Electronic Endoscopy in Endoscopic Mucosal Resection of Gastric Cancer
Author Information
Author(s): MINORU KAWAGUCHI, RYOUICHI MISAKA, MICHIRU YAMADA, SHOUKO MIDORIKAWA, TETUYA SANJI, SATOSHI SHINOHARA, SHIGEFUMI MORITA, YUTAKA HANDA, HIROYUKI OHNO, YASUHIKO SAITOU, HAJIME YOSIDA, MASAHISA TAKASE, TOSHIHIKO SAITOU
Primary Institution: Tokyo Medical College
Hypothesis
The electronic endoscope improves the effectiveness of endoscopic mucosal resection (EMR) for early gastric cancer.
Conclusion
The use of electronic endoscopy in EMR resulted in an efficacy rate of 84.1% for treating early gastric cancer.
Supporting Evidence
- Complete resection of cancer by a single EMR procedure was possible in 21 out of 44 cases.
- Complete elimination by additional treatments was possible in 16 cases.
- The overall efficacy rate was 84.1%.
Takeaway
Doctors used a special camera to help remove early stomach cancer, and it worked well in most cases.
Methodology
The study involved treating 44 cases of early gastric cancer using electronic endoscopy for EMR, with specific criteria for lesion selection.
Limitations
The study had a lower complete resection rate at first trial and some cases had submucosal invasion that was misjudged.
Participant Demographics
The average age of participants was 69.6 years, with a male to female ratio of 8 to 3.
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