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KMID : 0614620080510020127
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Korean Journal of Gastroenterology
2008 Volume.51 No. 2 p.127 ~ p.131
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Non-healing Iatrogenic Gastric Ulcers after Endoscopic Mucosal Resection for Gastric Epithelial Neoplasia
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Lee Soo-Hyeon
Cheon Jae-Hee
Kim Jie-Hyun
Park Jong-Pil
Lee Sang-Kil
Lee Yong-Chan
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Abstract
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Endoscopic mucosal resection (EMR) is widely accepted as a standard treatment for early gastric cancer or gastric adenoma. However, EMR inevitably results in the formation of large iatrogenic ulcer at the resected area. Although the characteristics of EMR-induced ulceration are not fully understood, this type of ulcer is thought to heal faster and to recur less often than non-iatrogenic gastric ulcer. Current available evidences have suggested that EMR-induced ulcers heal within 2-3 months. Herein, we report two cases of non-healing persistent gastric ulcers after EMR. One is a case of gastric carcinoma which developed at the same site of previous EMR site for the low grade dysplasia. The other is a case in which persistent EMR-induced ulcer was healed in the long run after Helicobacter pylori eradication therapy. (Korean J Gastroenterol 2008;51:127-131)
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KEYWORD
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Endoscopic mucosal resection, EMR-induced ulcer, Gastric neoplasia, Helicobacter pylori
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