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  • Endoskopsko ugotavljanje in zdravljenje zgodnjega raka želodca = Endoscopic diagnosis and treatment of early gastric cancer
    Stefanovič, Milan, dr. med.
    Introduction. Standard surgical procedure is the therapy of choice for the treatment of gastric cancer. As a result of advances in the technology and in the use of new diagnostic tools, stomach ... cancer is increasingly being diagnosed in the earlv stage of development when endoscopic therapy can be suitable alternative to a surgical procedure. Patients and methods. We have retrospectively analyzed gastroscopies performed in the Diagnostic center Bledin the period from 1 March 2003 to 28 February 2005. Stomach carcinoma wasfound in 51 patients of which 28 were male and 23 were female. To make a decision regarding endoscopic mucosal resection (EMR), we used endoscopic ultrasound (EUS), lesion spraying with indigo carmine 0,2% solution and a magnifying endosoope. EMR of early carcinoma was not performed in cases where the diameter was greater than 10 mm in sessde an d flat lesion or if the base of the pedunculated malignant polyp was greater than 20 mm. EMR was performed in the standard manner with a polypectomy snare ("strip method") or by using atransparent cap ("cap method"). Results. At the DC Bled, we have diagnosed 51patients with gastric cancer in a two year period. Nine patients had early carcinoma, which we were able to remove using EMR. We have additionally performed EMR on two patients with gastric carcinoid tumor, a patient with isolated gastric NHL (non-Hodgkin s lymphoma) and on 54 patients with benign superficial neoplasm's of the stomach. During this period, we have endoscopically removed malignant and benign neoplasm from 66 patients. One patient required urgent endoscopic` intervention and blood transfusion. There were no complications requiring surgical intervention. Conclusion. In some cases, EMR can be successful in treating early gastric cancer. (Abstract truncated at 2000 characters)
    Vir: Gastroenterolog : revija Slovenskega združenja za gastroenterologijo in hepatologijo = journal of Slovenian Association for Gastroenterology and Hepatology. - ISSN 1408-2756 (Letn. 9, št. 20, 2005, str. 63-70)
    Vrsta gradiva - članek, sestavni del
    Leto - 2005
    Jezik - slovenski
    COBISS.SI-ID - 20497369

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