Follow-up result of endoscopic mucosal resection for gastric adenoma and early gastric cancer.
- Author:
Chin Woo KWON
1
;
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
Author Information
1. Department of Internal Medicine, College of Medicine Hallym University, Anyang, Korea. pch216@yahoo.co.kr
- Publication Type:Original Article
- Keywords:
Endoscopic gastrointestinal surgical procedures;
stomach neoplasm;
Gastric adenoma;
Early gastric cancer (EGC)
- MeSH:
Adenoma*;
Diagnosis;
Endoscopy;
Female;
Follow-Up Studies*;
Humans;
Lymph Nodes;
Male;
Middle Aged;
Neoplasm Metastasis;
Recurrence;
Stomach Neoplasms*
- From:Korean Journal of Medicine
2006;71(5):483-490
- CountryRepublic of Korea
- Language:Korean
-
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.
