Endoscopic submucosal dissection for gastric indefinite for neoplasia: which lesions should be resected? View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-02-25

AUTHORS

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

ABSTRACT

Background and study aimsThe management plan for gastric indefinite for neoplasia is undetermined, and endoscopic forceps biopsy might be inconclusive in ascertaining whether a resection is required. This study aimed to evaluate the clinical outcomes of endoscopic submucosal dissection (ESD) for gastric indefinite for neoplasia and to identify the factors highly predictive of true neoplasia.Patients and methodsThis retrospective study was conducted in a single, tertiary, referral hospital between November 2008 and December 2015. A total of 109 gastric indefinite for neoplasia lesions from endoscopic forceps biopsy that were resected by ESD were included in the study. The clinical outcomes and endoscopic factors for prediction of true neoplasia were analyzed.ResultsA total of 99 patients (90.8%) were diagnosed with definite neoplasia after ESD and were classified as category 3 (n = 42), category 4 (n = 50), and category 5 (n = 7) according to the revised Vienna classification. The mean age of the patients was 65.8 ± 9.8 years. The mean lesion size was 10.7 ± 6.1 mm. The patient population predominantly consisted of male patients (70.6%). The en bloc and complete endoscopic resection rates were 98.2% and 94.5%, respectively. Factors associated with true neoplastic lesions were male sex (odds ratio [OR] 8.596, p = 0.008) and lesion size ≥ 5 mm (OR 11.355, p = 0.003). Factors associated with category 4–5 were male sex (OR 3.165, p = 0.021) and erosive change (OR 2.841, p = 0.031).ConclusionsEndoscopic resection for indefinite for neoplasia with larger lesions size and erosive changes, especially in males, should be considered when possible. More... »

PAGES

3976-3983

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00464-019-06686-1

DOI

http://dx.doi.org/10.1007/s00464-019-06686-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1112385059

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30805781


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