Commentary
See article on page 225Endoscopic mucosal resection for early gastric cancer
| The first 150 words of the full text of this article appear below. |
The paper by Ono and colleagues1 in this
issue of Gut documents the remarkable
results achieved at the Tokyo National Cancer Centre Hospital (NCCH)
with endoscopic management of early gastric cancer (EGC) (see page
225). EGCs constitute a much higher proportion of the total number of
gastric cancers in Japan than is the case in the West. There are a
number of reasons for this: firstly, many asymptomatic subjects in
Japan are screened for gastric cancer (usually by barium radiology,
followed, if necessary, by endoscopy); secondly, Japanese diagnostic
gastroscopy is a much more careful procedure than the "smash and
grab" style of endoscopy which is typical in this country: the
stomach is inflated to a greater degree, indigo carmine dye spraying is
used to examine any suspicious area, and simethicone (to eliminate
bubbles and froth) and hyoscine (to paralyse the stomach) are used
routinely. There is some evidence that
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- Endoscopic mucosal resection for treatment of early gastric cancer
- H Ono, H Kondo, T Gotoda, K Shirao, H Yamaguchi, D Saito, K Hosokawa, T Shimoda, and S Yoshida
Gut 2001 48: 225-229.[Abstract] [Full Text] [PDF]
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