1992 Volume 34 Issue 11 Pages 2649-2654
Endoscopic resection was undertaken for 46 cases of gastric cancer in which 8 cases were unsuitable for operation due to complications (Table 2). And their most common histology showed well differentiated tubular adenocarcinoma (Table 3). We used two channel fiberscope (Olympus GIF 2T10), and held the site of the lesion with large grasping forceps with or without saline injection into the gastric wall, and resected them with high -frequency current snare. In result, 41 cases (89.1%) were considered to be completely resected, but 5 cases (10.9%) were unsuccessful for complete resection (Table 4). Prognosis of 41 completely resected cases was as follows, one case needed surgical resection due to bleeding, two were recognized focal residual cancer 3 months later, and two were died for other causes, but 36 cases are in good health for average 16 months, and the longest alive case was 42 months (Table 6). The five unsuccessful cases consisted of sm cancer 1, pm cancer 1, false resection 2 and incomplete resection 1 (Table 7). In conclusion, endoscopic gastric mucosal resection is very effective treatment for early gastric cancer and it is thought that the method without saline injection into the gastric wall is superior to that with saline injection for the minute lesion the size of which is less than 5mm, and on this occasion large grasping forceps (Olympus FG7L) is good for catching and lifting the focus of the lesion.
