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KMID : 0359019930130010057
Korean Journal of Gastrointestinal Endoscopy
1993 Volume.13 No. 1 p.57 ~ p.60
Endoscopic Treatment of Gastric Flat Adenoma: A Follow-up Study
양석균
서동완/이선영/정성훈/김해련/민영일/유은실.
Abstract
We evaluated the role of endoscopic laser therapy and strip biopsy in the treatment of gastric flat adenoma. Over a period of three years, 16 adenomas in 13 patients were ablated with laser irradiation, while 10 adenomas in 7 patients were
removed
with
strip biopsy. The size of adenomas, which ranged from 0.5cm to 3.5cm in diameter(mean 1.7cm). showed no significant difference between the two treatment groups. All of the adenomas were successfully treated with either method and no complications
occurred such as bleeding or perforation. The overall one-year recurrence rate was 6.2%. The recurrent adenoma was retreated successfully.
We conclude that both endoscopic laser therapy and strip biopsy are safe and effective modalities in the treatment of gastric flat adenoma, but strip biopsy may be preferred over laser therapy because the former enables us to examine the resected
specimen.
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