Large early gastric cancers treated by endoscopic submucosal dissection with an insulation-tipped diathermic knife

Chun Chao Chang, Cheng Tiong, Chia Lang Fang, Shiann Pan, Jean-Dean Liu, Horng Yuan Lou, Ching Ruey Hsieh, Sheng-Hsuan Chen

研究成果: 雜誌貢獻文章同行評審

3 引文 斯高帕斯(Scopus)

摘要

It is difficult to remove a large early gastric cancer (≥ 3 cm) in one-piece resection using conventional endoscopic mucosal resection. We tried to use an insulation-tipped (IT) diathermic knife to dissect these lesions. IT-endoscopic submucosal dissection (ESD) was performed in four aging patients with gastric malignancy. All lesions could be removed in one-piece resection by IT-ESD, although three of them exhibited remarkable fibrosis and ulceration. Three cases experienced curative treatment with IT-ESD after the pathologic evaluation, but it was not curative in one case because the pathology showed angiolymphatic invasion. This patient refused additional surgery in consideration of existing major systemic diseases. At 3 months to 1 year of follow-up, endoscopy showed no evidence of residual cancer. IT-ESD is effective in the treatment of large early gastric cancer and is an alternative treatment for early gastric cancer patients who are at risk for major operation.
原文英語
頁(從 - 到)260-264
頁數5
期刊Journal of the Formosan Medical Association
106
發行號3
DOIs
出版狀態已發佈 - 三月 2007

ASJC Scopus subject areas

  • 醫藥 (全部)

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