| Follow-up result of endoscopic mucosal resection for gastric adenoma and early gastric cancer |
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Chin Woo Kwon, Cheol Hee Park, Jai Hyun Cho, Jae One Jung, Joon Ho Moon, Woon Geon Shin, Jong Pyo Kim, Kyung Oh Kim, Kyo Sang Yoo, Taeho Hahn, Sang Hoon Park, Jong Hyeok Kim, Sea Hyub Kae, Choong Kee Park |
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고려대학교 의과대학 내과학교실 |
| 원저:위선종과 조기위암의 내시경적 점막 절제술 후 추적관찰에 대한 연구 |
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권진우, Cheol Hee Park, Jai Hyun Cho, Jae One Jung, Joon Ho Moon, Woon Geon Shin, Jong Pyo Kim, Kyung Oh Kim, Kyo Sang Yoo, Taeho Hahn, Sang Hoon Park, Jong Hyeok Kim, Sea Hyub Kae, Choong Kee Park |
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| Abstract |
Background : Endoscopic mucosal resection (EMR) is now widely accepted as a useful treatment
method for gastric adenoma and early gastric cancer (EGC) because of its minimal invasiveness and
satisfactory post-procedure results. The purpose of this study is to define the follow-up results and
usefulness of EMR.
Methods
: We analyzed 54 cases from June 2000 through September 2004. Endoscopy with
histological examination was carried out every 3 months for 1 year after EMR.
Results
: The patients consisted of 42 men and 12 women, and the mean age was 60 years old.
The histological results were 42 gastric adenoma and 12 EGC cases. There were 9 cases that had
the histological diagnosis changes after EMR. Complete resections was performed for 48 cases and
the en block resections were 33 of 34 cases (97%) and piecemeal resections were done in 15 of 20
cases (75%). Recurrence was seen in 4 cases (7.1%), and the mean recurrence period was 7 months.
There were 3 gastric adenomas of 42 cases (7.1%), one case of EGC of 12 cases (8.3%), one en block
resection of 34 cases (2.9%) and three piecemeal resections of 20 cases (15%).
Conclusions
: EMR is a safe and useful treatment method for gastric adenoma and EGC. However,
EMR has some limitations that EGC may have lymph node metastases or multiple tumors. So, periodic
follow-up is very important. As we acquire more clinical experience, EMR may be accepted as the
standard treatment method for gastric adenoma and EGC.(Korean J Med 71:483-490, 2006)
Key Words : Endoscopic gastrointestinal surgical procedures; stomach neoplasm, Gastric adenoma, Early gastric cancer (EGC) |
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