[Clinicopathologic characteristics of patients who underwent curative additional gastrectomy after endoscopic submucosal dissection for early gastric cancer or adenoma].

Hyejin Noh, Jong Jae Park, Jae Won Yun, Minjung Kwon, Dae Woong Yoon, Won Jin Chang, Ha Yong Oh, Moon Kyung Joo, Beomjae Lee, Ji Hoon Kim, Jong Eun Yeon, Jae Seon Kim, Kwan Soo Byun, Young-Tae Bak

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Abstract

Endoscopic submucosal dissection (ESD) has been widely performed. However, procedure related-complications and the risk of tumor recurrence are limitations. We analyzed the clinicopathological characteristics of patients who underwent curative additional gastrectomy (gastrectomy) after ESD. The clinical characteristics of cases underwent gastrectomy after ESD were retrospectively analyzed. Between January 2002 and August 2010, 1,512 cases underwent ESD for early gastric cancer (n=511) or adenoma (n=1,001). Thirty-two cases (2.1%) underwent gastrectomy after ESD. Thirty cases (2.0%) were EGC and 2 cases (0.1%) were adenoma. Extended indication, larger tumor size and piecemeal resection were risk factors for gastrectomy after ESD. According to the causes of gastrectomy, 13 cases underwent gastrectomy due to complications (40.6%; bleeding in 9, perforation in 4), and 19 cases based on pathological results (incomplete resection in 13, lymphatic invasion in 6). In cases with incomplete resection, the rate of residual tumor and lymph node metastasis after gastrectomy was 69.2% (75% lateral margin, 60% deep and 75% both) and 7.7%, respectively. Three (50%) of the 6 cases with lymphatic invasion had lymph node metatstasis. The causes of gastrectomy after ESD were the procedure-related complications, the incomplete resection and lymphatic invasion. For complete and curative ESD, endoscopists should try to minimize complications and determine the depth of invasion accurately before ESD.

Original languageEnglish
Pages (from-to)289-295
Number of pages7
JournalThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
Volume59
Issue number4
DOIs
Publication statusPublished - 2012 Apr 1
Externally publishedYes

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Gastrectomy
Adenoma
Stomach Neoplasms
Lymph Nodes
Endoscopic Mucosal Resection
Residual Neoplasm
Neoplasms
Hemorrhage
Neoplasm Metastasis
Recurrence

ASJC Scopus subject areas

  • Medicine(all)

Cite this

@article{37c353f6eb52435c889c6a3edde68d94,
title = "[Clinicopathologic characteristics of patients who underwent curative additional gastrectomy after endoscopic submucosal dissection for early gastric cancer or adenoma].",
abstract = "Endoscopic submucosal dissection (ESD) has been widely performed. However, procedure related-complications and the risk of tumor recurrence are limitations. We analyzed the clinicopathological characteristics of patients who underwent curative additional gastrectomy (gastrectomy) after ESD. The clinical characteristics of cases underwent gastrectomy after ESD were retrospectively analyzed. Between January 2002 and August 2010, 1,512 cases underwent ESD for early gastric cancer (n=511) or adenoma (n=1,001). Thirty-two cases (2.1{\%}) underwent gastrectomy after ESD. Thirty cases (2.0{\%}) were EGC and 2 cases (0.1{\%}) were adenoma. Extended indication, larger tumor size and piecemeal resection were risk factors for gastrectomy after ESD. According to the causes of gastrectomy, 13 cases underwent gastrectomy due to complications (40.6{\%}; bleeding in 9, perforation in 4), and 19 cases based on pathological results (incomplete resection in 13, lymphatic invasion in 6). In cases with incomplete resection, the rate of residual tumor and lymph node metastasis after gastrectomy was 69.2{\%} (75{\%} lateral margin, 60{\%} deep and 75{\%} both) and 7.7{\%}, respectively. Three (50{\%}) of the 6 cases with lymphatic invasion had lymph node metatstasis. The causes of gastrectomy after ESD were the procedure-related complications, the incomplete resection and lymphatic invasion. For complete and curative ESD, endoscopists should try to minimize complications and determine the depth of invasion accurately before ESD.",
author = "Hyejin Noh and Park, {Jong Jae} and Yun, {Jae Won} and Minjung Kwon and Yoon, {Dae Woong} and Chang, {Won Jin} and Oh, {Ha Yong} and Joo, {Moon Kyung} and Beomjae Lee and Kim, {Ji Hoon} and Yeon, {Jong Eun} and Kim, {Jae Seon} and Byun, {Kwan Soo} and Young-Tae Bak",
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TY - JOUR

T1 - [Clinicopathologic characteristics of patients who underwent curative additional gastrectomy after endoscopic submucosal dissection for early gastric cancer or adenoma].

AU - Noh, Hyejin

AU - Park, Jong Jae

AU - Yun, Jae Won

AU - Kwon, Minjung

AU - Yoon, Dae Woong

AU - Chang, Won Jin

AU - Oh, Ha Yong

AU - Joo, Moon Kyung

AU - Lee, Beomjae

AU - Kim, Ji Hoon

AU - Yeon, Jong Eun

AU - Kim, Jae Seon

AU - Byun, Kwan Soo

AU - Bak, Young-Tae

PY - 2012/4/1

Y1 - 2012/4/1

N2 - Endoscopic submucosal dissection (ESD) has been widely performed. However, procedure related-complications and the risk of tumor recurrence are limitations. We analyzed the clinicopathological characteristics of patients who underwent curative additional gastrectomy (gastrectomy) after ESD. The clinical characteristics of cases underwent gastrectomy after ESD were retrospectively analyzed. Between January 2002 and August 2010, 1,512 cases underwent ESD for early gastric cancer (n=511) or adenoma (n=1,001). Thirty-two cases (2.1%) underwent gastrectomy after ESD. Thirty cases (2.0%) were EGC and 2 cases (0.1%) were adenoma. Extended indication, larger tumor size and piecemeal resection were risk factors for gastrectomy after ESD. According to the causes of gastrectomy, 13 cases underwent gastrectomy due to complications (40.6%; bleeding in 9, perforation in 4), and 19 cases based on pathological results (incomplete resection in 13, lymphatic invasion in 6). In cases with incomplete resection, the rate of residual tumor and lymph node metastasis after gastrectomy was 69.2% (75% lateral margin, 60% deep and 75% both) and 7.7%, respectively. Three (50%) of the 6 cases with lymphatic invasion had lymph node metatstasis. The causes of gastrectomy after ESD were the procedure-related complications, the incomplete resection and lymphatic invasion. For complete and curative ESD, endoscopists should try to minimize complications and determine the depth of invasion accurately before ESD.

AB - Endoscopic submucosal dissection (ESD) has been widely performed. However, procedure related-complications and the risk of tumor recurrence are limitations. We analyzed the clinicopathological characteristics of patients who underwent curative additional gastrectomy (gastrectomy) after ESD. The clinical characteristics of cases underwent gastrectomy after ESD were retrospectively analyzed. Between January 2002 and August 2010, 1,512 cases underwent ESD for early gastric cancer (n=511) or adenoma (n=1,001). Thirty-two cases (2.1%) underwent gastrectomy after ESD. Thirty cases (2.0%) were EGC and 2 cases (0.1%) were adenoma. Extended indication, larger tumor size and piecemeal resection were risk factors for gastrectomy after ESD. According to the causes of gastrectomy, 13 cases underwent gastrectomy due to complications (40.6%; bleeding in 9, perforation in 4), and 19 cases based on pathological results (incomplete resection in 13, lymphatic invasion in 6). In cases with incomplete resection, the rate of residual tumor and lymph node metastasis after gastrectomy was 69.2% (75% lateral margin, 60% deep and 75% both) and 7.7%, respectively. Three (50%) of the 6 cases with lymphatic invasion had lymph node metatstasis. The causes of gastrectomy after ESD were the procedure-related complications, the incomplete resection and lymphatic invasion. For complete and curative ESD, endoscopists should try to minimize complications and determine the depth of invasion accurately before ESD.

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DO - 10.4166/kjg.2012.59.4.289

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VL - 59

SP - 289

EP - 295

JO - The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi

JF - The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi

SN - 1598-9992

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