Outcomes and prognoses were even good for some lesions with ulceration 12. The ideal patients for ESD are those whose previous endoscopic and endosonographic studies have reported the classic signs and therefore have very low risk of metastasis to lymph nodes. ESD is also ideal for patients who do not fully meet these criteria, but have high risks that contraindicate surgical management.
Los pacientes ideales para ser sometidos a DES son: aquellos cuyos estudios endoscópicos previos y eventualmente endosonográficos han reportado con indicaciones clásicas y, por lo tanto, tienen muy bajo riesgo de tener metástasis linfonodales; y aquellos pacientes que no cumplen cabalmente estos criterios, pero tienen alto riesgo que contraindica el manejo quirúrgico.