계명대학교 의학도서관 Repository

Clinical Outcomes of the Endoscopic Submucosal Dissection of Early Gastric Cancer Are Comparable between Absolute and New Expanded Criteria

Metadata Downloads
Author(s)
Keun Young ShinSeong Woo JeonKwang Bum ChoKyung Sik ParkEun Soo KimChang Keun ParkYun Jin ChungJoong Goo KwonJin Tae JungEun Young KimKyeong Ok KimByung Ik JangSi Hyung LeeJeong Bae ParkChang Hun Yang
Keimyung Author(s)
Cho, Kwang BumPark, Kyung SikKim, Eun Soo
Department
Dept. of Internal Medicine (내과학)
Journal Title
Gut and Liver
Issued Date
2015
Volume
9
Issue
2
Abstract
Background/Aims: Advances in endoscopic submucosal dissection (ESD) techniques have led to the development of expanded criteria for endoscopic resection of early gastric cancer (EGC). The aim of this study was to evaluate the short- and long-term outcomes for ESD using indication criteria. Methods: A total of 1,105 patients underwent ESD for EGC at six medical centers. The patients were classified into the following two groups based on the lesion size, presence of ulceration and pathological review: an absolute criteria group (n=517) and an expanded criteria group (n=588). Results: The curative resection rates (91.1% vs 91.3%, p=0.896) were similar in the absolute criteria group and the expanded criteria group. The en bloc resection rates (93.4% and 92.3%, respectively; p=0.488) and complete resection rates (98.3% and 97.4%, respectively; p=0.357) did not differ between the groups. The cumulative disease-free survival rates and the overall survival rates were similar between the groups (p=0.778 and p=0.654, respectively). Independent factors for the curative resection of EGC included tumor location (upper vs middle and lower, 2.632 [1.128-6.144] vs 3.497 [1.560-7.842], respectively) and en bloc resection rate 12.576 [7.442-21.250]. Conclusions: The expanded criteria for ESD in cases of EGC is comparable with the widely accepted pre-existing criteria. (Gut Liver, 2015;9:181-187)
Keimyung Author(s)(Kor)
조광범
박경식
김은수
Publisher
School of Medicine
Citation
Keun Young Shin et al. (2015). Clinical Outcomes of the Endoscopic Submucosal Dissection of Early Gastric Cancer Are Comparable between Absolute and New Expanded Criteria. Gut and Liver, 9(2), 181–187. doi: 10.5009/gnl13417
Type
Article
ISSN
1976-2283
DOI
10.5009/gnl13417
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/35785
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.