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Cited 10 time in webofscience Cited 12 time in scopus
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Endoscopic submucosal tunnel dissection salvage technique for ulcerative early gastric cancer

Authors
Choi, Hyuk SoonChun, Hoon JaiSeo, Min HoKim, Eun SunKeum, BoraSeo, Yeon SeokJeen, Yoon TaeLee, Hong SikUm, Soon HoKim, Chang DuckRyu, Ho Sang
Issue Date
Jul-2014
Publisher
BAISHIDENG PUBLISHING GROUP INC
Keywords
Endoscopy; Early gastric cancer; Endoscopic submucosal dissection; Endoscopic submucosal tunnel dissection; Fibrosis
Citation
WORLD JOURNAL OF GASTROENTEROLOGY, v.20, no.27, pp.9210 - 9214
Indexed
SCIE
SCOPUS
Journal Title
WORLD JOURNAL OF GASTROENTEROLOGY
Volume
20
Number
27
Start Page
9210
End Page
9214
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/9114
DOI
10.3748/wjg.v20.i27.9210
ISSN
1007-9327
Abstract
Endoscopic submucosal dissection is an effective treatment modality for early gastric cancer (EGC), though the submucosal fibrosis found in ulcerative EGC is an obstacle for successful treatment. This report presents two cases of ulcerative EGC in two males, 73- and 80-year-old, with severe fibrosis. As endoscopic ultrasonography suggested that the EGCs had invaded the submucosal layer, the endoscopic submucosal tunnel dissection salvage technique was utilized for complete resection of the lesions. Although surgical gastrectomy was originally scheduled, the two patients had severe coronary heart disease, and surgeries were refused because of the risks associated with their heart conditions. The endoscopic submucosal tunnel dissection salvage technique procedures described in these cases were performed under conscious sedation, and were completed within 30 min. The complete en bloc resection of EGC using endoscopic submucosal tunnel dissection salvage technique was possible with a free resection margin, and no other complications were noted during the procedure. This is the first known report concerning the use of the endoscopic submucosal tunnel dissection salvage technique salvage technique for treatment of ulcerative EGC. We demonstrate that endoscopic submucosal tunnel dissection salvage technique it is a feasible method showing several advantages over endoscopic submucosal dissection for cases of EGC with fibrosis. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.
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2. Clinical Science > Department of Internal Medicine > 1. Journal Articles
5. Others > Others(Medicine) > 1. Journal Articles
2. Clinical Science > Department of Gastroenterology and Hepatology > 1. Journal Articles

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