Mucosectomía endoscópica en lesiones gástricas malignas incipientes

Background: Endoscopic mucosectomy is a routine treatment mode for benign and malignant gastric lesions. The prognosis of patients with endoscopically treated early gastric cancer does not differ from patients subjected to surgical gastrectomy, when the indications for endoscopic mucosectomy are res...

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Autores principales:	Llorens S,Pedro, Pisano V,Raúl, Pisano O,Raúl
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2000
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000900003
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spelling	oai:scielo:S0034-988720000009000032005-11-15Mucosectomía endoscópica en lesiones gástricas malignas incipientesLlorens S,PedroPisano V,RaúlPisano O,Raúl Background: Endoscopic mucosectomy is a routine treatment mode for benign and malignant gastric lesions. The prognosis of patients with endoscopically treated early gastric cancer does not differ from patients subjected to surgical gastrectomy, when the indications for endoscopic mucosectomy are respected. Aim: To report the experience in endoscopic mucosectomy for early gastric cancer. Patients and methods: Between 1990 and 1997, 12 lesions in 10 patients, aged 48 to 107 years old, were treated with endoscopic mucosectomy. Clients were followed for 1 to 72 months after the procedure. Results: Treated lesions ranged in size from 7 to 20 mm. Ten patients had differentiated carcinomas, one had an undifferentiated carcinoma and one had a primary gastric carcinoid. Endoscopic appearance was II a in six lesions, II c + II a in two, II a + II c in one. II c in one, I in one and II c + III in one. In two patients, the tumor persisted and were subjected to oncologic surgery. In one of these, no malignant lesion was recognized in the pathological specimen. The other patient had a multicentric carcinoma that was already detected by endoscopy. Neither had lymph node metastases. Endoscopical and pathological follow up in the other 8 patients has not shown persistence or reappearance of malignant lesions during a follow up ranging from 3 to 72 months. Conclusions: Endoscopic mucosectomy can be a valuable therapeutic alternative in early gastric cancer (Rev Méd Chile 2000; 128: 969-76)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.128 n.9 20002000-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000900003es10.4067/S0034-98872000000900003
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
description	Background: Endoscopic mucosectomy is a routine treatment mode for benign and malignant gastric lesions. The prognosis of patients with endoscopically treated early gastric cancer does not differ from patients subjected to surgical gastrectomy, when the indications for endoscopic mucosectomy are respected. Aim: To report the experience in endoscopic mucosectomy for early gastric cancer. Patients and methods: Between 1990 and 1997, 12 lesions in 10 patients, aged 48 to 107 years old, were treated with endoscopic mucosectomy. Clients were followed for 1 to 72 months after the procedure. Results: Treated lesions ranged in size from 7 to 20 mm. Ten patients had differentiated carcinomas, one had an undifferentiated carcinoma and one had a primary gastric carcinoid. Endoscopic appearance was II a in six lesions, II c + II a in two, II a + II c in one. II c in one, I in one and II c + III in one. In two patients, the tumor persisted and were subjected to oncologic surgery. In one of these, no malignant lesion was recognized in the pathological specimen. The other patient had a multicentric carcinoma that was already detected by endoscopy. Neither had lymph node metastases. Endoscopical and pathological follow up in the other 8 patients has not shown persistence or reappearance of malignant lesions during a follow up ranging from 3 to 72 months. Conclusions: Endoscopic mucosectomy can be a valuable therapeutic alternative in early gastric cancer (Rev Méd Chile 2000; 128: 969-76)
author	Llorens S,Pedro Pisano V,Raúl Pisano O,Raúl
spellingShingle	Llorens S,Pedro Pisano V,Raúl Pisano O,Raúl Mucosectomía endoscópica en lesiones gástricas malignas incipientes
author_facet	Llorens S,Pedro Pisano V,Raúl Pisano O,Raúl
author_sort	Llorens S,Pedro
title	Mucosectomía endoscópica en lesiones gástricas malignas incipientes
title_short	Mucosectomía endoscópica en lesiones gástricas malignas incipientes
title_full	Mucosectomía endoscópica en lesiones gástricas malignas incipientes
title_fullStr	Mucosectomía endoscópica en lesiones gástricas malignas incipientes
title_full_unstemmed	Mucosectomía endoscópica en lesiones gástricas malignas incipientes
title_sort	mucosectomía endoscópica en lesiones gástricas malignas incipientes
publisher	Sociedad Médica de Santiago
publishDate	2000
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000900003
work_keys_str_mv	AT llorensspedro mucosectomiaendoscopicaenlesionesgastricasmalignasincipientes AT pisanovraul mucosectomiaendoscopicaenlesionesgastricasmalignasincipientes AT pisanooraul mucosectomiaendoscopicaenlesionesgastricasmalignasincipientes
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Mucosectomía endoscópica en lesiones gástricas malignas incipientes

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