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Incidence and impact of scheduled endoscopic surveillance on recurrence after curative endoscopic resection for early gastric cancer

Title
Incidence and impact of scheduled endoscopic surveillance on recurrence after curative endoscopic resection for early gastric cancer
Author
박찬혁
Keywords
LONG-TERM OUTCOMES; SUBMUCOSAL DISSECTION; ABSOLUTE INDICATION; SURGERY; PATTERNS; METAPLASIA; DYSPLASIA; ATROPHY
Issue Date
2016-10
Publisher
MOSBY-ELSEVIER
Citation
GASTROINTESTINAL ENDOSCOPY, v. 84, NO. 4, Page. 628-628
Abstract
Background and Aims: The aim of this study was to identify the incidence of recurrent lesions after endoscopic submucosal dissection (ESD) and to determine whether scheduled endoscopic surveillance might control their development and treatment. Methods: We reviewed the clinical data of patients who underwent gastric ESD between March 2007 and April 2014. Results: A total of 1347 patients who underwent curative ESD for early gastric cancer that met the expanded indication for ESD were analyzed. Of these, recurrence at the previous ESD site occurred in 39 patients, whereas recurrence in the stomach at a site other than the ESD site occurred in 102 patients. Older age, intestinal metaplasia, flat or depressed lesions, and ESD criteria were associated with recurrence in the stomach in places other than the ESD site. The annual incidence was.84% for recurrence at the previous ESD site and 2.48% for recurrence in the stomach at other than the ESD site. In cases of local recurrence and metachronous lesions, there was a significant difference between the short-and long-surveillance interval group (˂= 12 months vs ˃ 12 months) in the proportions of recurrent adenocarcinoma (31.9% vs 60.9%, P = .021), additional gastrectomy (7.1% vs 46.2%, P = .033), and size (8.92 +/- 4.17 mm vs 18.08 +/- 10.47 mm, P = .010). Conclusions: Scheduled endoscopy surveillance is necessary for detecting recurrent lesions. In addition, scheduled endoscopy surveillance might help to detect recurrent lesions at a stage early enough for a curative resection.
URI
https://www.sciencedirect.com/science/article/pii/S0016510716016667?via%3Dihubhttps://repository.hanyang.ac.kr/handle/20.500.11754/100706
ISSN
0016-5107; 1097-6779
DOI
10.1016/j.gie.2016.03.1404
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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