Mucosal Resection for Early Gastric Cancer” in 2014, as a set of basic guidelines in accordance with the principles of evidence-based medicine. At the time, a number of statements had to be established by consensus (the lowest evidence level), as evidence levels remained low for many specific areas in this field. However, in recent years, the number of well-designed clinical studies have been increasing. Based on new findings, JEGS have issued the revised second edition of the above guidelines that cover the present state of knowledge. In this article, the revised or the new guidelines will be introduced.