Endoscopic Mucosal Resection (EMR) of Early Gastric Cancer

Digestive Endoscopy - Tập 10 Số 1 - Trang 31-36 - 1998
Akimichi Chonan1, Fukuji Mochizuki1, Masao Ando1, Minoru Atsumi1, Toshiyuki Mishima1, Naotaka Fujita2, Toyohiko Yuki1, Kazuhiko Ishida1
1Department of Gastroenterology, JR Sendai Hospital, Sendai, Japan
2Department of Gastroenterology, Sendai City Medical Center, Sendai, Japan

Tóm tắt

Abstract: We conducted this study to clarify the effectiveness of aspiration endoscopic mucosal resection (EMR) using a cap‐fitted scope for early gastric cancer in the C and M regions of the stomach. EMR was performed in 111 early gastric cancer patients with 123 lesions in the C and M regions. The patients were divided into three groups. The EMR‐1CS group consisted of patients who had undergone EMR with a one‐channeled scope, the EMR‐2CS group those who had received EMR in which a two‐channeled scope was utilized. The EMRC group consisted of patients who had undergone aspiration EMR with a cap‐fitted scope.The rate of complete resection improved to a statistically significant degree in the EMRC group in comparison with that in the EMR‐1CS group. In type lie, a statistically significant improvement was achieved in the EMRC group in comparison with the EMR‐2CS group. In the M region or in lesions 10 mm or less in diameter, the rate of complete resection improved in the EMRC group as compared with that in the EMR‐2CS group. Our results suggest that EMRC is useful for lesions of early gastric cancer in the C and M regions.

Từ khóa


Tài liệu tham khảo

10.1007/BF02468883

Chonan A, 1994, Endoscopic resection of early gastric cancer, Gastroenterol Endosc, 36, 1692

Torii A, 1995, Development of an original hood attached to a snare‐guide tube for endoscopic aspiration mucosectomy, Gastroenterol Endosc, 37, 361

10.1055/s-2007-1010365

10.1055/s-2007-1008990

Oguro Y, 1984, Endoscopic therapy for gastric cancer: Indications and problems seen from the standpoint of internal medicine, I to Cho (Stomach and Intestine), 19, 855

Hamada T, 1991, Endoscopic resection for early gastric cancer measuring 1 cm or less in size, I to Cho (Stomach and Intestine), 26, 255

10.1016/S0016-5107(93)70012-7

Tadokoro Y, 1992, Investigation of recurrence cases after endoscopic mucosectomy of early gastric carcinoma, Progress of Digestive Endoscopy, 41, 119