Theme |
Expansion of Indications for Endoscopic Mucosal Resection of Early Gastrointinal Cancer |
Title |
Evaluations from Viewpoint of Residual and Locally Recurrent Cancer after EMR Treatment for Early Gastric Cancer |
Author |
Manabu Muto |
Department of Internal Medicine, National Shikoku Cancer Center Hospital |
Author |
Yasuo Hamamoto |
Department of Internal Medicine, National Shikoku Cancer Center Hospital |
Author |
Hiroyuki Ono |
Department of Internal Medicine, National Shikoku Cancer Center Hospital |
Author |
Takuji Gotoda |
Department of Internal Medicine, National Shikoku Cancer Center Hospital |
Author |
Toshihiko Doi |
Department of Endoscopy, The Jikei University School of Medicine |
[ Summary ] |
We must keep in mind to perform one block resection for early gastric cancer, especially those with relative indications (more than 20mm in size) because multi-block mucosal resection may increase the risk of local recurrence. With new devises, such as "jerking from hole to hole" and the "new hot coagulater grasper", the advanced and modified IT knife method enables us to perform, "safe and complete one block resection in one peace (producing no pieces and with no piercing)" to produce higher early gastric cancer cure rates. |