Author/Editor     Mlinarič, Vladimir
Title     Diagnostika raka želodca in endoskopsko zdravljenje
Translated title     Diagnostic of gastric cancer and endoscopic therapy
Type     članek
Source     In: Repše S, Tonin M, Tomažič A, et al, editors. Zbornik predavanj 41. podiplomskega tečaja kirurgije; 2006 feb 10-11; Ljubljana. Ljubljana: Kirurška klinika, Klinični center,
Publication year     2006
Volume     str. 81-9
Language     slo
Abstract     Gastric cancer is still mostly detected in advanced stage with bad prognosis. Esophagogastroduodenoscopy (EGDS) represents golden standard in diagnosis of the gastric cancer. Endoscopic treatment of the precancerous lesions diminishes actual incidence of gastric cancer, early detection improves survival. Advanced technology and chromoendoscopy facilitate recognition of superficial neoplastic lesions including early gastric cancer. In advanced gastric cancer bleeding and compromised patency are treated by endoscopy. Evaluated endoscopic haemostatic procedures and diminishing of tumor by ethanol tumor necrosis (ETN), laser fotocoagulation and argon plasma coagulation (APC) are performed. Patency trought esophagogastric and gastroduodenal segment is relieved by self expanded coated stents. The Paris endoscopic classification of superficial neoplastic lesions, regarding the appearence, divides subtypes of type 0 (type 0-I, type 0-II/a, b, c and type 0-III). It includes non-invasive neoplasia and carcinoma. The most important are depressed-type lesions with suspicion on deeper invasion. Histologic Vienna classification of intramucosal neoplasia means the unification in the terminologic confusion (adenoma-dysplasia, carcinoma) with concept of intraepithelial neoplasia (IEN). Endoscopic mucosal resection (EMR) is the first choice treatment for superficial neoplastic lesions including EGC, concerning general accepted criteria. After EMR endoscopic follow-up, at least 5 years, every six months, is needed.
Descriptors     STOMACH NEOPLASMS
ENDOSCOPY, GASTROINTESTINAL
NEOPLASM STAGING