Summary
A plea is made for individual age-adjusted endoscopic therapy of precancerous lesions
and, under certain conditions, of early gastric carcinoma. True adenoma and borderline
lesion have to be resected, if technically feasible, by snare ectomy. Tumour remnants
or local recurrences can be destroyed by argon laser application. In poor-risk patients
with a well-differentiated mucosal carcinoma situated close to the cardia, the risk
of dying from metastases left behind after endoscopic resection seems less than that
of fundectoma or gastrectomy. Endoscopic polypectomy was successfully practised in
6 patients with early gastric carcinoma with no tumor recurrence.
Key words:
Gastric precanceroses - Early gastric carcinoma - Polypectomy - Adenoma - Borderline
lesion
