[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-376876-105":59,"doc-detail-376876-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","recent-advances-in-endoscopic-management-of-gastric-neoplasms","Recent advances in endoscopic management of gastric neoplasms","","Development and clinical use of new diagnostic endoscopic technologies—including endoscopic ultrasonography with biopsy, magnification endoscopy, and narrow-band imaging, later augmented by artificial intelligence—has expanded recognition and detection of gastric neoplasms such as early gastric cancer and subepithelial tumors including gastrointestinal stromal tumors and neuroendocrine tumors. Over the past decade, advanced therapeutic endoscopic techniques like EMR, ESD, endoscopic full-thickness resection, and submucosal tunneling endoscopic resection, plus newer accessories, offer a less invasive treatment strategy that can reduce the need for gastric surgery. Management algorithms may require revision with upcoming data and high en bloc resection success by experienced endoscopists.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/recent-advances-in-endoscopic-management-of-gastric-neoplasms/376876/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/recent-advances-in-endoscopic-management-of-gastric-neoplasms/376876.png","ImageObject",300,407,{"name":92,"@type":93},"Valentina","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-24",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Which diagnostic endoscopic technologies are highlighted for gastric neoplasms?","Question",{"text":113,"@type":114},"The review highlights endoscopic ultrasonography with biopsy, magnification endoscopy, and narrow-band imaging, later supplemented by artificial intelligence.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What advanced therapeutic endoscopic techniques are discussed for treating gastric neoplasms?",{"text":118,"@type":114},"It discusses endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), endoscopic full-thickness resection, and submucosal tunneling endoscopic resection.",{"name":120,"@type":111,"acceptedAnswer":121},"Why might gastric tumor management algorithms require revision?",{"text":122,"@type":114},"Algorithms may need revision based on upcoming data, considering high success rates of en bloc resection by experienced endoscopists in low-risk patients amenable to endoscopic resection.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},376876,1790373858,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":46,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":31},13056703020460,"https://ap-avatar.wpscdn.com/avatar/be000253dac470eee5d?_k=1778207105932848923","| W | J | G | E | World Journal of\u003Cbr>Gastrointestinal Endoscopy |\n| --- | --- | --- | --- | --- |\n\nSubmit a Manuscript: [https://www.f6publishing.com](https://www.f6publishing.com) World J Gastrointest Endosc 2023 May 16; 15(5): 319-337  \nDOI: 10.4253/wjge.v15.i5.319 ISSN 1948-5190 (online)  \nREVIEW  \nRecent advances in endoscopic management of gastric neoplasms  \nHira Imad Cheema, Benjamin Tharian, Sumant Inamdar, Mauricio Garcia-Saenz-de-Sicilia, Cem Cengiz  \nSpecialty type: Gastroenterology and hepatology  \nProvenance and peer review:  \nInvited article; Externally peer reviewed.  \nPeer-review model: Single blind  \nPeer-review report’s scientific quality classification  \nGrade A (Excellent): 0  \nGrade B (Very good): B  \nGrade C (Good): C  \nGrade D (Fair): 0  \nGrade E (Poor): 0  \nP-Reviewer: Chen SY, China; Delsa H, Morocco  \nReceived: September 20, 2022  \nPeer-review started: September 20, 2022  \nFirst decision: November 11, 2022  \nRevised: January 12, 2023  \nAccepted: April 6, 2023  \nArticle in press: April 6, 2023  \nPublished online: May 16, 2023  \nHira Imad Cheema, Department of Internal Medicine, Baptist Health Medical Center, Little Rock, AR 72205, United States  \nBenjamin Tharian, Department of Interventional Endoscopy/Gastroenterology, Bayfront Health, Digestive Health Institute, St. Petersberg, FL 33701, United States  \nSumant Inamdar, Mauricio Garcia-Saenz-de-Sicilia, Cem Cengiz, Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, United States  \nCem Cengiz, Division of Gastroenterology and Hepatology, Department of Internal Medicine, John L. McClellan Memorial Veterans Hospital, Little Rock, AR 72205, United States  \nCem Cengiz, Division of Gastroenterology and Hepatology, Department of Internal Medicine, TOBB University of Economics and Technology, Ankara 06510, Turkey  \nCorresponding author: Cem Cengiz, MD, Chief Physician, Division of Gastroenterology and Hepatology, Department of Internal Medicine, John L. McClellan Memorial Veterans Hospital, 4300 W 7th Street, Little Rock, AR 72205, [United States.](United States. cemcengizmd@yahoo.com)[ cemcengizmd@yahoo.com](United States. cemcengizmd@yahoo.com)  \nAbstract  \nThe development and clinical application of new diagnostic endoscopic technologies such as endoscopic ultrasonography with biopsy, magnification endoscopy, and narrow-band imaging, more recently supplemented by artificial intelligence, have enabled wider recognition and detection of various gastric neoplasms including early gastric cancer (EGC) and subepithelial tumors, such as gastrointestinal stromal tumors and neuroendocrine tumors. Over the last decade, the evolution of novel advanced therapeutic endoscopic techniques, such as endoscopic mucosal resection, endoscopic submucosal dissection, endoscopic fullthickness resection, and submucosal tunneling endoscopic resection, along with the advent of a broad array of endoscopic accessories, has provided a promising and yet less invasive strategy for treating gastric neoplasms with the advantage of a reduced need for gastric surgery. Thus, the management algorithms of various gastric tumors in a defined subset of the patient population at low risk of lymph node metastasis and amenable to endoscopic resection, may require revision considering upcoming data given the high success rate of en bloc resection by experienced endoscopists. Moreover, endoscopic surveillance protocols for precancerous gastric lesions will continue to be refined by systematic reviews and meta-analyses of further research. However, the lack of familiarity with subtle endoscopic changes associated with EGC, as well as longer procedural time, evolving resection techniques and tools, a steep learning curve of such high-risk  \n WJGE  [https://www.wjgnet.com](https://www.wjgnet.com) 319 May 16, 2023  Volume 15  Issue 5   \nCheema HI et al. Endoscopic management of gastric neoplasms  \nprocedures, ","cbCaih9wzqHdbqkk","https://ap.wps.com/l/cbCaih9wzqHdbqkk","pdf",11391584,"English","# Abstract\n# Core Tip\n# Citation\n# Introduction","[{\"question\":\"Which diagnostic endoscopic technologies are highlighted for gastric neoplasms?\",\"answer\":\"The review highlights endoscopic ultrasonography with biopsy, magnification endoscopy, and narrow-band imaging, later supplemented by artificial intelligence.\"},{\"question\":\"What advanced therapeutic endoscopic techniques are discussed for treating gastric neoplasms?\",\"answer\":\"It discusses endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), endoscopic full-thickness resection, and submucosal tunneling endoscopic resection.\"},{\"question\":\"Why might gastric tumor management algorithms require revision?\",\"answer\":\"Algorithms may need revision based on upcoming data, considering high success rates of en bloc resection by experienced endoscopists in low-risk patients amenable to endoscopic resection.\"}]","Recent advances in endoscopic management of gastric neoplasms | PDF",1790221893]