Incidence of gastric cancer after endoscopic resection of gastric adenoma.

Abstract:

BACKGROUND AND AIMS:The annual incidence of metachronous cancer after endoscopic resection (ER) of early gastric cancer (EGC) is approximately 3%. However, the incidence of gastric cancer after ER of a gastric adenoma is not known. The aim of this study was to determine whether the incidence of gastric cancer after ER of a gastric adenoma was different compared with that of metachronous cancer after ER of EGC. METHODS:We retrospectively analyzed data from patients who underwent ER for gastric neoplasia from January 2005 to August 2013. Enrolled patients were divided into 2 groups: patients with low-grade dysplasia were included in the adenoma group and patients with high-grade dysplasia or invasive neoplasia were included in the EGC group. The main outcome was the incidence of gastric cancer after ER. RESULTS:At a median follow-up of 28 months, gastric cancer newly developed in 13 adenoma patients (3.6%) and in 30 EGC patients (5.1%). The incidence rate of gastric cancer after ER was 14.4 cases per 1000 person-years in adenoma patients and 18.4 cases per 1000 person-years in EGC patients (P = .309 by the log-rank test). The hazard ratio of metachronous neoplasia in adenoma patients compared with EGC patients was 0.97 (95% confidence interval, 0.62-1.53). Metachronous tumors with invasion beyond the muscularis mucosa were more frequent in adenoma patients than in EGC patients (7/35 [20.0%] vs 3/63 [4.8%], P = .017). CONCLUSION:The incidence of gastric cancer after ER for gastric adenoma was not significantly different from that of EGC. If further prospective studies confirm these findings, careful endoscopic surveillance with the same level of intensity should be considered for both gastric adenoma and EGC patients after ER.

journal_name

Gastrointest Endosc

authors

Yoon SB,Park JM,Lim CH,Kim JS,Cho YK,Lee BI,Lee IS,Kim SW,Choi MG

doi

10.1016/j.gie.2015.10.024

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

1176-83

issue

6

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(15)03040-0

journal_volume

83

pub_type

杂志文章
  • Diagnosis of hepatic lesions: ultrasonically guided fine needle biopsy or laparoscopy?

    abstract::We compared the results of ultrasonically guided fine needle aspiration biopsy and laparoscopy in 63 patients who underwent both procedures. In this series, fine needle biopsy showed a sensitivity of 75.6% with a 84.1% overall accuracy. Laparoscopy demonstrated a 74.3% sensitivity with an overall accuracy of 82.7%. Th...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(88)71318-8

    authors: Fornari F,Rapaccini GL,Cavanna L,Civardi G,Anti M,Fedeli G,Buscarini L

    更新日期:1988-05-01 00:00:00

  • Endoscopic assessment of mucosal hemodynamic changes in a canine model of gastric ulcer.

    abstract::In studying the side effects of sclerosants injected into the gastric submucosa in dogs (N = 7), we noted that 3 ml of absolute ethanol induced a large gastric ulceration. We describe the time course of change in the ulcer size, and suggest that such ulceration can be used for the endoscopic assessment of factors impo...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(91)70721-9

    authors: Chung SC,Sung JY,Suen MW,Leung JW,Leung FW

    更新日期:1991-05-01 00:00:00

  • Optimal preparation-to-colonoscopy interval in split-dose PEG bowel preparation determines satisfactory bowel preparation quality: an observational prospective study.

    abstract:BACKGROUND:Several factors influence bowel preparation quality. Recent studies have indicated that the time interval between bowel preparation and the start of colonoscopy is also important in determining bowel preparation quality. OBJECTIVE:To evaluate the influence of the preparation-to-colonoscopy (PC) interval (th...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2011.09.029

    authors: Seo EH,Kim TO,Park MJ,Joo HR,Heo NY,Park J,Park SH,Yang SY,Moon YS

    更新日期:2012-03-01 00:00:00

  • Practice patterns of post-ERCP pancreatitis prophylaxis techniques in the United States: a survey of advanced endoscopists.

    abstract:BACKGROUND AND AIMS:The American Society for Gastrointestinal Endoscopy recommends prophylactic pancreatic duct stent placement (PPS) and rectal nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce the incidence and severity of post-ERCP pancreatitis (PEP) in high-risk individuals and suggests that rectal indomethac...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2019.11.013

    authors: Avila P,Holmes I,Kouanda A,Arain M,Dai SC

    更新日期:2020-03-01 00:00:00

  • A model for calculating the hospital costs for pediatric endoscopy.

    abstract:BACKGROUND:Hospitals increasingly need, besides effectiveness data, accurate and reliable cost data to allocate their resources as efficiently as possible. In this article, a framework to calculate the hospital costs of setting up a new activity is presented and applied to pediatric endoscopy. METHODS:The cost calcula...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(96)70007-x

    authors: Kesteloot K,Veereman-Wauters G,Nolis I,Eggermont E,Rutgeerts P,Vleugels A

    更新日期:1996-11-01 00:00:00

  • Interobserver agreement for EUS findings in familial pancreatic-cancer kindreds.

    abstract:BACKGROUND:EUS is a promising modality for pancreatic-cancer screening in high-risk persons, including familial pancreatic-cancer (FPC) kindreds. OBJECTIVE:To assess interobserver agreement for interpretation of EUS in persons at high risk for pancreatic cancer. DESIGN:Seventeen expert endosonographers blinded to pat...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2006.09.018

    authors: Topazian M,Enders F,Kimmey M,Brand R,Chak A,Clain J,Cunningham J,Eloubeidi M,Gerdes H,Gress F,Jagannath S,Kantsevoy S,LeBlanc JK,Levy M,Lightdale C,Romagnuolo J,Saltzman JR,Savides T,Wiersema M,Woodward T,Petersen

    更新日期:2007-07-01 00:00:00

  • Impact of COVID-19 on colorectal cancer disparities and the way forward.

    abstract::In response to the coronavirus disease 2019 (COVID-19) pandemic, the U.S. Surgeon General advised all hospitals and ambulatory care centers to delay nonurgent medical procedures and surgeries. This recommendation, echoed by a multigastroenterology society guideline, led to the suspension of colonoscopies for colorecta...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2020.06.042

    authors: Balzora S,Issaka RB,Anyane-Yeboa A,Gray DM 2nd,May FP

    更新日期:2020-10-01 00:00:00

  • Bile duct dilation with chronic methadone use in asymptomatic patients: ERCP findings in 6 patients.

    abstract:BACKGROUND:Bile duct dilation in patients being treated by chronic narcotic substitution with methadone has been described but has not been systematically evaluated with ERCP. Retrograde cholangiographic findings in 6 patients taking methadone who were referred for evaluation of a dilated bile duct are described. METH...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2003.315

    authors: Firoozi B,Choung R,Diehl DL

    更新日期:2003-07-01 00:00:00

  • Polyurethane-covered metal stent for management of distal malignant biliary obstruction.

    abstract:BACKGROUND:The efficacy of polyurethane-covered metal expandable stents for treatment of neoplastic distal biliary obstruction was analyzed. METHODS:Twenty-one patients with unresectable malignant tumors involving the mid to distal bile duct who were seen with obstructive jaundice were consecutively enrolled. Eighteen...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2002.121876

    authors: Isayama H,Komatsu Y,Tsujino T,Yoshida H,Tada M,Shiratori Y,Kawabe T,Omata M

    更新日期:2002-03-01 00:00:00

  • Recanalization of tube overgrowth: a useful new indication for laser in palliation of malignant dysphagia.

    abstract::Overgrowth of an esophageal prosthesis by cancer is a late complication of insertion which presents a difficult management problem. We have treated 14 such patients; 9 had Celestin tubes and 5 Atkinson tubes in situ for a median of 7 months. The median patient age was 75 years; 3 had squamous cell carcinomas and 11 ad...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(92)70383-6

    authors: Sargeant IR,Loizou LA,Tulloch M,Thorpe S,Brown SG

    更新日期:1992-03-01 00:00:00

  • Mistakes on EUS staging of colorectal carcinoma: error in interpretation or deception from innate pathologic features?

    abstract:BACKGROUND:Because endoscopic ultrasound (EUS) accuracy for staging gastrointestinal tract tumors is limited by many factors, this study was designed to analyze potential sources of error in the EUS staging of colorectal carcinoma. METHODS:All patients referred for EUS evaluation of colorectal carcinoma were staged pr...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2000.106310

    authors: McClave SA,Jones WF,Woolfolk GM,Schrodt GR,Wiersema MJ

    更新日期:2000-06-01 00:00:00

  • EUS-guided fiducial placement before targeted radiation therapy for prostate cancer.

    abstract:BACKGROUND:Image-guided radiation therapy allows the delivery of precisely aimed radiation beams to tumors while minimizing radiation to adjacent normal tissue. This is particularly important in the prostate, a moving target whose positioning depends on the dynamics of its neighboring bladder and rectum. Targeted radia...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2009.03.001

    authors: Yang J,Abdel-Wahab M,Ribeiro A

    更新日期:2009-09-01 00:00:00

  • Impact of 2 generational improvements in colonoscopes on adenoma miss rates: results of a prospective randomized multicenter tandem study.

    abstract:BACKGROUND AND AIMS:Numerous randomized studies have shown that changing certain features of colonoscopes, usually incorporated when switching from one endoscope generation to the next, mostly do not increase adenoma yield. There is, however, indirect evidence that it may be necessary to skip one instrument generation ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.gie.2018.01.025

    authors: Pioche M,Denis A,Allescher HD,Andrisani G,Costamagna G,Dekker E,Fockens P,Gerges C,Groth S,Kandler J,Lienhart I,Neuhaus H,Petruzziello L,Schachschal G,Tytgat K,Wallner J,Weingart V,Touzet S,Ponchon T,Rösch T

    更新日期:2018-07-01 00:00:00

  • Nitrous oxide for colonoscopy: a randomized controlled study.

    abstract:BACKGROUND:Intravenous sedation/analgesia for colonoscopy is accompanied with certain risks and postprocedure drowsiness. We sought to determine whether inhaled nitrous oxide (Entonox: 50% nitrous oxide, 50% oxygen) provides adequate analgesia for colonoscopy and the impact of this agent on recovery. METHODS:All patie...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0016-5107(00)70354-3

    authors: Forbes GM,Collins BJ

    更新日期:2000-03-01 00:00:00

  • Accuracy of endoscopic optical coherence tomography in the detection of dysplasia in Barrett's esophagus: a prospective, double-blinded study.

    abstract:BACKGROUND:Endoscopic optical coherence tomography (EOCT) is a high-resolution, cross-sectional tissue-imaging technique that provides microscopic morphologic information. EOCT should detect dysplasia in Barrett's epithelium, but this has not been established in a prospective blinded study. This study evaluated the acc...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2005.07.048

    authors: Isenberg G,Sivak MV Jr,Chak A,Wong RC,Willis JE,Wolf B,Rowland DY,Das A,Rollins A

    更新日期:2005-12-01 00:00:00

  • Patient experience and preferences toward colon cancer screening: a comparison of virtual colonoscopy and conventional colonoscopy.

    abstract:BACKGROUND:Virtual colonoscopy has excellent sensitivity for the detection of cancer and polyps greater than 1 cm in diameter. For virtual colonoscopy to succeed as a screening test for colorectal neoplasia, it must be well tolerated and accepted by patients. Patients' experiences with virtual colonoscopy and conventio...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2001.117595

    authors: Akerkar GA,Yee J,Hung R,McQuaid K

    更新日期:2001-09-01 00:00:00

  • Bispectral index monitoring of sedation during endoscopy.

    abstract:BACKGROUND:No objective measure of the level of sedation is universally accepted. However, bispectral index monitoring is currently used to objectively measure sedation levels in several clinical settings. This study compares the temporal relationship of bispectral index levels versus the Observer's Assessment of Alert...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1067/mge.2000.107284

    authors: Bower AL,Ripepi A,Dilger J,Boparai N,Brody FJ,Ponsky JL

    更新日期:2000-08-01 00:00:00

  • Laser lithotripsy of difficult biliary stones.

    abstract::From June 1991 to September 1992, 16 patients (mean age, 72 +/- 5 years) were treated with intra-corporeal laser lithotripsy (ICL). Thirteen patients had choledocholithiasis with at least one stone larger than 20 mm; 3 patients had intra-hepatic lithiasis. All other methods, including mechanical lithotripsy, extra-cor...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(94)70058-3

    authors: Prat F,Fritsch J,Choury AD,Frouge C,Marteau V,Etienne JP

    更新日期:1994-05-01 00:00:00

  • Intraductal balloon-guided direct peroral cholangioscopy with an ultraslim upper endoscope (with videos).

    abstract:BACKGROUND:Peroral cholangioscopy (POC) provides direct visualization of the bile duct and facilitates diagnostic procedures and therapeutic intervention. The currently available mother-baby endoscope system is not widely used because of several limitations. Although direct cholangioscopy with an ultraslim upper endosc...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2008.11.019

    authors: Moon JH,Ko BM,Choi HJ,Hong SJ,Cheon YK,Cho YD,Lee JS,Lee MS,Shim CS

    更新日期:2009-08-01 00:00:00

  • Topical anesthesia with 50 mg of lidocaine spray facilitates upper gastrointestinal endoscopy.

    abstract::To investigate the value of 50 mg of topical lidocaine spray in upper gastrointestinal endoscopy, a randomized double-blind placebo-controlled study was undertaken with 50 mg of lidocaine spray as the active treatment. All patients were sedated with diazepam after administration of the spray. Included in the study wer...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0016-5107(93)70110-8

    authors: Leitch DG,Wicks J,el Beshir OA,Ali SA,Chaudhury BK

    更新日期:1993-05-01 00:00:00

  • Endoscopic treatment of gastroesophageal varices in young infants with cyanoacrylate glue: a pilot study.

    abstract:BACKGROUND:In children, endoscopic sclerotherapy and variceal ligation (EVL) are the most used techniques for the treatment of gastroesophageal variceal bleeding (VB). However, these techniques achieve poor results in cases of gastric variceal bleeding, and EVL is not applicable in young infants. OBJECTIVE:Our purpose...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2008.07.025

    authors: Rivet C,Robles-Medranda C,Dumortier J,Le Gall C,Ponchon T,Lachaux A

    更新日期:2009-05-01 00:00:00

  • A combination of clinical risk stratification and fecal immunochemical test results to prioritize colonoscopy screening in asymptomatic participants.

    abstract:BACKGROUND:Stool-based colonoscopy is the preferred strategy for colorectal cancer (CRC) screening. The Asia-Pacific Colorectal Screening System (APCS) score also is helpful in stratifying the risk for advanced neoplasia in the asymptomatic population. The combination of the fecal immunochemical test (FIT) result and c...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.gie.2014.11.035

    authors: Aniwan S,Rerknimitr R,Kongkam P,Wisedopas N,Ponuthai Y,Chaithongrat S,Kullavanijaya P

    更新日期:2015-03-01 00:00:00

  • Brush cytology for pancreatic carcinoma: an analysis of factors influencing results.

    abstract:BACKGROUND:Despite recent advances in cytology brush design, yield of endoscopic brush cytology in suspected pancreatic carcinoma remains low. METHODS:We prospectively evaluated 32 such patients by ERCP to analyze differences in yield based on anatomic location of the pancreatic stricture, and the role of concurrent b...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(96)70168-2

    authors: McGuire DE,Venu RP,Brown RD,Etzkorn KP,Glaws WR,Abu-Hammour A

    更新日期:1996-09-01 00:00:00

  • Esophageal stent placement without fluoroscopy.

    abstract:BACKGROUND:Access to fluoroscopic equipment is limited in some regions where esophageal cancer is common. This report describes a simple method for placement of expandable esophageal stents without fluoroscopy. METHODS:Patients with dysphagia due to unresectable esophageal cancer underwent esophageal stent placement u...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0016-5107(01)70415-4

    authors: White RE,Mungatana C,Topazian M

    更新日期:2001-03-01 00:00:00

  • Favorable long-term outcomes of repeat endotherapy for small-intestine vascular lesions by double-balloon endoscopy.

    abstract:BACKGROUND:GI bleeding secondary to small-intestine vascular lesions (SIVLs) is associated with rebleeding despite initial hemostasis by endotherapy applied at double-balloon endoscopy (DBE). OBJECTIVE:To evaluate the long-term outcomes of DBE endotherapy of SIVL (as described by the Yano-Yamamoto classification). The...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2013.11.029

    authors: Shinozaki S,Yamamoto H,Yano T,Sunada K,Hayashi Y,Shinhata H,Sato H,Despott EJ,Sugano K

    更新日期:2014-07-01 00:00:00

  • Endoscopic submucosal dissection by using a grasping-type scissors forceps: a preliminary clinical study (with video).

    abstract:BACKGROUND:Endoscopic submucosal dissection (ESD) with a knife is a technically demanding procedure associated with a high complication rate. The shortcoming of this method is the difficulty of fixing the knife to the target lesion. It can lead to an unexpected incision and result in major complications, such as perfor...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.gie.2007.12.007

    authors: Akahoshi K,Honda K,Akahane H,Akiba H,Matsui N,Motomura Y,Kubokawa M,Endo S,Higuchi N,Oya M

    更新日期:2008-06-01 00:00:00

  • Clinical importance of cold polypectomy during the insertion phase in the left side of the colon and rectum: a multicenter randomized controlled trial (PRESECT study).

    abstract:BACKGROUND AND AIMS:Colorectal polyps are often detected during the insertion phase of colonoscopy but are commonly removed during the withdrawal phase. We aimed to investigate the clinical advantages of instant removal of colorectal polyps during the insertion phase to determine the appropriate strategy for polyps det...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2019.12.019

    authors: Teramoto A,Aoyama N,Ebisutani C,Matsumoto T,Machida H,Yoshida S,Uchima N,Utsumi T,Tochio T,Hirata D,Iwatate M,Hattori S,Fujita M,Sano W,Sano Y

    更新日期:2020-04-01 00:00:00

  • Complications associated with laparoscopic anti-reflux surgery: one multispecialty clinic's experience.

    abstract:BACKGROUND:The records of all patients with significant complications of laparoscopic anti-reflux surgery (LARS) seen at our institution between June 1993 and September 1996 were reviewed. Specifically excluded were patients who had mild perioperative complications or postoperative dysphagia that either did not require...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(97)70008-7

    authors: Kozarek RA,Low DE,Raltz SL

    更新日期:1997-12-01 00:00:00

  • Endoscopic treatment of Zenker's diverticulum.

    abstract:BACKGROUND:The most important aspect of the surgical management of Zenker's diverticulum is probably the cricopharyngeal myotomy. Endoscopic diverticulotomy can be performed with a needle-knife papillotome, which allows simultaneous myotomy of the upper esophageal sphincter. METHODS:Since 1978, 47 patients (28 men and...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(99)70452-9

    authors: Hashiba K,de Paula AL,da Silva JG,Cappellanes CA,Moribe D,Castillo CF,Brasil HA

    更新日期:1999-01-01 00:00:00

  • Endoscopic magnet placement into subadventitial tunnels for augmenting the lower esophageal sphincter using submucosal endoscopy: ex vivo and in vivo study in a porcine model (with video).

    abstract:BACKGROUND AND AIMS:Endolumenal therapies serve as a treatment option for GERD. This study aimed to determine if magnets could be placed endoscopically using the adventitial layer to create a subadventitial space near the esophagogastric junction to augment the lower esophageal sphincter using submucosal endoscopy. ME...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2018.09.015

    authors: Dobashi A,Wu SW,Deters JL,Miller CA,Knipschield MA,Cameron GP,Lu L,Rajan E,Gostout CJ

    更新日期:2019-02-01 00:00:00