Objective: To discuss the value of application for endoscopic mucosal resection (EMR) on early gastroesophageal cancer and precancerous lesion. Methods: EMR was performed with a transparent cap in 89 patients between September 1996 and September 2003. All cases were confirmed histologically before and after operation. Results: Endoscopic follow-up was carried out in 17 patients for more than 5 years, 10 patients for 3 to 5 years and others for less than 3 years; no recurrence occurred and 5 patients died of other diseases during the period. Conclusions: The EMR procedure with the removal device is simpler and more efficacious than other method considerably; the display of lesions and the operating technique of EMR are main elements in influencing completive resection; the quantity of submucosal injection and using correctly on electrosurgical units can prevent complication; Medium dysplasia which does not improvement after a short-term follow up and severe dysplasia should be treated with EMR. The application of EMR is meaningful in the prevention and control of esophageal and gastric cancer.
Chinese Journal of Clinical Oncology
Gastric Neoplasia Esophageal neoplasia Endoscopic mucosal resection