Clinical Gastroenterology Vol.20 No.13(4-2)

Theme Therapeutic Colonoscopy -- Recent Advances
Title Endoscopic Mucosal Resection for Early Colorectal Cancer Using 2-channel Colonoscope
Publish Date 2005/12
Author Jiro Watari Third Department of Internal Medicine, Asahikawa Medical College
Author Kotaro Okamoto Third Department of Internal Medicine, Asahikawa Medical College
Author Ryu Sato Third Department of Internal Medicine, Asahikawa Medical College
Author Kentaro Moriichi Third Department of Internal Medicine, Asahikawa Medical College
Author Atsuo Maemoto Third Department of Internal Medicine, Asahikawa Medical College
Author Yutaka Kohgo Third Department of Internal Medicine, Asahikawa Medical College
[ Summary ] Endoscopists should thoroughly treat colorectal cancer at an early stage with endoscopic mucosal resection (EMR). A 2-channel colonoscope enables us to make a complete resection of large lesions by using adequately grasping forceps. When using a 2-channel colonoscope with a magnifying system, it is easy to detect the residual tumor at the margin of the resected area. If a lesion is treated with piecemeal resection, it should be followed-up on within 1 year. It is possible that most locally recurrent lesions found within 1 year after EMR may be re-treated with endoscopy.
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