Endoscopic Treatment of Gastric Flat Adenoma : A Follow-up Study.
- Author:
Suk Kyun YANG
;
Dong Wan SEO
;
Sun Young YI
;
Sung Hoon JUNG
;
Hae Ryun KIM
;
Young Il MIN
;
Eun Sil YU
- Publication Type:Original Article
- Keywords:
Stomach;
Adenoma;
Laser;
Strip biopsy
- MeSH:
Adenoma*;
Biopsy;
Follow-Up Studies*;
Hemorrhage;
Humans;
Laser Therapy;
Recurrence;
Stomach
- From:Korean Journal of Gastrointestinal Endoscopy
1993;13(1):57-60
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We evaluated the role of endoscopic laser therapy and strip biopsy in the treatment of gastric flat adenoma. Over a period of three years, l6 adenomas in 13 patients were ablated with laser irradiation, while 10 adenomas in 7 patients were removed with strip biopsy. The size of adenomas, which ranged from 0.5 cm to 3.5 cm in diameter(mean 1.7 cm) showed no significant difference between the two treatment groups. All of the adenomas were successfully treated with either method and no complications occurred such as bleeding or perforation. The overall one-year recurrence rate was 6.2%. The recurrent adenoma was retreated successfully. We conclude that both endoscopic laser therapy and strip biopsy are safe and effective modalities in the treatment of gastric flat adenoma, but strip biopay may be preferred over laser therapy because the former enables us to examine the resected specimen.
