High-level endoscopic treatment can cure early gastric cancer and colon cancer through non-surgical operation
In Korea, stomach cancer and colon cancer are diseases that compete for first and second place in cancer incidence. With the recent advancement of endoscopic procedures, "treatment endoscopes" that treat severe gastric and colorectal cancer without surgical operation are attracting attention. I met Park Jae-seok, Director of H Digestive Hospital affiliated with H Yangji Hospital (hereinafter H Digestive Hospital), who aims to become the best digestive hospital in Korea based on recognition of the first grade of adequacy evaluation for four years of gastric cancer and three consecutive years of colon cancer.
Q) B&H Korea CEO Park Bo-hyun (hereinafter referred to as Park Bo-hyun):
If H+ Digestive Hospital has a strength that differentiates it from other hospitals, please introduce it.
A) H+ Digestive Hospital Director Park Jae-seok (hereinafter referred to as Park Jae-seok) :
H+ Yangji Hospital has been developing for the medical health of the community for more than 40 years since its opening in 1976. In 2018, H+ Digestive Hospital
affiliated with H+Yangji Hospital was opened to establish a hospital specializing in digestive diseases. The strength of H+ Digestive Hospital is that it makes quick treatment decisions. For example, if a large polyp is observed during colonoscopy, which is difficult to remove by general polypectomy, other hospitals make a treatment plan after the test results are obtained through a biopsy of the mass. However, we immediately remove it if it is determined that endoscopic treatment is possible after consultation with various doctors on the spot. The biggest advantage of H+ digestive hospital is that treatment is done in one step immediately after the test. As it is equipped with all the equipment necessary for digestive diseases such as endoscopy for small intestine, ultrasound, and biliary, there is no hassle of revisiting a large hospital.
Q) What are some treatments that have changed or improved compared to the past in digestive medicine due to technological advances? I want to know how to treat digestive cancer recently.
A) In the past, cancer treatment was limited to surgery, administration of anticancer drugs, and radiation treatment. However, with the recent development of endoscopic devices and technologies, early cancer (1st stage cancer) of both stomach and colon cancer can be cured with endoscopic treatment (endoscopic submucosal dissection: ESD) without surgery. In addition, the stomach or large intestine is not resected, and only the cancerous area is removed while preserving the organs. The strength of endoscopic treatment is that there is no decrease in quality of life such as weight loss, vomiting, diarrhea, and abdominal pain that are caused after gastric and colon resection.
Q) There is likely to be a change in the digestive cancer cure rate. What is the cure rate for digestive cancer in Korea?
A) The cure rate of stomach cancer and colon cancer in Korea has risen high. According to the results released over the past decade, gastric cancer rose 29.2% points from 46.6% to 75.8% and colon cancer increased 18% points from 58% to 76% in 2010s compared to the early 2000s. Korea's cure rate is very high compared to advanced countries such as the United States (32.1% for gastric cancer, 66.2% for colon cancer), and Japan (64.6% for gastric cancer, 71.1% for colon cancer).
Q) The initial symptoms of gastric cancer and colon cancer are often considered as simple upset stomach and easily passed. What are the main causes of the outbreak and ways to prevent it?
A) The cause of gastric cancer and colon cancer is presumed to be due to several complex factors, but the exact cause has not yet been determined. As a preventive measure, I recommend the national cancer prevention rules announced by the Ministry of Health and Welfare and the National Cancer Center.
National Cancer Prevention Rules
1. Don't smoke and avoid smoke from others smoking
2. Eat enough vegetables and fruits and take a balanced diet with a variety of foods
3. Don't eat salty food and don't eat burnt food
4. Avoid drinking even a small amount of alcohol a day to prevent cancer
5. Do walking or exercise 5 times a week to the point where you sweat for more than 30 minutes a day
6. Maintain a healthy weight that fits your physique
7. Get vaccinated according to vaccination guidelines
8. Have a safe sex life so that you don't get sexually transmitted infectious diseases
9. Follow safety and health rules in the workplace to avoid exposure to carcinogens
10. Get a checkup following the guidelines for early cancer screening
Q) Is there a case where cancer recurs or spreads to other cancers after gastric cancer and colorectal cancer is completely cured? What should patients be aware of after cancer treatment?
A) Cancer that occurs after 6 months in other areas after the first diagnosis of cancer is called Metachronous cancer, and stomach and colon cancer are highly likely to develop metachronous cancer, requiring follow-up tests every 6 months to 1 year after treatment for five years. If there is no recurrence for five years, it is judged to be completely cured. But in rare cases, it is reported to recur after five years. So, patients who have been treated with cancer must undergo regular follow-up tests even after they are completely cured.
Q) Please tell me about your future goals
A) H+ Digestive Hospital is also taking the lead in spreading Korea's advanced medical technology through live broadcasting of sharing treatment and surgery in Kazakhstan. The goal is to supply and maintain high-quality medical care comparable to tertiary hospitals, even if it is a small hospital while it is a hospital specialized for digestive diseases.
Dr. Park is a gastroenterologist and a director of H+ Digestive Hospital affiliated with H+ Yangji Hospital. He got internal medicine training at Dongguk University Hospital and worked as a clinical instructor of gastroenterology at Ulsan University Hospital. He completed training at the Digestive Center at Chichi University Hospital in Japan.
If H+ Digestive Hospital has a strength that differentiates it from other hospitals, please introduce it.
A) H+ Digestive Hospital Director Park Jae-seok (hereinafter referred to as Park Jae-seok) :
H+ Yangji Hospital has been developing for the medical health of the community for more than 40 years since its opening in 1976. In 2018, H+ Digestive Hospital
affiliated with H+Yangji Hospital was opened to establish a hospital specializing in digestive diseases. The strength of H+ Digestive Hospital is that it makes quick treatment decisions. For example, if a large polyp is observed during colonoscopy, which is difficult to remove by general polypectomy, other hospitals make a treatment plan after the test results are obtained through a biopsy of the mass. However, we immediately remove it if it is determined that endoscopic treatment is possible after consultation with various doctors on the spot. The biggest advantage of H+ digestive hospital is that treatment is done in one step immediately after the test. As it is equipped with all the equipment necessary for digestive diseases such as endoscopy for small intestine, ultrasound, and biliary, there is no hassle of revisiting a large hospital.
Q) What are some treatments that have changed or improved compared to the past in digestive medicine due to technological advances? I want to know how to treat digestive cancer recently.
A) In the past, cancer treatment was limited to surgery, administration of anticancer drugs, and radiation treatment. However, with the recent development of endoscopic devices and technologies, early cancer (1st stage cancer) of both stomach and colon cancer can be cured with endoscopic treatment (endoscopic submucosal dissection: ESD) without surgery. In addition, the stomach or large intestine is not resected, and only the cancerous area is removed while preserving the organs. The strength of endoscopic treatment is that there is no decrease in quality of life such as weight loss, vomiting, diarrhea, and abdominal pain that are caused after gastric and colon resection.
Q) There is likely to be a change in the digestive cancer cure rate. What is the cure rate for digestive cancer in Korea?
A) The cure rate of stomach cancer and colon cancer in Korea has risen high. According to the results released over the past decade, gastric cancer rose 29.2% points from 46.6% to 75.8% and colon cancer increased 18% points from 58% to 76% in 2010s compared to the early 2000s. Korea's cure rate is very high compared to advanced countries such as the United States (32.1% for gastric cancer, 66.2% for colon cancer), and Japan (64.6% for gastric cancer, 71.1% for colon cancer).
Q) The initial symptoms of gastric cancer and colon cancer are often considered as simple upset stomach and easily passed. What are the main causes of the outbreak and ways to prevent it?
A) The cause of gastric cancer and colon cancer is presumed to be due to several complex factors, but the exact cause has not yet been determined. As a preventive measure, I recommend the national cancer prevention rules announced by the Ministry of Health and Welfare and the National Cancer Center.
National Cancer Prevention Rules
1. Don't smoke and avoid smoke from others smoking
2. Eat enough vegetables and fruits and take a balanced diet with a variety of foods
3. Don't eat salty food and don't eat burnt food
4. Avoid drinking even a small amount of alcohol a day to prevent cancer
5. Do walking or exercise 5 times a week to the point where you sweat for more than 30 minutes a day
6. Maintain a healthy weight that fits your physique
7. Get vaccinated according to vaccination guidelines
8. Have a safe sex life so that you don't get sexually transmitted infectious diseases
9. Follow safety and health rules in the workplace to avoid exposure to carcinogens
10. Get a checkup following the guidelines for early cancer screening
Q) Is there a case where cancer recurs or spreads to other cancers after gastric cancer and colorectal cancer is completely cured? What should patients be aware of after cancer treatment?
A) Cancer that occurs after 6 months in other areas after the first diagnosis of cancer is called Metachronous cancer, and stomach and colon cancer are highly likely to develop metachronous cancer, requiring follow-up tests every 6 months to 1 year after treatment for five years. If there is no recurrence for five years, it is judged to be completely cured. But in rare cases, it is reported to recur after five years. So, patients who have been treated with cancer must undergo regular follow-up tests even after they are completely cured.
Q) Please tell me about your future goals
A) H+ Digestive Hospital is also taking the lead in spreading Korea's advanced medical technology through live broadcasting of sharing treatment and surgery in Kazakhstan. The goal is to supply and maintain high-quality medical care comparable to tertiary hospitals, even if it is a small hospital while it is a hospital specialized for digestive diseases.
Dr. Park is a gastroenterologist and a director of H+ Digestive Hospital affiliated with H+ Yangji Hospital. He got internal medicine training at Dongguk University Hospital and worked as a clinical instructor of gastroenterology at Ulsan University Hospital. He completed training at the Digestive Center at Chichi University Hospital in Japan.
#interview #Medius #Park Jae-seok #H Plus Yangji Hospital #Gastric cancer #Colorectal cancer #Endoscopic surgery #Treatment endoscope #Digestive hospital #Renowned Korean Doctor #interview with renowned doctor #renowned doctor recommendation #renowned#Medius #MDUS
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