| Theme |
Endoscopic Treatment of Upper Gastrointestine: Current Status and Clinical Problems |
| Title |
Treatment for Post EMR Remnant Lesions: Limitations of Endoscopic Re-Treatment |
| Author |
Naoshi Nakamura |
Department of Gestroenterology, Marunouchi Hospital |
| Author |
Taiji Akamatsu |
Department of Endoscopy, Shinshu University Hospital |
| Author |
Yoko Kawamura |
Department of Gastroenterology, Shinshu University, School of Medicine |
| Author |
Nobuyuki Tateiwa |
Department of Endoscopy, Shinshu University Hospital |
| Author |
Shuichi Yokosawa |
Department of Gastroenterology, Shinshu University, School of Medicine |
| Author |
Kazuhiro Ito |
Department of Gastroenterology, Shinshu University, School of Medicine |
| [ Summary ] |
We examined the problem of re-treatment, using post endoscopic mucosal resection (EMR) for remnant lesions. The rate of remnant lesions was 12.9%. The main risk factor concerning post EMR remnant lesions is curability. Histological evaluation is very important for discerning the curability of EMR specimens. Endoscopic re-treatments, such as re-EMR or high frequency cauterizations are effective in post EMR remnant lesions. It is necessary to observe post EMR patients closely. Endoscopic ultrasounds scans are very useful for submucosal invasive lesions. Remnant cases do not have longer prognoses than remnant cases. Therefore, it is very important that we make every effort to avoid remnants. |