Endoscopic Treatment of Gastric Adenoma

Gastric adenoma (dysplasia) is a precancerous lesion. Therefore, managements of gastric adenomas are important for preventing the development of gastric cancers and for detecting gastric cancers at earlier stages. The Vienna classification divides gastric adenomas into two categories: high-grade dys...

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Bibliographic Details
Published inThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi Vol. 70; no. 3; p. 115
Main Authors Huh, Cheal Wung, Kim, Byung Wook
Format Journal Article
LanguageKorean
Published Korea (South) 25.09.2017
Subjects
Adenoma - pathology
Adenoma - surgery
Argon Plasma Coagulation
Endoscopic Mucosal Resection
Humans
Precancerous Conditions - surgery
Remission Induction
Stomach - pathology
Dysplasia
Endoscopic treatment
Gastric adenoma
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Summary:Gastric adenoma (dysplasia) is a precancerous lesion. Therefore, managements of gastric adenomas are important for preventing the development of gastric cancers and for detecting gastric cancers at earlier stages. The Vienna classification divides gastric adenomas into two categories: high-grade dysplasia and low-grade dysplasia. Generally, endoscopic resection is performed for adenoma with high-grade dysplasia due to the coexistence of carcinoma and the potential of progression to carcinomas. However, the treatments of adenoma with low-grade dysplasia remain controversial. Currently two treatment strategies for the low-grade type have been suggested; First is the 'wait and see' strategy; Second is endoscopic treatment (e.g., endoscopic mucosal resection, endoscopic submucosal dissection, or argon plasma coagulation). In this review, we discuss the current optimal strategies for endoscopic management of gastric adenoma.
ISSN:2233-6869