New Trial of Endoscopic Treatment for Gastric Submucosal Tumors

Abstract

ASAKI, S., NISHIMURA, T., OHARA, S., SATO, A., SHIBUYA, D., KANAZAWA, N. and GOTO, Y. New Trial of Endoscopic Treatment for Gastric Submucosal Tumors. Tohoku J. exp. Med., 1985, 145(2), 149-159-Recently conservative treatment of gastric submucosal tumors is increasing in spite of the absence of definite criteria for histological diagnosis. We have developed a new method of endoscopical treatment of gastric submucosal tumors that have submucosographically intraluminal Pattern I or II, or partly intramural Pattern III. For such tumors with a maximum diameter less than 5cm, (1) 1st step: partial resection is carried out with the use of high-frequency electric currents, (2) IInd step: for the residual tumor tissue, in vivo tissue solidification is undertaken by local injection of absolute ethanol to induce necrotic exfoliation of the tumor tissue and to prevent of hemorrhage.