Stomach and Intestine(Tokyo) Volume 49, Issue 13 (December 2014)

Treatment Strategy for Gastric Adenoma:From the Point of View of Active Treatment Seiichi Daikuhara 1 , Tomoaki Suga 1 , Takuma Okamura 1 , Tomohiro Sekiguchi 1 , Hiroyuki Kitabatake 1 , Yasuhiro Maruyama 1 , Satoshi Kobayashi 1 , Yuichi Nozawa 1 , Shinya Fukuzawa 2 , Kei Kitahara 1 , Norikazu Arakura 2 , Hiroyoshi Ota 3 , Eiji Tanaka 1 1Department of Internal Medicine, Gastroenterology, Shinshu University School of Medicine, Matsumoto, Japan 2Department of Endoscopy, Shinshu University Hospital, Matsumoto, Japan 3Department of Biomedical Sciences, School of Health Sciences,Shinshu University School of Medicine, Matsumoto, Japan Keyword: 生検Group 3 , 胃腺腫 , 内視鏡的治療 , 胃癌 pp.1850-1857
Published Date 2014/12/25
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 Guidelines for the adaptation of endoscopic treatment for lesions of gastric adenoma diagnosed by analysis of biopsy specimens are not available. During the period from April 2004 to March 2014, 124 patients were diagnosed with gastric adenoma(Group 3)by analysis of biopsy specimens and were treated at our hospital using ESD(endoscopic submucosal dissection)or EMR(endoscopic mucosal resection). In total, 64 lesions(52%)were diagnosed as gastric cancer by histological examination of the resected specimens. Based on the analysis of the 124 cases, lesions larger than 20mm in diameter or reddish lesions comprised the statistically significant risk factors for carcinoma. Many cases were diagnosed as gastric cancer by histological examination of resected specimens, although they had been diagnosed as gastric adenoma by analysis of biopsy specimens. We should consider endoscopic resection considering endoscopic findings, the patient background.

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49巻13号 (2014年12月)
電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院