Endoskopie 2009; 18(4): 156-160

Endoscopic treatment of early stomach cancer: our own results from the years 2000-2009

MUDr. Ondřej Urban Ph.D¹, MUDr. Petr Fojtík¹, MUDr. Martin Kliment¹, MUDr. Petr Vítek², MUDr. Aleš Albín¹, MUDr. Přemysl Falt¹, MUDr. Josef Chalupa²

¹ Centrum péče o zažívací trakt, Vítkovická nemocnice a. s., Ostrava

² Beskydské Gastrocentrum, Interní oddělení, Nemocnice ve Frýdku-Místku, p. o

Aim: The aim of the paper is to present our own experience with endoscopic treatment of early stomach cancer.

Patient cohort and method: Twenty-two consecutive patients treated in the years 2000–2009 are presented.

Results: A total of 13 (59 %) patients underwent treatment with endoscopic mucosal resection or endoscopic submucosal dissection, out

of whom three (14 %) were subsequently operated on electively. In a total of nine (41 %) patients, endoscopic treatment was considered to

be curative. Seven (32 %) patients were indicated for primary surgical treatment, a total of ten (45 %) patients were eventually operated

on. Two patients were left untreated due to the presence of another malignancy not manageable with treatment. One patient treated

endoscopically died 22 months following the procedure as a result of dissemination of stomach cancer that could not be managed surgically

because of serious comorbidities. The mean follow-up of patients in the cohort was 24 months, overall mortality was 14 %, and

stomach cancer-related mortality was 5 %.

Conclusion: Selected cases of early stomach cancer can be managed endoscopically in European circumstances as well.

Keywords: early gastric cancer, endoscopic mucosal resection, endoscopic submucosal dissection.

Published: December 10, 2009  Show citation