当前位置： SCI文献检索 > GASTROINTESTINAL ENDOSCOPY期刊下所有文献 > Rates of lymph node metastasis and survival in T1a gastric adenocarcinoma in Western populations.

Rates of lymph node metastasis and survival in T1a gastric adenocarcinoma in Western populations.

Abstract：

BACKGROUND AND AIMS:EMR and endoscopic submucosal dissection (ESD) are widely accepted in Asia for treatment of early gastric cancer (EGC). Few studies have examined lymph node (LN) metastasis of EGC in Western populations. We sought to examine EGC and LN metastasis in a heterogeneous Western population. METHODS:Patients with surgically resected, histologically confirmed American Joint Committee on Cancer T1a gastric adenocarcinoma were identified in the Surveillance, Epidemiology, and End Results (SEER) database from 2002 to 2012. Patients were excluded if they had stage IV disease, had multiple primary cancers, or received neoadjuvant therapy. Rates of LN metastasis were calculated, and survival analyses were performed. RESULTS:Of 923 patients in the cohort, 72 (7.8%) had at least 1 positive LN on final pathology. When stratified by race, Asian/Pacific Islanders (APIs) demonstrated the lowest rate of LN metastases (n = 17/327, 5.2%), followed by Hispanics (n = 12/171, 7.0%), whites (n = 27/278, 9.7%), and blacks (n = 16/147, 10.9%). The highest rates of stage IA disease were observed in API (93.9%) and Hispanic (92.4%) patients, followed by white (89.9%) and black (87.1%) patients (P = .04). Survival analysis of T1a gastric cancer patients by race/ethnicity showed that 5-year overall survival was highest for API patients (API, 88%; Hispanic, 81%; black, 79%; and white, 77%; P < .01). CONCLUSIONS:The rate of LN metastasis in T1a gastric cancers in the United States is higher than the rates reported in Asia. Survival outcomes in T1a gastric cancers varied significantly by race, suggesting that definitive endoscopic treatment may not be appropriate for all patients in the United States.

journal_name

Gastrointest Endosc

journal_title

Gastrointestinal endoscopy

authors

Choi AH,Nelson RA,Merchant SJ,Kim JY,Chao J,Kim J

doi

10.1016/j.gie.2015.10.039

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

1184-1192.e1

issue

6

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(15)03055-2

journal_volume

83

pub_type

杂志文章

相关文献

GASTROINTESTINAL ENDOSCOPY文献大全
  • A standardized imaging protocol for the endoscopic prediction of dysplasia within sessile serrated polyps (with video).

    abstract：BACKGROUND AND AIMS:Dysplasia within sessile serrated polyps (SSPs) is difficult to detect and may be mistaken for an adenoma, risking incomplete resection of the background serrated tissue, and is strongly implicated in interval cancer after colonoscopy. The use of endoscopic imaging to detect dysplasia within SSPs ha...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2017.06.031

    authors： Tate DJ,Jayanna M,Awadie H,Desomer L,Lee R,Heitman SJ,Sidhu M,Goodrick K,Burgess NG,Mahajan H,McLeod D,Bourke MJ

    更新日期：2018-01-01 00:00:00

  • The ASGE guidelines for the appropriate use of colonoscopy in an open access system.

    abstract：BACKGROUND:Appropriateness of indications is essential to the rational utilization of resources. The aim of this study was to evaluate the appropriate use of colonoscopy in an open access system and to assess whether the American Society for Gastrointestinal Endoscopy (ASGE) guidelines are useful in clinical practice. ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章,多中心研究

    doi：10.1067/mge.2000.106683

    authors： Minoli G,Meucci G,Bortoli A,Garripoli A,Gullotta R,Leo P,Pera A,Prada A,Rocca F,Zambelli A

    更新日期：2000-07-01 00:00:00

  • Underwater endoscopic mucosal resection for recurrences after previous piecemeal resection of colorectal polyps (with video).

    abstract：BACKGROUND:Conventional endoscopic treatment of a recurrent adenoma after piecemeal EMR (PEMR) of a colorectal laterally spreading tumor (LST) is technically difficult with low en bloc resection rates because of the inability to snare fibrotic residual. OBJECTIVE:To assess the feasibility of salvage underwater EMR (UE...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2014.05.318

    authors： Kim HG,Thosani N,Banerjee S,Chen A,Friedland S

    更新日期：2014-12-01 00:00:00

  • Brush cytology during ERCP for the diagnosis of biliary and pancreatic malignancies.

    abstract：:Endoscopic retrograde cholangiopancreatography is a valuable tool in the diagnosis and management of pancreaticobiliary diseases. The diagnostic sensitivity of brush cytology is reported as between 18% and 70% for malignant bile duct or pancreatic duct strictures. We report our findings in 74 patients with pancreatico...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(94)70155-5

    authors： Ferrari Júnior AP,Lichtenstein DR,Slivka A,Chang C,Carr-Locke DL

    更新日期：1994-03-01 00:00:00

  • The role of polymeric surface smoothness of biliary stents in bacterial adherence, biofilm deposition, and stent occlusion.

    abstract：:Bacterial adherence and biofilm deposition onto the surface of polymers used for biliary stents are the initial events that ultimately lead to stent occlusion. Vivathane is a new polymer with an ultrasmooth surface. In this study, stents made from Vivathane were compared to standard plastic stents in an in vitro model...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(93)70120-0

    authors： McAllister EW,Carey LC,Brady PG,Heller R,Kovacs SG

    更新日期：1993-05-01 00:00:00

  • Gender disparities in gastroenterology fellowship director positions in the United States.

    abstract：BACKGROUND AND AIMS:Despite a paucity of women occupying leadership positions in academic medicine, studies have shown a higher ratio of female representation in the program director position compared with division chief in multiple specialties. This study aims to determine whether this trend exists in 3-year gastroent...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2017.01.019

    authors： Woodward Z,Rodriguez Z,Jou JH,Keyashian K,Chen Y,Thomas CR Jr,Elta GH,D'Souza SL

    更新日期：2017-10-01 00:00:00

  • The detection of premalignant colon polyps during colonoscopy is stable throughout the workday.

    abstract：BACKGROUND:Recent studies have shown that colonoscopic polyp detection decreases as the workday progresses. This may reflect time-dependent factors such as colonoscopist fatigue and decreased colon cleanliness, which can be addressed through adaptations in colonoscopy practice. OBJECTIVE:To test for time-of-day differ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2011.01.019

    authors： Freedman JS,Harari DY,Bamji ND,Bodian CA,Kornacki S,Cohen LB,Miller KM,Aisenberg J

    更新日期：2011-06-01 00:00:00

  • Long-term outcome in patients with benign biliary strictures treated endoscopically with multiple stents.

    abstract：BACKGROUND:The long-term efficacy of sequential insertion of multiple plastic stents for benign biliary strictures is poorly defined. The aims of this study were to evaluate the long-term outcome (bile duct patency, complications) of this therapy and to identify predictors of a good outcome. METHODS:Retrospective revi...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1067/mge.2002.122955

    authors： Draganov P,Hoffman B,Marsh W,Cotton P,Cunningham J

    更新日期：2002-05-01 00:00:00

  • Impact of fair bowel preparation quality on adenoma and serrated polyp detection: data from the New Hampshire colonoscopy registry by using a standardized preparation-quality rating.

    abstract：BACKGROUND:The effect of colon preparation quality on adenoma detection rates (ADRs) is unclear, partly because of lack of uniform colon preparation ratings in prior studies. The New Hampshire Colonoscopy Registry collects detailed data from colonoscopies statewide, by using a uniform preparation quality scale after th...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2014.03.021

    authors： Anderson JC,Butterly LF,Robinson CM,Goodrich M,Weiss JE

    更新日期：2014-09-01 00:00:00

  • The frequency of peptic ulcer as a cause of upper-GI bleeding is exaggerated.

    abstract：BACKGROUND:Peptic ulcer disease is considered the cause of upper-GI bleeding in 50% of cases. A recent decline in the proportion of cases of upper-GI bleeding because of a peptic ulcer was noted by us. The objectives of this study were to evaluate the frequency of peptic ulcer in patients with upper-GI bleeding and the...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(04)00181-6

    authors： Boonpongmanee S,Fleischer DE,Pezzullo JC,Collier K,Mayoral W,Al-Kawas F,Chutkan R,Lewis JH,Tio TL,Benjamin SB

    更新日期：2004-06-01 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

  • Early endoscopy in upper gastrointestinal hemorrhage: associations with recurrent bleeding, surgery, and length of hospital stay.

    abstract：BACKGROUND:The impact of upper endoscopy in patients with upper gastrointestinal hemorrhage treated in community practice is unknown. Thus we examined the effectiveness of endoscopy performed within 24 hours of admission (early endoscopy). METHODS:Medical records of 909 consecutive hospitalized patients with upper gas...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0016-5107(99)70478-5

    authors： Cooper GS,Chak A,Way LE,Hammar PJ,Harper DL,Rosenthal GE

    更新日期：1999-02-01 00:00:00

  • Endoscopic string clip suturing method: a prospective pilot study (with video).

    abstract：BACKGROUND AND AIMS:We developed a suturing method with string and clips for a single-channel endoscope. The feasibility of the string clip suturing method is evaluated in this prospective pilot study. METHODS:This study involved 10 consecutive patients who underwent endoscopic submucosal dissection (ESD) for a duoden...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2017.11.007

    authors： Nishizawa T,Akimoto T,Uraoka T,Mitsunaga Y,Maehata T,Ochiai Y,Fujimoto A,Goto O,Kanai T,Yahagi N

    更新日期：2018-04-01 00:00:00

  • Predictors of unsuccessful mechanical lithotripsy and endoscopic clearance of large bile duct stones.

    abstract：BACKGROUND:Mechanical lithotripsy is used to break large bile duct stones. This study investigated the predictors of unsuccessful mechanical lithotripsy. METHODS:Consecutive patients with bile duct stones underwent endoscopic retrograde cholangiography, sphincterotomy, and basket removal of stones. Mechanical lithotri...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(04)00295-0

    authors： Garg PK,Tandon RK,Ahuja V,Makharia GK,Batra Y

    更新日期：2004-05-01 00:00:00

  • Comparative costs of metal versus plastic biliary stent strategies for malignant obstructive jaundice by decision analysis.

    abstract：BACKGROUND:For palliation of patients with malignant obstructive jaundice, expansile metal stents provide longer patency than plastic stents but are more expensive. The optimal cost-effective strategy has not been established. Our aim was to compare the relative costs of 3 strategies: (1) plastic stent, with exchange o...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(99)70044-1

    authors： Yeoh KG,Zimmerman MJ,Cunningham JT,Cotton PB

    更新日期：1999-04-01 00:00:00

  • Hepaticogastrostomy or choledochoduodenostomy for distal malignant biliary obstruction after failed ERCP: is there any difference?

    abstract：BACKGROUND:EUS-guided biliary drainage (BD) is an evolving alternative technique for patients with malignant biliary obstruction for which ERCP failed. OBJECTIVE:To compare the outcomes of 2 nonanatomic EUS-guided BD routes: hepaticogastrostomy (HPG) and choledochoduodenostomy (CD). DESIGN:Prospective, randomized tri...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.gie.2014.09.047

    authors： Artifon EL,Marson FP,Gaidhane M,Kahaleh M,Otoch JP

    更新日期：2015-04-01 00:00:00

  • EMR for early gastric cancer in Korea: a multicenter retrospective study.

    abstract：BACKGROUND:EMR has been accepted as a treatment modality for selected cases of early gastric cancer (EGC) in Japan. However, long-term outcomes after EMR for EGC have not been fully documented. OBJECTIVES:We reviewed the experiences of EMR for EGC in Korea, with emphasis on the long-term outcome. DESIGN:Multicenter, ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.gie.2007.04.013

    authors： Kim JJ,Lee JH,Jung HY,Lee GH,Cho JY,Ryu CB,Chun HJ,Park JJ,Lee WS,Kim HS,Chung MG,Moon JS,Choi SR,Song GA,Jeong HY,Jee SR,Seol SY,Yoon YB

    更新日期：2007-10-01 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

  • Retrievable puncture anchor traction method for EUS-guided gallbladder drainage: a porcine study.

    abstract：BACKGROUND AND AIMS:EUS-guided gallbladder drainage (EUS-GBD) is a challenging technique for endoscopists that requires a high level of skill. EUS-GBD is challenging because the gallbladder can be easily collapsed. To resolve this issue, we aimed to develop a retrievable puncture anchor traction (RPAT) method for EUS-G...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2018.07.019

    authors： Zhang K,Sun S,Guo J,Wang S,Ge N,Liu X,Wang G

    更新日期：2018-12-01 00:00:00

  • Conscious sedation for EUS of the esophagus and stomach: a double-blind, randomized, controlled trial comparing midazolam with placebo.

    abstract：BACKGROUND:Patients undergoing EUS usually receive intravenously administered sedative medication. A double-blind, prospective, randomized trial was conducted to compare midazolam with a placebo for EUS of the esophagus and stomach and to assess patient tolerance and endoscopic feasibility. METHODS:A total of 111 pati...

    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(03)70018-2

    authors： Bonta PI,Kok MF,Bergman JJ,Van den Brink GR,Lemkes JS,Tytgat GN,Fockens P

    更新日期：2003-06-01 00:00:00

  • Treatment of Barrett's esophagus with early neoplasia: a comparison of endoscopic therapy and esophagectomy.

    abstract：BACKGROUND:Endoscopic therapies for early neoplasia in Barrett's esophagus may be a viable alternative to esophagectomy. OBJECTIVE:Our purpose was to compare endoscopic therapy and esophagectomy. DESIGN:Retrospective review from a single institution. SETTING:A medium-sized tertiary referral center. PATIENTS AND INT...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2007.08.042

    authors： Schembre DB,Huang JL,Lin OS,Cantone N,Low DE

    更新日期：2008-04-01 00:00:00

  • Quality assessment for systematic reviews and meta-analyses of cohort studies.

    abstract：BACKGROUND AND AIMS:There is a growing need for valid, efficient, and easy scoring scales to rate the quality of cohort studies. We aimed to develop and validate a quality assessment score to be used for cohort studies. METHODS:We followed a rigorous process to establish content, face, and construct validity. Most que...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2020.10.007

    authors： Qumseya BJ

    更新日期：2021-02-01 00:00:00

  • Optimizing EUS-guided liver biopsy sampling: comprehensive assessment of needle types and tissue acquisition techniques.

    abstract：BACKGROUND AND AIMS:EUS-guided liver biopsy sampling using FNA and, more recently, fine-needle biopsy (FNB) needles has been reported with discrepant diagnostic accuracy, in part due to differences in methodology. We aimed to compare liver histologic yields of 4 EUS-based needles and 2 percutaneous needles to identify ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2016.07.065

    authors： Schulman AR,Thompson CC,Odze R,Chan WW,Ryou M

    更新日期：2017-02-01 00:00:00

  • A new synthetic porcine secretin for facilitation of cannulation of the dorsal pancreatic duct at ERCP in patients with pancreas divisum: a multicenter, randomized, double-blind comparative study.

    abstract：BACKGROUND:Secretin, a 27 amino acid polypeptide released in response to duodenal luminal acidification, stimulates secretion of water and bicarbonate from pancreatic ductal cells. To date the only secretin available for clinical use has been a biologically derived compound extracted from porcine duodenums. Although us...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章,多中心研究,随机对照试验

    doi：10.1067/mge.2003.195

    authors： Devereaux BM,Fein S,Purich E,Trout JR,Lehman GA,Fogel EL,Phillips S,Etemad R,Jowell P,Toskes PP,Sherman S

    更新日期：2003-05-01 00:00:00

  • Waiting lines in the endoscopy unit.

    abstract：BACKGROUND:The efficient management of the endoscopy unit involves issues of scheduling. The aim of this study was to assess efficient use of an endoscopy unit and its relationship to patient waiting. METHODS:Formulas of queueing theory are applied to patient scheduling in endoscopy. The M/M/n queueing model assumes e...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1067/mge.2000.108625

    authors： Sonnenberg A

    更新日期：2000-10-01 00:00:00

  • Prospective randomized trial comparing Tannenbaum Teflon and standard polyethylene stents in distal malignant biliary stenosis.

    abstract：BACKGROUND:Our aim was to compare the clinical efficacy of the Tannenbaum (TB) biliary prostheses, a recently designed Teflon stent without side holes, with the Cotton-Huibregtse (CH) polyethylene stent. METHODS:Fifty-seven patients (26 men, mean age 75.5 years) with unresectable malignant tumors and distal biliary st...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章,多中心研究,随机对照试验

    doi：10.1016/s0016-5107(00)70381-6

    authors： Terruzzi V,Comin U,De Grazia F,Toti GL,Zambelli A,Beretta S,Minoli G

    更新日期：2000-01-01 00:00:00

  • Pancreatic stent insertion: consequences of failure and results of a modified technique to maximize success.

    abstract：BACKGROUND:Increasingly, pancreatic stents are being placed to prevent post-ERCP pancreatitis. However, guidewire and stent placement may fail if the duct is small or tortuous, potentially exacerbating the risk. This study assessed the impact of unsuccessful pancreatic stent placement on complications and the efficacy ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(03)02530-6

    authors： Freeman ML,Overby C,Qi D

    更新日期：2004-01-01 00:00:00

  • Performance, patient acceptance, appropriateness of indications and potential influence on outcome of EUS: a prospective study in 397 consecutive patients.

    abstract：BACKGROUND:Although there is a large body of data on the accuracy of endoscopic ultrasonography (EUS) in the diagnosis and staging of various gastroenterological disorders, little has been published on the influence of EUS in the management of patients. Data on the performance of EUS and patient acceptance are also spa...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(99)70152-5

    authors： Allescher HD,Rösch T,Willkomm G,Lorenz R,Meining A,Classen M

    更新日期：1999-12-01 00:00:00

  • Risk factors for recurrence of primary bile duct stones after endoscopic biliary sphincterotomy.

    abstract：BACKGROUND:Endoscopic biliary sphincterotomy (EST) is a well-established procedure for bile duct stone extraction. Bile duct stones can be classified as primary or secondary. However, few data are available on the recurrence of primary and secondary bile duct stones after EST. Therefore risk factors for the recurrence ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1067/mge.2001.115335

    authors： Kim DI,Kim MH,Lee SK,Seo DW,Choi WB,Lee SS,Park HJ,Joo YH,Yoo KS,Kim HJ,Min YI

    更新日期：2001-07-01 00:00:00

  • Effect of instrument diameter on the depth of penetration of fiberoptic sigmoidoscopes.

    abstract：:Newer fiberoptic sigmoidoscopes tend to have smaller diameter insertion shafts than older models. The extent to which this diameter affects how deeply an instrument can be inserted into the colon and the frequency with which sigmoidoscopes of different diameters could reach more proximal areas of the colon was evaluat...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(88)71225-0

    authors： Hawes RH,Lehman GA,O'Connor KW,Kopecky KK,Lappas JC

    更新日期：1988-01-01 00:00:00