Non-healing iatrogenic gastric ulcers after endoscopic mucosal resection for gastric epithelial neoplasia: report of two cases

Soo Hyeon Lee, JaeHee Cheon, Jie-Hyun Kim, Jong Pill Park, SangKil Lee, Yongchan Lee

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Abstract

Endoscopic mucosal resection (EMR) is widely accepted as a standard treatment for early gastric cancer or gastric adenoma. However, EMR inevitably results in the formation of large iatrogenic ulcer at the resected area. Although the characteristics of EMR-induced ulceration are not fully understood, this type of ulcer is thought to heal faster and to recur less often than non-iatrogenic gastric ulcer. Current available evidences have suggested that EMR-induced ulcers heal within 2-3 months. Herein, we report two cases of non-healing persistent gastric ulcers after EMR. One is a case of gastric carcinoma which developed at the same site of previous EMR site for the low grade dysplasia. The other is a case in which persistent EMR-induced ulcer was healed in the long run after Helicobacter pylori eradication therapy.

Original languageEnglish
Pages (from-to)127-131
Number of pages5
JournalThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
Volume51
Issue number2
Publication statusPublished - 2008 Jan 1

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Stomach Ulcer
Stomach
Ulcer
Neoplasms
Stomach Neoplasms
Endoscopic Mucosal Resection
Helicobacter pylori
Adenoma
Carcinoma

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

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abstract = "Endoscopic mucosal resection (EMR) is widely accepted as a standard treatment for early gastric cancer or gastric adenoma. However, EMR inevitably results in the formation of large iatrogenic ulcer at the resected area. Although the characteristics of EMR-induced ulceration are not fully understood, this type of ulcer is thought to heal faster and to recur less often than non-iatrogenic gastric ulcer. Current available evidences have suggested that EMR-induced ulcers heal within 2-3 months. Herein, we report two cases of non-healing persistent gastric ulcers after EMR. One is a case of gastric carcinoma which developed at the same site of previous EMR site for the low grade dysplasia. The other is a case in which persistent EMR-induced ulcer was healed in the long run after Helicobacter pylori eradication therapy.",
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AU - Lee, Soo Hyeon

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AU - Park, Jong Pill

AU - Lee, SangKil

AU - Lee, Yongchan

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