Clinical value of endoscopic precise muscular dissection for early gastric cancer with submucosal severe fibrosis (with video)
10.3760/cma.j.cn321463-20201113-00891
- VernacularTitle:内镜下精准肌层剥离术治疗早期胃癌伴黏膜下层重度纤维化的临床价值初探(含视频)
- Author:
Qide ZHANG
1
;
Ting ZHANG
;
Tian JIN
;
Yaohui WANG
;
Yifen ZHANG
Author Information
1. 江苏省中医院消化内镜中心，南京 210029
- Keywords:
Fibrosis;
Early gastric cancer;
Endoscopic precise muscular dissection
- From:
Chinese Journal of Digestive Endoscopy
2021;38(8):654-657
- CountryChina
- Language:Chinese
-
Abstract:
A total of three early gastric cancers (EGC)patients with submucosal severe fibrosis were successfully treated by endoscopic precise muscular dissection (EPMD) from May 2018 to August 2020.All the three lesions were en bloc resection and specimens were not damaged. The maximum diameter of specimens and fibrosis areas were 2.0-5.7 cm and 0.5-0.8 cm, respectively. The operation time was from 30 to 70 mins. Intraoperative perforation occurred in one case, post-operation fever cccured in one case, and no delayed perforation or bleeding occured. Two cases were cured resection and one case was non-cured resection without additional treatment. No recurrence or metastasis was observed during follow-up period.According to primary results, EPMD can be used for EGC with submucosal severe fibrosis, but the safety and effectiveness need clinical validation with more samples.
