Location characteristics of early gastric cancer treated with endoscopic submucosal dissection View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-04-07

AUTHORS

Dae Hwan Kang, Cheol Woong Choi, Hyung Wook Kim, Su Bum Park, Su Jin Kim, Hyeong Seok Nam, Dae Gon Ryu

ABSTRACT

Background and study aimsThe timely detection of early gastric cancer (EGC) is important in performing endoscopic submucosal dissection (ESD). We attempted to determine the location characteristics of regions where EGC is frequently detected and analyzed the EGC characteristics associated with that location.MethodsWe retrospectively reviewed the medical records of patients with EGC treated by ESD between November 2008 and August 2016. We retrospectively investigated and analyzed 647 EGC lesions.ResultsThe patients’ mean age was 66.7 ± 10.8 years. The patient population was predominantly male (77.1%, 499/647). A well-to-moderately differentiated carcinoma was observed in 97.2% of patients. The common site of carcinoma occurrence was the lower part of the stomach (the antrum and lower third of body, 89.6%). Among the stomach hemispheres, the lesser curvature side was the most frequent site of EGC (43.9%). The posterior side of EGC was more frequent than anterior side of EGC (20.4 vs. 15.6%, respectively). Submucosal invasive EGC was more frequent in the mid-to-upper parts of stomach than lower part of stomach (odds ratio 1.919; confidence interval 1.014–3.623; p = 0.045).ConclusionsMost EGCs that are resectable with ESD were found in the lower part and in the lesser curvature of the stomach. The submucosal invasive EGC was more frequent in the mid-to-upper part of stomach. More... »

PAGES

4673-4679

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00464-017-5534-9

DOI

http://dx.doi.org/10.1007/s00464-017-5534-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1084517875

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28389793


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