Mrs. Wang, 8 1 year-old, has high blood pressure and diabetes, but she has a regular life and good medication, so her body has always remained tough; But recently, because of black stool and dizziness, I went to the hospital for gastroscopy. It was thought that only ordinary gastric ulcer could be controlled by taking medicine, but gastroscopy found that the mucosal surface was irregular, and gastric cancer was diagnosed by pathological section.
Although endoscopic ultrasound and computed tomography have been evaluated as early gastric cancer, traditional surgery needs to remove one third of the stomach to cure it. Whether old age and diabetes will increase the risk of surgery is a question in the hearts of family members. Besides traditional surgery, are there any other options for minimally invasive endoscopic treatment? After talking with Mrs. Wang and her family, Dr. Xu, the attending physician of the Department of Gastroenterology, Affiliated Hospital of Kaohsiung Medical University, Mrs. Wang chose endoscopic submucosal dissection for treatment, and was discharged from the hospital one week later and went home to recuperate. Follow-up for 8 years so far, regular gastroscopy and computed tomography showed no recurrence, as usual before and after the operation.
Nausea, nausea and heartburn. The symptoms of gastric cancer are not obvious and easy to delay.
Xu pointed out that early gastric cancer often has no symptoms, and even if there are symptoms, it is not specific. The most common clinical symptoms are indigestion, epigastric discomfort, slight nausea, nausea, heartburn or pain, but later there may be general fatigue, weight loss, abdominal mass, and even vomiting after meals due to pyloric obstruction. Therefore, if gastric cancer is suspected only by symptoms, it will often delay the treatment opportunity.
The cure rate of early gastric cancer can reach 90%, but only 10% is left in late gastric cancer.
Dr. Xu said that the cure rate of early gastric cancer can reach 90%, but the late gastric cancer is only 10%, so early detection and early treatment are the only way to treat gastric cancer. Japan has the highest incidence of gastric cancer in the world. Thanks to the progress of endoscopic technology and the popularization of preventive health care concept, more than 70% of newly diagnosed gastric cancer patients in Japan are early gastric cancer, and as many as 60% of them are found through general health examination. However, among all patients with gastric cancer in Taiwan Province Province, only 65,438+00% were diagnosed with early gastric cancer. How to improve the diagnosis rate of early gastric cancer is still an important challenge in the medical field.
Endoscopic submucosal dissection: a new choice for the treatment of early gastric cancer.
Dr. Xu explained that early gastric cancer basically refers to gastric cancer with cancer cells confined to mucosa and submucosa, and only about 5% of gastric cancer has lymph node invasion. So the chances of long-term survival are great. Recently, early gastric cancer was resected by endoscope in Japan, and the effect was remarkable. Endoscopic submucosal dissection means that under the direct vision of endoscopic surgery, the liquid medicine is first injected into the tumor submucosa to strip the mucosa, and then the submucosa is slowly cut and stripped from the edge inward with a special electric knife to remove local superficial gastric wall lesions.
Dr. Xu explained that the main purpose is to achieve tumor eradication or tissue acquisition by minimally invasive endoscopic surgery, rather than partial laparotomy. Compared with surgery, endoscopic submucosal dissection has the advantage of quick recovery, but the disadvantage is that it is afraid of lymphatic metastasis that cannot be detected by imaging. However, the probability of lymphatic metastasis in superficial lesions of gastric wall (early cancer) is low, so there is no need to worry. According to the literature, the recurrence rate of early gastric cancer is 1.9 -2.0%, and the five-year survival rate can reach 99%.
Join us and pay attention to your health every day! Line @ ID: @ Subscribe to Healthy Aloha Audio-visual Channel to read health knowledge more easily: /beauty/article/43865 Keywords: gastric cancer, Department of Gastroenterology, Affiliated Hospital of Kaohsiung Medical University, Xu, dyspepsia, nausea.