Abstract
We present here a modified technique for endoscopic mucosal resection using the technique
of esophageal variceal ligation for minute gastric cancer. This method of endoscopic
mucosal resection requires only the commonly-used one-channel endoscope, an esophageal
variceal ligation device, and some clinical experience with the ligation of esophageal
varices and snare polypectomy. It can therefore be considered technically simple and
safe. We treated four patients with minute gastric cancer using this endoscopic mucosal
resection technique. All tumors were completely resected without major complications.
Resected specimens were 1.0-1.5 cm in diameter, sufficient for histopathological evaluation,
and curative resection was achieved in all patients.