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Endoscopic therapy for gastric cancer problem seen from the viewpoint of surgery

Endoscopic therapy for gastric cancer problem seen from the viewpoint of surgery

Stomach & Intestine (Tokyo) 19(8): 865-871

Endoscopic therapy for [human] gastric cancer has progressed rapidly since laser endoscopy was put into practice, but there still remains some problems in its indication because of its short history. To evaluate the indication of endoscopic therapy for gastric cancer, it is classified into 2 groups: one is positive indication in which endoscopic therapy is performed as the 1st choice, and the other is negative indication in which it is performed as the 2nd choice because surgery is impossible for some reason. In the positive indication, types of early gastric cancer such as I, IIa and IIc (Ul-) less than l cm in diameter are included in addition to the polypectomy for polypoid cancer that is now widely accepted as the indication of endoscopic therapy. In the negative indication, there are indeed a few cases which enable curative therapy for early gastric cancer. There are a lot of cases in which endoscopic therapy is difficult to perform in both early and advanced cancer. Various tests are required, and it is recommended that various kinds of endoscopic therapy methods are used together especially for advanced cancer.

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Accession: 005359672

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