Korean Journal of Gastrointestinal Endoscopy 1993;13(1): 57-60.
편평형 위선종의 내시경적 치료 및 경과 관찰 ( Endoscopic Treatment of Gastric Flat Adenoma : A Follow-up Study )
양석균, 서동완, 이선영, 정성훈, 김해련, 민영일, 유은실 (Suk Kyun Yang, Dong Wan Seo, Sun Young Yi, Sung Hoon Jung, Hae Ryun Kim, Young Il Min and Eun Sil Yu)
Abstract
We evaluated the role of endoscopic laser therapy and strip biopsy in the treatment of gastric flat adenoma. Over a period of three years, l6 adenomas in 13 patients were ablated with laser irradiation, while 10 adenomas in 7 patients were removed with strip biopsy. The size of adenomas, which ranged from 0.5 cm to 3.5 cm in diameter(mean 1.7 cm) showed no significant difference between the two treatment groups. All of the adenomas were successfully treated with either method and no complications occurred such as bleeding or perforation. The overall one-year recurrence rate was 6.2%. The recurrent adenoma was retreated successfully. We conclude that both endoscopic laser therapy and strip biopsy are safe and effective modalities in the treatment of gastric flat adenoma, but strip biopay may be preferred over laser therapy because the former enables us to examine the resected specimen.
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