Intragastric Endoscopic Mucosal Resection Through a Temporary Gastrostomy for Early Gastric Cancer: Usefulness of Buess-type Endoscope

• Published in: The European journal of surgery 2001-05, Vol.167 (5), p.362-365
• Main Author: Yuji Watanabe, Motomichi Sato, Hiroyuki Kikkawa, Motohira Yoshida, Takahiro Shiozaki, Takashi Kotani, Kenji Nezu, Kanji Kawachi
• Format: Article
• Language: English
• ISSN: 1102-4151; 1741-9271
• DOI: 10.3109/110241501750215258

Objective: To assess the feasibility of cure of early gastric cancer by the endoscopic procedure done through a temporary gastrostomy and to use it to treat patients with various severe complications. Design: Prospective study. Setting: University hospital, Japan. Subjects: Four patients who required gastric mucosal resection for early gastric cancer. Main outcome measures: Ease of the procedure, cure rate, safety under epidural anaesthesia, and outcome. Results: All patients had the procedure under epidural anaesthesia without pain or complaints during operation. Mean operation time was 120 minutes (60-200). Histological examination showed that the surgical margin was free of tumour in 3 of the cases. One patient who had microscopic invasion of lymph nodes subsequently underwent second-look conventional gastrectomy with lymphadenectomy. Postoperative recovery was rapid, and all patients were discharged from the hospital uneventfully. Conclusion: This organ-preserving procedure enables good visualisation of the tumour and is useful even for high-risk patients.