Risk factors for synchronous or metachronous tumor development after endoscopic resection of gastric neoplasms View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2014-10-18

AUTHORS

Joo Hyun Lim, Sang Gyun Kim, Jeongmin Choi, Jong Pil Im, Joo Sung Kim, Hyun Chae Jung

ABSTRACT

BackgroundDespite many advantages, the development of synchronous or metachronous neoplasm is one of the main concerns with endoscopic resection. We aimed to clarify the independent risk factors for synchronous or metachronous gastric neoplasm.MethodsWe retrospectively reviewed the medical records of all patients who had undergone endoscopic resection for gastric high-grade dysplasia or early gastric cancer between April 2001 and February 2011.ResultsAmong 971 subjects, 56 synchronous neoplasms and 42 metachronous neoplasms developed during 12–131 months of follow-up. In univariate analysis, age over 65 years, male gender, absence of Helicobacter pylori infection, lower third location, mucosal atrophy, and intestinal metaplasia were related to multiple gastric neoplasms. In multivariate analysis, absence of H. pylori infection [odds ratio (OR) 1.610, 95 % confidence interval (CI) 1.038–2.497)], lower third location (OR 1.704, 95 % CI 1.070–2.713), and intestinal metaplasia (OR 4.461, 95 % CI 1.382–14.401) were independent risk factors for multiple gastric neoplasms. For synchronous neoplasm, primary tumor size less than 1 cm was the only independent risk factor. For metachronous neoplasm, absence of H. pylori infection (OR 2.416, 95 % CI 1.214–4.810) was found to be the only independent risk factor. H. pylori eradication was found to be unrelated to the development of metachronous gastric neoplasms.ConclusionsFor tumors located in the antrum and accompanied by intestinal metaplasia, meticulous endoscopic evaluation with close follow-up after endoscopic resection is recommended. More... »

PAGES

817-823

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10120-014-0438-z

DOI

http://dx.doi.org/10.1007/s10120-014-0438-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1044833440

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25326338


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