Korean Journal of Gastrointestinal Endoscopy 1996;16(3): 429-434.
원저 : 식도 위장관 : 상부위장관의 각종 점막병변에 대한 내시경적 점막절제술의 응용 ( Original Articles : Esophagus , Stomach & Intestine ; The Application of Endoscopic Mucosectomy in Various Mucosal Lesioss of Upper Gastrointestinal Tract )
정정명, 이상혁, 이연재, 설상영, 윤혜경 (Jung Myung Chung, Sang Hyuk Lee, Youn Jae Lee, Sang Young Seol and Hye Kyoung Yoon)
Abstract
In case of submucosal tumor, adenoma and atypism, we can't frequently use the snare polypectomy for treatment of them. Adenoma and atypism are premalignant, so other therapeutic modalities are necessary for resection of them. We have perfortned endoscopic mueosectomy such as strip biopsy, and "O"ring ligation on various mucosal lesions of upper GI tract in 23 patients(11 men, l2 women) from June 1993 to December l994 . Fourteen patients wbo had adenoma were followed up endoscopically for 6 months to 24 months(mean: 14 months). The results were as follows: 23 patients(27 lesions) were enrolled in this study. Mean age was 50.3(range 32-74 years). The method of mucosectomy was strip biopsy in 19 cases(21 lesions), and "O"ring ligation in 4 cases(6 lesions). The rate of complete resection was 88.9%. If adenomas were resected incompletely, we added a laser therapy. There was no recurrence except a case in which carcinoma was detected on the other site during follow-up. No serious compication occurred such as massive bleeding or perforation. Based on the above results, the endoscopic mucosectomy is considered to be a safe and effective modality in the treatment of the flat polyps of upper GI tract and could be used for prevention of gastric cancer. (Korean J Gastrointest Endosc 16: 429-434, 1996)