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Endoscopic Mucosal Resection for Early Gastric Cancer: Aiming at Safety, Speed, and Reliability
Author(s) -
FUJISAKI JUNKO,
MATSUDA KOJI,
TAJIRI HISAO
Publication year - 2003
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1046/j.1443-1661.15.s.3.x
Subject(s) - medicine , endoscopic mucosal resection , surgery , perforation , resection , stomach , curvatures of the stomach , materials science , punching , metallurgy
We assessed the non‐marginating surgical techniques of endoscopic mucosal resection (EMR) for early gastric cancer, represented by the ‘double‐channel’ method and the suction method, and the marginating surgical techniques, represented by the ‘insulation tip’ (IT) and the ‘endoscopic resection with high saline epinephrine’ (ERHSE) methods, and reviewed cases in the literature and our own cases from the standpoint of complications and duration of therapy with each method. Bleeding occurred in 3.6–4.5% of the cases treated by the non‐marginating surgical techniques and 17% of the cases treated by the marginating surgical techniques. Perforation occurred in only 0.3% of the cases treated by the non‐marginating surgical techniques, as opposed to 6.7% of the cases treated by the marginating surgical techniques. The results of EMR with a new type of therapeutic scope, the multi‐bending scope, showed that it was useful for obtaining a direct en face view of the lesser curvature of the body of the stomach, and an increase in the rate of one‐time complete resection was seen when it was used.