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Enodscopic Mucosal Resection for Gastric Cancer: Necessity of ‘Incision and Stripping Method’ and Present Status
Author(s) -
KIDA MITSUHIRO,
TANABE SATOSHI,
SAIGENJI KATSUNORI
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.5.x
Subject(s) - medicine , stripping (fiber) , surgery , endoscopic mucosal resection , resection , cancer , radiology , electrical engineering , engineering
Endoscopic mucosal resection (EMR) was developed in the early 1980s and has been employed widely as a radical treatment for certain groups of early gastrointestinal cancer because of its lower invasiveness, cost effectiveness, and short hospital stay. In the late 1990s extension of its indication has been discussed and several data allow us to perform EMR in wide lesions more than with conventional indications. However, using conventional EMR such as the 2‐channel method, cap method, etc. it becomes difficult to remove lesions more than 2 cm en bloc . Then ‘incision and stripping’, such as insulated‐tipped diathermic knife (IT knife), needle knife with doom food, flex‐knife, and hook knife were also developed. Using these techniques, it becomes feasible to remove larger lesions more than 2 cm en‐bloc . However, in order to improve these techniques it is necessary to perform a large number of the procedures.