Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Endoscopy. 2001 Mar;33(3):221-6.

New endoscopic treatment for intramucosal gastric tumors using an insulated-tip diathermic knife.

Author information

  • 1Division of Digestive Endoscopy and Gastrointestinal Oncology, National Cancer Center Hospital East, Chiba, Japan.

Abstract

BACKGROUND AND STUDY AIMS:

For one-piece resection the conventional technique of endoscopic mucosal resection (EMR) is limited to gastric mucosal tumors of 10 mm or less in size. In this retrospective study, we investigated the efficacy and complications associated with a new EMR method, using an insulated-tip diathermic knife (IT-EMR).

PATIENTS AND METHODS:

In a total of 41 patients gastric mucosal tumors were resected using IT-EMR.

RESULTS:

One-piece resection rates were 82% (14/17) for lesions of 10 mm or less, 75% (12/16) for those between 11 and 20 mm, and 14% (1/7) for those of over 20 mm. Complication rates for severe bleeding and perforation were 22% and 5%, respectively. With a median follow-up period of 32 months, no recurrence was observed after these procedures.

CONCLUSIONS:

Compared with conventional EMR, this new method may have significant benefits, particularly regarding one-piece resection of lesions between 11 and 20 mm in size, and may also have a lower recurrence rate.

Comment in

PMID:
11293753
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Georg Thieme Verlag Stuttgart, New York
    Loading ...
    Write to the Help Desk