Korean J Gastroenterol.  2017 Sep;70(3):115-120. 10.4166/kjg.2017.70.3.115.

Endoscopic Treatment of Gastric Adenoma

• Huh CW
• Kim BW

• KMID: 2390788
• DOI: http://doi.org/10.4166/kjg.2017.70.3.115

Abstract

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.

Keyword

Gastric adenoma; Dysplasia; Endoscopic treatment

MeSH Terms

Adenoma*
Argon
Classification
Plasma
Stomach Neoplasms
Argon

Figure

• 

  Fig. 1. Proposed treatment strategy algorithm for gastric adenoma diagnosed by endoscopic biopsy; * low risk lesion: size<2 cm, grossly flat type, whitish color with smooth surface; † high risk lesion: size≥2 cm, grossly depressed type, surface erythema or unevenness, presence of spontaneous bleeding. EMR, endoscopic mucosal resection; APC, argon plasma coagulation; ESD, endoscopic submucosal dissection.

Reference

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