Long-term survival after endoscopic resection for early gastric cancer in the remnant stomach: comparison with radical surgery

RDF 

 
Το τεκμήριο παρέχεται από τον φορέα :
Ελληνική Γαστροεντερολογική Εταιρία
Αποθετήριο :
Annals of Gastroenterology
δείτε την καρτέλα τεκμηρίου
μέσα από τον ιστότοπο του αποθετηρίου του φορέα *
κοινοποιήστε το τεκμήριο



Σημασιολογικός εμπλουτισμός/ομογενοποίηση από το EKT

2015 (EL)
Long-term survival after endoscopic resection for early gastric cancer in the remnant stomach: comparison with radical surgery (EN)

Yamamoto, Sachiko
Takeuchi, Yoji
Akasaka, Tomofumi
Aoi, Kenji
Matsuura, Noriko
Fujiwara, Yoshiyuki
Kishi, Kentaro
Ito, Takashi
Uedo, Noriya
Higashino, Koji
Iishi, Hiroyasu
Dainaka, Katsuyuki
Hanaoka, Noboru
Fujii, Mototsugu
Ishihara, Ryu
Yamashina, Takeshi; Osaka Medical Center for Cancer and Cardiovascular Diseases
Kanesaka, Takashi

Background Endoscopic resection (ER) has recently become standard treatment, even for early gastric cancer (EGC) in the remnant stomach. We aimed to compare long-term survival after ER versus radical surgery for EGC in the remnant stomach.Methods We retrospectively compared overall and cause-specific survival of patients who had undergone ER or radical surgery for EGC in the remnant stomach from 1998 to 2012.Results During the study period, 32 patients with intramucosal (M), two with shallow submucosal (SM1) and eight with deep submucosal (SM2) cancers had undergone ER (ER group) whereas six with M and seven with SM2 cancers had undergone surgery (surgery group). All patients were followed up for a median of 60 months; during follow up, 15 patients died, including three in the ER group with SM2 cancer who died of gastric cancer. The overall 5-year survival rates of M-SM1 and SM2 cancer patients in the ER and surgery groups were 89%, 48%, 80%, and 67%, respectively (P=0.079). The disease-specific 5-year survival rates of M-SM1 and SM2 cancer patients in the ER and surgery groups were 100%, 48%, 100%, and 100%, respectively (P=0.000). Operation time and hospital stay were significantly shorter in the ER than the surgery group (P<0.001). Grade 2 perforation occurred in two patients in the ER group and Grade 3 anastomotic leakage in two patients in the surgery group.Conclusion ER provides excellent outcomes, comparable with those of radical surgery, in patients with M-SM1 gastric cancer in the remnant stomach; however, patients with SM2 cancer require radical surgery.Keywords Early gastric cancer in the remnant stomach, long-term outcomes, endoscopic muosal resection, endoscopic submucosal dissectionAnn Gastroenterol 2015; 28 (1): 66-71 (EN)

Ελληνική Γαστροεντερολογική Εταιρία (EL)
Hellenic Gastroenterologiki Company (EN)

2015-01-05


Annals of Gastroenterology (EN)

Annals of Gastroenterology; Volume 28, No 1 (2015); 66 (EN)



*Η εύρυθμη και αδιάλειπτη λειτουργία των διαδικτυακών διευθύνσεων των συλλογών (ψηφιακό αρχείο, καρτέλα τεκμηρίου στο αποθετήριο) είναι αποκλειστική ευθύνη των αντίστοιχων Φορέων περιεχομένου.