Endoscopic Mucosectomy for Early Gastric Cancer using Modified Strip Biopsy

T. Fujimori; T. Nakamura; D. Hirayama; K. Satonaka; T. Ajiki; S. Kitazawa; S. Maeda; K. Nagasako; H. Yamaguchi; S. Yoshida

doi:10.1055/s-2007-1010459

Endoscopy 1992; 24(3): 187-189
DOI: 10.1055/s-2007-1010459

Original Articles

Endoscopic Mucosectomy for Early Gastric Cancer using Modified Strip Biopsy

T. Fujimori¹ , T. Nakamura¹ , D. Hirayama¹ , K. Satonaka¹ , T. Ajiki¹ , S. Kitazawa¹ , S. Maeda¹ , K. Nagasako² , H. Yamaguchi³ , S. Yoshida³

¹2nd Department of Pathology, Kobe University School of Medicine, Kobe
²Institute of Gastroenterology, Tokyo Women's Medical College Tokyo
³Department of Internal Medicine, National Cancer Center Hospital, Tokyo, Japan

Abstract

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Abstract

We present a modification of strip biopsy (SB), one of the endoscopic treatment modalities for early gastric cancer. Using a side-viewing endoscope and a special electrocautery snare, we treated 6 patients with early carcinoma of the intestinal type with this modified strip biopsy (MSB). All tumors could be completely resected and 5 patients were not operated on: All 5 remained tumor-free at follow-up of at least one year. These results compared favorably with a historical control group of 17 patients with early gastric cancer treated with conventional strip biopsy. We therefore recommend applying our new method of MSB especially in the intestinal type of early gastric carcinoma; these preliminary data however, need confirmation in larger trials.

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