1. Gel immersion endoscopic mucosal resection for early gastric neoplasms: a multicenter case series study
- Author
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Hidenori Kimura, Yoichi Yamamoto, Yohei Yabuuchi, Kohei Shigeta, Masao Yoshida, Soichiro Nagao, Akito Noguchi, Yukihiro Morita, Shuhei Shintani, Osamu Inatomi, Hiroyuki Ono, and Akira Andoh
- Subjects
Endoscopic resection (ESD, EMRc, ...) ,Endoscopy Upper GI Tract ,Precancerous conditions & cancerous lesions (displasia and cancer) stomach ,Diseases of the digestive system. Gastroenterology ,RC799-869 - Abstract
Several cases have been reported that suggest the efficacy of gel immersion endoscopic mucosal resection (GI-EMR) for gastric neoplasms. However, no study has evaluated treatment outcomes of GI-EMR for gastric neoplasms. This study aimed to investigate the efficacy and safety of GI-EMR for early gastric neoplasms. Nine patients (17 lesions) undergoing gastric GI-EMR were included, with a median lesion size of 10 mm (interquartile range [IQR] 5–13 mm). All lesions were protruding or flat elevated. The median procedure time was 3 minutes (IQR 2–5) and en bloc resection was achieved in all cases. Among 15 neoplastic lesions, the R0 resection rate was 86.7% (13/15 lesions). Adverse events included immediate bleeding requiring hemostasis in two cases, which was controlled endoscopically. No delayed bleeding or perforation occurred. In conclusion, GI-EMR may be a safe and effective treatment for early, small gastric neoplasms. However, due to the small sample in the present study, further investigation is required regarding the indication for this technique.
- Published
- 2024
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