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Author commentary: Ilse N. Beaufort on "Endoscopic submucosal dissection for early esophageal squamous cell carcinoma: long-term results from a Western cohort" Data on endoscopic submucosal dissection (ESD) for early esophageal squamous cell carcinoma (ESCC) are mainly derived from Asian studies. This retrospective study demonstrated that ESD was technically successful for treatment of early ESCC in a Western cohort, though the curative resection rate was relatively low. Regardless of noncurative or curative resection, long-term prognosis of patients was limited, mainly due to unrelated comorbidities. The potential benefit of additional treatment after a noncurative resection should be carefully balanced against the individual risk of dying from causes other than esophageal cancer. Find the article at: https://doi.org/10.1055/a-2245-7235 Ilse N. Beaufort, Charlotte N. Frederiks, Anouk Overwater et al Endoscopic submucosal dissection for early esophageal squamous cell carcinoma: long-term results from aWestern cohort Endoscopy 2024; 56: 325–333 DOI 10.1055/a-2245-7235 ISSN 0013-726X © 2024. The Author(s).