[Endoscopic treatment of early gastric cancer in patients undergoing chronic hemodialysis].
Endoscopic treatment of early gastric cancer (type Ila in all patients) was performed in four patients undergoing chronic hemodialysis. Surgical treatment was contraindicated because of various risk factors in these patients. Endoscopic treatment was performed by concomitant use of YAG laser irradiation, local ethanol injection and mucosal resection. After endoscopic treatment, stomach biopsy revealed no cancer in four patients. In one patient who is alive now, no sign of cancer recurrence has been noted for about two years after endoscopic treatment. This patient has undergone hemodialysis on outpatient department. The remaining three patients died from diseases other than gastric cancer. When one of them was autopsied, no gastric cancer demonstrated. Taking the prognosis related to life in to consideration, endoscopic treatment should be used positively when surgical treatment of early gastric cancer cannot be performed in patients undergoing chronic hemodialysis.
Yamamoto
S
S
Katoh
S
S
Kawata
K
K
Katoh
T
T
Okuda
J
J
Ida
K
K
Sawada
K
K
Tsunemitsu
K
K
Nakagawa
M
M
D000368:Aged; D000431:Ethanol / Q000008:administration & dosage; D005753:Gastric Mucosa / Q000601:surgery; D005773:Gastroscopy; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000009:adverse effects*; D013274:Stomach Neoplasms / Q000209:etiology / Q000473:pathology / Q000601:surgery*
D000431:Ethanol