| [ Summary ] |
Endoscopic mucosal resection with a cap-fitted panendoscope(EMR) has been developed by Inoue et al. It is an endoscopic therapeutic method for the intramucosal early gastric, esophageal cancers and early colorectal cancer. Various types of transparent plastic hood for this method have been used commercially. Among these a large mouth hood with an oblique-cut-end and an inside gutter for a snaring-wire is recognized as the best for use on lesions all the stomach sites. It provides a safe procedure and is large enough for gastric mucosa, without any special endoscopic tools. As long as proper procedures are followed for EMR, i.e.(the location of the lesion, the pathological limitations. The local injection of a high enough volume of saline, knowledge of the endoscopic hemostasis and suture) it is a safe, less invasive and cost beneficial method, EMRC will play a more important role in curative operations for gastric cancers. |