Korean Journal of Gastrointestinal Endoscopy 2000;21(3): 690-695.
위선종과 조기위암에서 투명캡을 이용한 흡인점막절제술의 임상적 유용성 평가 ( Endoscopic Aspiration Mucosectomy of Gastric Adenoma and Early Gastric Cancer : Two Year Experience with Assessment of Results )
송호진(Ho Jin Song),김상우(Sang Woo Kim),왕준호(Jun Ho Wang),성용직(Yong Jik Sung),이강문(Kang Moon Lee),이동수(Dong Soo Lee),김진일(Jin Il Kim),김성수(Sung Soo Kim),방춘상(Choon Sang Bang),양영상(Young Sang Yang),한석원(Suk Won Han),최규용(Gyu Yong Choi),정인식(In Sik Jung),박두호(Doo Ho Park)
Abstract
Background/Aims: Endoscopic aspiration mucosectomy (EAM) can always lift up the lesion by suction regardless of its location and does not injure the mucosal surface. The clinical usefulness of this method was evaluated as follows. Methods: Thirty two patients with gastric adenoma (35 lesions) and 6 patients with early gastric carcinoma were treated by EAM from March 1997 to February 1999. Their characteristics (diameter, macroscopic appearance, and histologic diagnosis) were verified at endoscopy with a biopsy specimen. The complete resection was defined as the presence of normal mucosa at the resected margin. Results: The average size of the resected specimens was 17.8 mm in antrum and 16.5 mm in body. The ratio of complete resection by location was 67% in anterior wall, 88% in posterior wall, 86% in lesser curvature and 92% in greater curvature. The complete resection rate for smaller lesions (≤15 mm) was highly distinguished from that cf larger lesions (>15 mm). No serious complication was encountered. Conclusions: EAM is suitable for the treatment of gastric tumors. Lesions 15 mm or less in diameter can be resected easily by single procedure regardless of its location.
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