Endoscopic mucosal resection with a cap-fitted endoscope for early gastric carcinoma with focal submucosal invasion in apatient with decompensated liver cirrhosis

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Abstract: Prognosis for patients with early gastric cancer who undergo gastric resection is far better than that for patients with advanced disease. However, patients with advanced liver cirrhosis may not be suitable for general anesthesia and major surgery. We used a less invasive endoscopic mucosal resection (EMR) with a cap-fitted endoscope to resect an early gastric cancer in a 58-year-old male with decompensated liver cirrhosis. Although postoperative pathology revealed that the tumor had focal invasion to the submucosa, the patient had an uneventful course and was well during 4 years' follow-up. This method may be effective for the treatment of early gastric cancer with focal submucosal invasion when patients are not suitable for major surgery.

Original languageEnglish
Pages (from-to)841-843
Number of pages3
JournalJournal of the Formosan Medical Association = Taiwan yi zhi
Issue number12
Publication statusPublished - 2001



  • Cap-fitted endoscope
  • Early gastric cancer
  • EMR

ASJC Scopus subject areas

  • Medicine(all)

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