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Experience of Screening of Precancer Changes and Early Cancer of the Stomach in Krasnodar Territory

Abstract

Purpose: To improve the detection and optimization of prevention of early cancers of the stomach through the development of endoscopic methods of diagnosis and treatment of dysplastic changes in gastric mucosa.

Materials and Methods: In accordance with the intended purpose were examined 13 255 patients with atrophic gastritis. Dynamic observation of patients included chromoscopy, magnifikatsionnoe endoscopic, endoscopic.

Results: Polypoid masses were identified in 151 case (67.4%), flat lesions of the mucous - 62 (27.7%), erosion - 11 (4.9%) (Fig. 4). The most common dysplastic changes of gastric mucosa were observed in the antral - 146 cases (65.2%), rarely in the stomach area and subkardii - 78 (34.8%) cases.

Summary: The dynamic observation of patients at risk for the development of gastric lesions preneoplasticheskih allows for timely diagnosis and minimally invasive treatment preneoplasticheskie changes and early cancer of the stomach.

About the Authors

N. V. Korochanskaya
Kuban State Medical University
Russian Federation

Surgery Department №1

4 Sedina st., Krasnodar, 350000



T. A. Guchetel
Kuban State Medical University
Russian Federation

Surgery Department №1

4 Sedina st., Krasnodar, 350000



A. Ya. Guchetel
Kuban State Medical University
Russian Federation

Surgery Department №1

4 Sedina st., Krasnodar, 350000



V. M. Durleshter
Kuban State Medical University
Russian Federation

Surgery Department №1

4 Sedina st., Krasnodar, 350000



References

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2. Мерабишвили В.М. Рак желудка: эпидемиология, профилактика, оценка эффективности лечения на популяционном уровне / В.М. Мерабишвили // Практическая онкология. - 2007.- №3.- С. 3-8.

3. Тарасов В.А., Виноградова В.М., Клечников В.З. Хирургическое лечение распространенных форм рака желудка //Практическая онкология. - 2001. - N3. - C.52-58.

4. Баранская Б.К., Ивашкин В.Т. Клинический спектр предраковой патологии желудка // Рос. ж. гастроэнт., гепатол., колопрокт. - 2002.- № 3.- С. 7–14.

5. Hamashima1 С, Shibuya D, Yamazaki H, et al. The Japanese Guidelines for Gastric Cancer Screening //Jpn J Clin Oncol. – 2008. – vol.38(4). – p.259–267


Review

For citations:


Korochanskaya N.V., Guchetel T.A., Guchetel A.Ya., Durleshter V.M. Experience of Screening of Precancer Changes and Early Cancer of the Stomach in Krasnodar Territory. Medical Herald of the South of Russia. 2012;(1):43-47. (In Russ.)

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ISSN 2219-8075 (Print)
ISSN 2618-7876 (Online)