3, 95% CI 5.5-83.2, P < 0.001). The non-curative cases consisting mostly of non-surgically managed cases showed favorable long-term outcomes,

suggesting that non-surgical management is an acceptable option. In addition, the recognition of extensive LM positivity as a risk factor for residual/locally recurrent cancer would Epacadostat be helpful in selecting cases that may necessitate strict management such as immediate additional endoscopic treatment. Table 1. Relationship between various clinicopathological features and residual/recurrent cancer in the 85 lesions: univariate analyses “
“Endoscopic submucosal dissection (ESD) is accepted as a treatment for gastric neoplasms. Several trials have shown the efficacy of gastric acid secretion inhibitors for post-ESD ulcers. However, to date there has been no consensus regarding the optimal drug regimens. Irsogladine has previously been shown to accelerate the healing of

gastric ulcers after Helicobacter pylori (H. pylori) eradication therapy. Hence, we conducted a randomized controlled trial to compare proton pump inhibitor (PPI) and combination PPI plus irsogladine treatments. To assess the efficacy find more of PPI and irsogladine combination therapy compared with PPI monotherapy for ESD-induced gastric ulcer healing. Ninety Six ESD-induced gastric ulcer patients

were enrolled in this study. In Group A(n=51), subjects received rabeprazole 10 mg/day and irsogladine 4 mg/day for 8 weeks and in Group B(n=45), subjects received rabeprazole 10 mg/day for 8 weeks. At 1, 4 and 8 weeks after ESD, we performed endoscopic examination to assess each gastric ulcer healing. There was no significant difference between group A and group B in the patient’s background. The ulcer healing rates at 4 weeks after ESD in group A were significantly higher than those in group B in the full analysis set (19.6% vs 5.13%; P < 0.05, chi-square test). The concomitant use of PPI and irsogladine was more effective than the PPI alone for treating for ulcers within 4 weeks after ESD. Therefore, the combination therapy of PPI and irsogladine was favorable regimen in patients with artificial ulcer after ESD. “
“Subepithelial tumors (SETs) can be challenging to diagnose and treat by endoscopy. Biopsies may not reach the tumor and endoscopic ultrasound (EUS)-guided tissue acquisition can be difficult due to small lesion size and mobility. Resection has been reported, but carries inherent risks of bleeding and perforation. Loop ligation can achieve ischemic tumor ablation, but may not capture broad-based lesions, and does not address tissue acquisition for diagnosis.