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내시경적 점막절제술을 이용한 위점막병변의 진단과 치료

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Author(s)
황재석박승국허정욱강영우안성훈
Keimyung Author(s)
Hwang, Jae SeokKang, Young WooHur, Jung WookAhn, Sung HoonPark, Soong Kook
Department
Dept. of Internal Medicine (내과학)
Institute for Medical Science (의과학 연구소)
Journal Title
Keimyung Medical Journal
Issued Date
1998
Volume
17
Issue
3
Keyword
Endoscopic mucosal resection (EMR)Gastric adenomaGastric dysplasia
Abstract
The correct histological diagnosis of gastric mucosal lesions, especially adenoma or dysplasia, is very important due to its well-recognized precancerous lesion. The histological examination of forceps biopsy. which is the usual diagnostic method, has a limited accuracy because it does not represent the entire lesion. In contrast, the endoscopic mucosal resection (EMR) is considered to be more accurate since it can potentially achieve removal of the entire lesion. The aim of this study is to compare these two methods in the diagnosis of precancerous lesion.
1) The age of twelve patients, which consist of eight males and four females, ranged from thirty-six to sixty-nine years old (mean : 55.5 years of age)
2) The twelve patients were diagnosed using EMR : two patients were tubular adenoma, five were dysplasia, and two were ectopic pancreas and three were adenocarcinoma. In addition, eight lesions (67%) were completely resected, with the mean size of 10 mm(4 to 16 mm)
3) The diagnosis using forceps biopsy indicated the same result as EMR, except five tubular adenomas : Two cases were diagnosed as severs dysplasia and one with adenocarcinoma. Out of five tubular adenomas stated above, three (60%) cases diagnosed with forceps biopsy were different from EMR.
4) There were no significant complications related to EMR. These results suggest that the diagnosing precancerous lesion such as adenomas on the basis of forceps biopsy is generally unreliable. The precancerous lesion should be completely resected by EMR to obtain the final diagnosis as well as definite treatment.
Alternative Title
Diagnosis and
Treatment of Gastric Mucosal Lesions by Endoscopic Mucosal Resection (EMR)
Keimyung Author(s)(Kor)
황재석
강영우
허정욱
안성훈
박승국
Publisher
Keimyung University School of Medicine
Citation
황재석 et al. (1998). 내시경적 점막절제술을 이용한 위점막병변의 진단과 치료. Keimyung Medical Journal, 17(3), 337–344.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15093
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 1998
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
3. Research Institutues (연구소) > Institute for Medical Science (의과학연구소)
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