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 Authors: Watanabe, Yuji, Sato, Motomichi, Kikkawa, Hiroyuki, Yoshida, Motohira, Shiozaki, Takahiro, Kotani, Takashi, Nezu, Kenji, Kawachi, Kanji
• Format: Article
• Language: English
• Subjects: Adult; Aged; Aged, 80 and over; Biological and medical sciences; Buess-type endoscope; Endoscopy; Feasibility Studies; Gastric Mucosa - surgery; Gastrostomy; Humans; Medical sciences; Middle Aged; mucosal resection; Prospective Studies; Stomach Neoplasms - surgery; Stomach, duodenum, intestine, rectum, anus; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system
• ISSN: 1102-4151; 1741-9271
• DOI: 10.1080/110241501750215258

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. Copyright © 2001 Taylor and Francis Ltd.