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Endoscopic chemotherapy with 5-fluorouracil in advanced gastric cancer
Carlos Robles-Jara1, Carlos Robles-Medranda
1Gastroenterology Division, Instituto Ecuatoriano de Enfermedades Digestivas y Pelvicas (IECED), Portoviejo, Manabi, Ecuador. carlosroblesj@hotmail.com
Introduction:
It has been reported that a local injection of 5-fluorouracil (5-FU) administered endoscopically can have a favorable result in patients with early gastric cancer.
Methods:
We report the application of a local injection of 5-FU administered endoscopically in three patients with advanced gastric cancer (AGC) who refused or were not suitable for surgery or systemic chemotherapy. The benefits of locally applied endoscopic chemotherapy (EC) with 5-FU as an alternative therapy were evaluated.
Results:
Good tolerance with an important reduction of the tumor size and no adverse reactions was observed in all three patients.
Conclusion:
EC with 5-FU is a feasible technique that can be applied in a certain group of patients with AGC. Further studies will be required to corroborate these results.
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