Early Gastric Cancer Treated by Endoscopic Mucosal Resection, Report of Three Cases Masayoshi Ito 1 , Satoshi Hoshiya 1 , Sachio Takasu 1 , Takashi Abe 2 , Fumiaki Ikegami 2 1Department of Gastroententerology, Kanto-Teishin Hospital 2Health Care Center, Kanto-Teishin Hospital Keyword: 早期胃癌 , 内視鏡的治療 , 内視鏡的粘膜切除法 , strip biopsy pp.415-420
Published Date 1991/4/25
DOI https://doi.org/10.11477/mf.1403102514
  • Abstract
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 We report here 3 cases of gastric cancer treated by endoscopic mucosal resection (EMR). We used two ordinary endoscopes instead of a special one with two forceps-channels. Depending on the location of a lesion, one of the two types of endoscope is selected, i.e., either side-viewing or forward-viewing one. For a lesion in the gastric body, the side-viewing scope was used for observation, injection and lifting up the mucosa, and a forward-viewing one for cutting. For a lesion in the antrum, two forward-viewing scopes were used. A video-endoscope or endoscopic TV system (OEM TV system) was useful in cooperatively handling these two scopes. The way how to tightly grasp the ballooned mucosa after submucosal saline injection was the key-element for successful EMR. We have manufactured a large grasping forceps which does not cut off the grasped mucosa. And it worked very well. Endoscopic ultrasonography was used in estimating the depth of invasion. However, tiny lesions were occasionally difficult to detect by this method.

Copyright © 1991, Igaku-Shoin Ltd. All rights reserved.


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