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[Gastric cancer 857. When to stop EGD and/or CT after ESD for EGC]

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8 years ago, an elderly lady with an EGC IIa detected in the screening endoscopy was referred for the endoscopic treatment.

Pentax EG-2931 endoscope

ESD was done and the pathology was curative resection.

ESD using Olympus Dual knife and IT-2 knife

Annual follow-up EGD and abdominal CT were done until 8 years after ESD. The question is when to stop endoscopy and/or CT

Pentax EG29-i10c endoscope and EPK-i5500c system (Imagina)

Recently, the rate of extragastric recurrence after ESD is less than 0.2% after curative resection. The interval after ESD and the extragastric recurrence were around 5 years. Based on my experience, I stop the annual CT scan usually 7-8 years after the ESD. But, no stop for annual endoscopy.

© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2020-5-15)