Clinical Outcome of Endoscopic Submucosal Dissection for 352 Lesions of Superficial Gastric Neoplasms in 284 Patients

One of the most significant topics for therapeutic endoscopy in recent years is the develop‐ ment of new therapeutic strategies for gastric neoplasms, called endoscopic submucosal dis‐ section (ESD)[1]-[7]. This technique was developed to allow resection of difficult lesions with characteristics such as large size, irregular shape, coexisting ulcer findings or difficult location that could not be resected en bloc using conventional endoscopic mucosal resection (EMR). One of the most important benefits of this procedure is to obtain accurate histologi‐ cal diagnosis. Additional benefits of ESD include that it is minimally invasive in nature and allows preservation of the entire stomach, resulting in the improved postoperative quality of life[8], [9]. Therefore, ESD is widely accepted as a standard treatment strategy for gastric ne‐ oplasm.