Plenary Lecture: Broadening of the Indications for Endoscopic Surgery: Upper Gastrointestinal Tract

Inatsuchi, Shuji

doi:10.1046/j.1443-1661.2000.0040a.x

Cited by 4 publications

(1 citation statement)

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“…The increasingly widespread use of endoscopic mucosal resection (EMR) for early gastric cancer has been associated with adoption of the technique in institutions throughout Japan. However, the rate of one‐time complete resection is reported to be 67%, 1 and there have been several problems in dealing with residual and recurrent lesions 2–4 5 and the ‘insulation‐tipped diathermic knife’ (IT) 6,7 procedure have been developed to overcome the problems of one‐time complete resection, but these methods are difficult to learn, and numerous complications have been reported 7 .…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Mucosal Resection for Early Gastric Cancer: Aiming at Safety, Speed, and Reliability

Fujisaki

Matsuda

Tajiri

2003

Digestive Endoscopy

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We assessed the non‐marginating surgical techniques of endoscopic mucosal resection (EMR) for early gastric cancer, represented by the ‘double‐channel’ method and the suction method, and the marginating surgical techniques, represented by the ‘insulation tip’ (IT) and the ‘endoscopic resection with high saline epinephrine’ (ERHSE) methods, and reviewed cases in the literature and our own cases from the standpoint of complications and duration of therapy with each method. Bleeding occurred in 3.6–4.5% of the cases treated by the non‐marginating surgical techniques and 17% of the cases treated by the marginating surgical techniques. Perforation occurred in only 0.3% of the cases treated by the non‐marginating surgical techniques, as opposed to 6.7% of the cases treated by the marginating surgical techniques. The results of EMR with a new type of therapeutic scope, the multi‐bending scope, showed that it was useful for obtaining a direct en face view of the lesser curvature of the body of the stomach, and an increase in the rate of one‐time complete resection was seen when it was used.

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Section: Introductionmentioning

confidence: 99%