Endoscopic Mucosal Resection Using Insulated-tip Electrosurgical Knife / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 397-404, 2003.
Article
in Korean
| WPRIM
| ID: wpr-120643
ABSTRACT
BACKGROUND/AIMS:
Endoscopic mucosal resection (EMR) has become a standard treatment for gastric mucosal neoplasm. A new EMR technique, using an insulated-tip electrosurgical knife (IT-EMR), was developed for large mucosal lesions. The aim of this study was to evaluate the efficacy and complication of IT-EMR.METHODS:
IT-EMR was performed for 28 gastric mucosal lesions in 27 patients. En bloc resection rate, complete resection rate and complications were evaluated.RESULTS:
IT-EMR was performed successfully in 27 lesions, and one lesion was failed because of the presence of a non-lifting sign. En bloc resections were achieved in 24 lesions (88.9%), and piecemeal resections in 3 lesions. Complete resections were achieved in 23 lesions (85.2%). There were 6 episodes (22%) of bleeding which were controlled completely by endoscopic treatment, and there was no perforation. Ten lesions (37%) were adenocarcinoma, 4 (14.8%) were high-grade dysplasia, and 12 (44.5%) were low-grade dysplasia.CONCLUSION:
IT-EMR for large gastric mucosal neoplasm is a useful method for wide safety margin completeness of resection by en bloc resection.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Adenocarcinoma
/
Hemorrhage
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
2003
Type:
Article
Similar
MEDLINE
...
LILACS
LIS