Early gastric cancer in Europe.

Abstract:

:Despite mass population screening and an incidence of EGC in Japan that is at least double that of the West, there seem to be no genuine differences in the clinicopathological features of the disease between the two regions. The macroscopic appearance, size, depth of invasion, frequency of lymph node invasion, and histology of EGC are all remarkably similar in Japan, Europe and America, as are sex and age distributions. Patients with EGC are a number of years younger than those with advanced cancer. This is not surprising: Tsukuma et al followed 56 cases of EGC that were not surgically treated and estimated that the median "duration of EGC" before becoming advanced was 37 months. This suggests that EGC undergoes a period of slow growth before becoming advanced. Further differences between early and advanced cancers include a higher frequency of synchronous cancers and a longer symptom duration in EGC. Unfavourable prognostic factors in EGC include lymph node invasion, and invasion through the muscularis mucosae, though it is not clear whether these are independent. Repeated attempts have been made to identify other prognostic factors, but no clear pattern has emerged, with the possible exceptions of patient age, tumour size, and the presence of ulceration. The postsurgical outcome of EGC in the West is marginally less favourable than in Japan. In view of the similar clinical and pathological features in the two regions it seems likely, therefore, that this is because of the more aggressive surgical techniques traditionally used in Japan. Conversely, however, EMR has recently emerged as an important technique in Japan. Despite the advantages of low operative mortality and normal function of the postoperative stomach, there are also a number of potential disadvantages. It would seem sensible, therefore, to await the results of long term follow up studies before widespread adoption of EMR in Europe. Nevertheless, this technique should be considered for frail patients unfit for more radical surgery.

journal_name

Gut

journal_title

Gut

authors

Everett SM,Axon AT

doi

10.1136/gut.41.2.142

subject

Has Abstract

pub_date

1997-08-01 00:00:00

pages

142-50

issue

2

eissn

0017-5749

issn

1468-3288

journal_volume

41

pub_type

杂志文章,评审

相关文献

GUT文献大全
  • Computed tomography, ultrasound, and cholestatic jaundice.

    abstract::Computed tomography detected the presence of dilated ducts in 15 of 18 cases with extrahepatic obstructive jaundice and demonstrated the obstructing lesion in 18 out of 25. The cause of the obstruction was detected in the absence of duct dilatation, and calculi which were radiolucent on conventional radiographs were d...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.19.8.685

    authors: Morris A,Fawcitt RA,Wood R,Forbes WS,Isherwood I,Marsh MN

    更新日期:1978-08-01 00:00:00

  • Effect of alpha-glucosidehydrolase inhibition and intestinal absorption of sucrose, water, and sodium in man.

    abstract::The effect of a new complex oligosaccharide exhibiting potent inhibitory action on alpha-glucoside hydrolases on intestinal absorption of sucrose in man was tested by constant in vivo perfusion of the jejunum. At concentrations of 4.65 or 15.5 X 10(-6)M the alpha-glucosidehydrolase inhibitor (alpha-GHI) markedly inhib...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.20.9.750

    authors: Caspary WF,Kalisch H

    更新日期:1979-09-01 00:00:00

  • Hypnotherapy in severe irritable bowel syndrome: further experience.

    abstract::Fifteen patients with severe intractable irritable bowel syndrome previously reported as successfully treated with hypnotherapy, have now been followed up for a mean duration of 18 months. All patients remain in remission although two have experienced a single relapse overcome by an additional session of hypnotherapy....

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.4.423

    authors: Whorwell PJ,Prior A,Colgan SM

    更新日期:1987-04-01 00:00:00

  • Reduction of gastrointestinal protein loss by elemental diet in Crohn's disease of the small bowel.

    abstract::Seven patients with hypoalbuminaemia and extensive jejunoileal Crohn's disease were treated with an elemental diet for 28 to 56 days. Over this time there was an increase in total plasma proteins from mean of 49.1 to 59.0 g/l and a mean rise in serum albumin from 20.7 to 30.0 g/l (P less than 0.05). In addition, there...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.22.5.383

    authors: Logan RF,Gillon J,Ferrington C,Ferguson A

    更新日期:1981-05-01 00:00:00

  • Magnetic resonance for assessment of disease activity and severity in ileocolonic Crohn's disease.

    abstract:OBJECTIVE:Assessment of disease extension and activity is crucial to guide treatment in Crohn's disease. The objective of the current cross-sectional study was to determine the accuracy of MR for this assessment. DESIGN:50 patients with clinically active (n = 35) or inactive (n = 15) Crohn's disease underwent ileocolo...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2008.167957

    authors: Rimola J,Rodriguez S,García-Bosch O,Ordás I,Ayala E,Aceituno M,Pellisé M,Ayuso C,Ricart E,Donoso L,Panés J

    更新日期:2009-08-01 00:00:00

  • Profile of Helicobacter pylori cytotoxin derived from two areas of Japan with different prevalence of atrophic gastritis.

    abstract:BACKGROUND AND AIM:To clarify the roles of Helicobacter pylori cytotoxin in gastric atrophy, the cytotoxin positive rate and cytotoxin activity in Fukui and Okinawa, where the prevalence of atrophic gastritis and gastric cancer risk are quite different, were studied. MATERIALS:Seventy three strains from Fukui and 51 f...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.39.6.800

    authors: Ito S,Azuma T,Murakita H,Hirai M,Miyaji H,Ito Y,Ohtaki Y,Yamazaki Y,Kuriyama M,Keida Y,Kohli Y

    更新日期:1996-12-01 00:00:00

  • The novel gene MIA2 acts as a tumour suppressor in hepatocellular carcinoma.

    abstract:BACKGROUND:Melanoma inhibitory activity 2 (MIA2) is a novel gene of the MIA gene family. The selective expression of MIA2 in hepatocytes is controlled by hepatocyte nuclear factor (HNF) 1 binding sites in the MIA2 promotor. In contrast, in most hepatocellular carcinomas (HCC) MIA2 expression is down-regulated or lost. ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2007.129544

    authors: Hellerbrand C,Amann T,Schlegel J,Wild P,Bataille F,Spruss T,Hartmann A,Bosserhoff AK

    更新日期:2008-02-01 00:00:00

  • Mucin gene expression in human embryonic and fetal intestine.

    abstract:BACKGROUND:The intestinal epithelium is covered by a continuous layer of mucus which is secreted by well differentiated epithelial cells. Disregulation of the expression of mucins has been reported to have possible implications in the neoplastic process which affects intestinal mucosae. It is well known that preneoplas...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.43.4.519

    authors: Buisine MP,Devisme L,Savidge TC,Gespach C,Gosselin B,Porchet N,Aubert JP

    更新日期:1998-10-01 00:00:00

  • Differential expression of cyclooxygenase 2 in human colorectal cancer.

    abstract:BACKGROUND:Experimental, clinical, and epidemiological studies have implicated mitogenic metabolites of arachidonic acid such as prostaglandin E(2) (PGE(2)) in colorectal carcinogenesis. Recently, cyclooxygenase 2 (COX-2) which catalyses the conversion of arachidonic acid to PGE(2), has displayed increased levels in hu...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.45.5.730

    authors: Dimberg J,Samuelsson A,Hugander A,Söderkvist P

    更新日期:1999-11-01 00:00:00

  • First pass metabolism of ethanol is strikingly influenced by the speed of gastric emptying.

    abstract:BACKGROUND:Ethanol undergoes a first pass metabolism (FPM) in the stomach and liver. Gastric FPM of ethanol primarily depends on the activity of gastric alcohol dehydrogenase (ADH). In addition, the speed of gastric emptying (GE) may modulate both gastric and hepatic FPM of ethanol. AIMS:To study the effect of modulat...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.43.5.612

    authors: Oneta CM,Simanowski UA,Martinez M,Allali-Hassani A,Parés X,Homann N,Conradt C,Waldherr R,Fiehn W,Coutelle C,Seitz HK

    更新日期:1998-11-01 00:00:00

  • Ulcerative colitis--a disease characterised by the abnormal colonic epithelial cell?

    abstract::The leakiness of the cell membranes of colonic epithelial cells isolated by the collagenase/Dispase technique from normal or diseased colons was assessed in a 4 h 51Cr release assay. Cells from normal, adenoma bearing or cancer bearing colons showed 51Cr release of 8% or less in almost all of 46 cell populations teste...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.29.4.516

    authors: Gibson PR,van de Pol E,Barratt PJ,Doe WF

    更新日期:1988-04-01 00:00:00

  • Non-steroidal anti-inflammatory drug (NSAID) therapy in patients with hypertension, cardiovascular, renal or gastrointestinal comorbidities: joint APAGE/APLAR/APSDE/APSH/APSN/PoA recommendations.

    abstract:BACKGROUND:Non-steroidal anti-inflammatory drugs (NSAIDs) are one of the most commonly prescribed medications, but they are associated with a number of serious adverse effects, including hypertension, cardiovascular disease, kidney injury and GI complications. OBJECTIVE:To develop a set of multidisciplinary recommenda...

    journal_title:Gut

    pub_type: 杂志文章,实务指引

    doi:10.1136/gutjnl-2019-319300

    authors: Szeto CC,Sugano K,Wang JG,Fujimoto K,Whittle S,Modi GK,Chen CH,Park JB,Tam LS,Vareesangthip K,Tsoi KKF,Chan FKL

    更新日期:2020-04-01 00:00:00

  • Use and abuse of hydrogen breath tests.

    abstract::Hydrogen breath tests are widely used to explore the pathophysiology of functional gastrointestinal disorders. Small intestinal bacterial overgrowth and carbohydrate malabsorption are disorders detected by these tests that have been proposed to be of great importance for symptoms in, for instance, irritable bowel synd...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.2005.075127

    authors: Simrén M,Stotzer PO

    更新日期:2006-03-01 00:00:00

  • An interim report on the production of colonic diverticula in the rabbit.

    abstract::Six New Zealand white rabbits were given gas induction anaesthetics and maintained on glucochloralose (Merck) 60 mg/kg given intravenously. Intracolonic pressures were measured after a standard dose of prostigmine, 0.05 mg/kg, using fluid-filled, open-tipped, narrow-bore polythene tubes. Then the rabbits were put on a...

    journal_title:Gut

    pub_type: 杂志文章

    doi:

    authors: Hodgson WJ

    更新日期:1972-10-01 00:00:00

  • Clinical significance of SNORA42 as an oncogene and a prognostic biomarker in colorectal cancer.

    abstract:PURPOSE:Despite recent advances in colorectal cancer (CRC) treatment, the prognosis of patients suffering from this malignancy still remains substandard, and metastatic recurrence following curative surgery is the leading cause of mortality. Therefore, it is imperative to identify prognostic markers to predict the clin...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2015-309359

    authors: Okugawa Y,Toiyama Y,Toden S,Mitoma H,Nagasaka T,Tanaka K,Inoue Y,Kusunoki M,Boland CR,Goel A

    更新日期:2017-01-01 00:00:00

  • Comparison of the effects of medium and long chain triglyceride containing liquid meals on gall bladder and small intestinal function in normal man.

    abstract::We investigated the effects of medium (MCT) and long (LCT) chain triglyceride test meals on gall bladder contraction (using ultrasonography) and small intestinal bile acid concentrations and ileal flow rates (using intubation techniques) in normal individuals. Comparing the effects of ingesting medium chain triglyceri...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.25.4.405

    authors: Ladas SD,Isaacs PE,Murphy GM,Sladen GE

    更新日期:1984-04-01 00:00:00

  • Twenty four hour manometric recording of colonic motor activity in healthy man.

    abstract::The motor activity of the transverse, descending, and sigmoid colon was recorded for 24 hours in 14 healthy volunteers with a colonoscope positioned catheter. During the study the patients ate two 1000 kcal mixed meals and one continental breakfast. Colonic motor activity was low before meals and minimal during sleep;...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.28.1.17

    authors: Narducci F,Bassotti G,Gaburri M,Morelli A

    更新日期:1987-01-01 00:00:00

  • Bone histomorphometry and structure in corticosteroid treated chronic active hepatitis.

    abstract::Transiliac biopsies from 34 female patients with corticosteroid treated chronic active hepatitis have been examined to determine the contributions made by decreased bone formation and increased bone resorption to bone loss associated with this condition and to determine the structural basis of the bone loss. Mean wall...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.29.3.378

    authors: Stellon AJ,Webb A,Compston JE

    更新日期:1988-03-01 00:00:00

  • Transit through the gut measured by analysis of a single stool.

    abstract::A method is described for measuring transit time through the gut which requires the collection of only one stool. A dose of 20 radio-opaque markers is given to the subject on each of three consecutive days with breakfast, each dose of marker being of a different type. The first stool passed after rising on the fourth ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.17.3.219

    authors: Cummings JH,Wiggins HS

    更新日期:1976-03-01 00:00:00

  • Psychological treatments of the irritable bowel syndrome: a review.

    abstract::Psychological treatments are increasingly being used to help patients with the irritable bowel syndrome (IBS), but the efficacy of such treatments is still debated. This review indicates that there are three ways in which they might have been effective in published studies to date; relating bowel symptoms to stress, s...

    journal_title:Gut

    pub_type: 杂志文章,评审

    doi:10.1136/gut.30.11.1601

    authors: Creed F,Guthrie E

    更新日期:1989-11-01 00:00:00

  • An immunodominant DQ8 restricted gliadin peptide activates small intestinal immune response in in vitro cultured mucosa from HLA-DQ8 positive but not HLA-DQ8 negative coeliac patients.

    abstract:BACKGROUND:Studies on intestinal T cell clones from the mucosa of patients with coeliac disease have led to the identification of immunogenic gliadin epitopes. One is HLA-DQ8 restricted, its recognition by T cells being increased by introduction of negatively charged residues operated by tissue transglutaminase. AIM:T...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.52.1.57

    authors: Mazzarella G,Maglio M,Paparo F,Nardone G,Stefanile R,Greco L,van de Wal Y,Kooy Y,Koning F,Auricchio S,Troncone R

    更新日期:2003-01-01 00:00:00

  • Value of endoscopic ultrasound guided fine needle aspiration biopsy in the diagnosis of solid pancreatic masses.

    abstract:AIM:To assess the feasibility and diagnostic accuracy of endoscopic ultrasound guided fine needle biopsy (EUS-FNAB) in patients with solid pancreatic masses. METHODS:Ninety nine consecutive patients with pancreatic masses were studied. Histological findings obtained by EUS-FNAB were compared with the final diagnosis a...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.46.2.244

    authors: Voss M,Hammel P,Molas G,Palazzo L,Dancour A,O'Toole D,Terris B,Degott C,Bernades P,Ruszniewski P

    更新日期:2000-02-01 00:00:00

  • A disrupted RNA editing balance mediated by ADARs (Adenosine DeAminases that act on RNA) in human hepatocellular carcinoma.

    abstract:OBJECTIVE:Hepatocellular carcinoma (HCC) is a heterogeneous tumour displaying a complex variety of genetic and epigenetic changes. In human cancers, aberrant post-transcriptional modifications, such as alternative splicing and RNA editing, may lead to tumour specific transcriptome diversity. DESIGN:By utilising large ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2012-304037

    authors: Chan TH,Lin CH,Qi L,Fei J,Li Y,Yong KJ,Liu M,Song Y,Chow RK,Ng VH,Yuan YF,Tenen DG,Guan XY,Chen L

    更新日期:2014-05-01 00:00:00

  • Metabolic surgery profoundly influences gut microbial-host metabolic cross-talk.

    abstract:BACKGROUND AND AIMS:Bariatric surgery is increasingly performed worldwide to treat morbid obesity and is also known as metabolic surgery to reflect its beneficial metabolic effects especially with respect to improvement in type 2 diabetes. Understanding surgical weight loss mechanisms and metabolic modulation is requir...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.2010.234708

    authors: Li JV,Ashrafian H,Bueter M,Kinross J,Sands C,le Roux CW,Bloom SR,Darzi A,Athanasiou T,Marchesi JR,Nicholson JK,Holmes E

    更新日期:2011-09-01 00:00:00

  • An analysis of the learning curve to achieve competency at colonoscopy using the JETS database.

    abstract:OBJECTIVE:The number of colonoscopies required to reach competency is not well established. The primary aim of this study was to determine the number of colonoscopies trainees need to perform to attain competency, defined by a caecal intubation rate (CIR) ≥90%. As competency depends on completion, we also investigated ...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gutjnl-2013-305973

    authors: Ward ST,Mohammed MA,Walt R,Valori R,Ismail T,Dunckley P

    更新日期:2014-11-01 00:00:00

  • Do IgA antigliadin and IgA antiendomysium antibodies show there is latent coeliac disease in primary IgA nephropathy?

    abstract::The finding in primary IgA nephropathy of increased levels of IgA to food antigens and particularly to gliadin prompted the hypothesis that a subgroup of these patients may have latent coeliac disease. The observation that gliadin may experimentally induce IgA mesangial deposits supported this hypothesis. We evaluated...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.33.4.476

    authors: Sategna-Guidetti C,Ferfoglia G,Bruno M,Pulitano R,Roccatello D,Amore A,Coppo R

    更新日期:1992-04-01 00:00:00

  • High level perinuclear antineutrophil cytoplasmic antibody (pANCA) in ulcerative colitis patients before colectomy predicts the development of chronic pouchitis after ileal pouch-anal anastomosis.

    abstract:BACKGROUND:The reported cumulative risk of developing pouchitis in ulcerative colitis (UC) patients undergoing ileal pouch-anal anastomosis (IPAA) approaches 50% after 10 years. To date, no preoperative serological predictor of pouchitis has been found. AIMS:To assess whether preoperative perinuclear antineutrophil cy...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.49.5.671

    authors: Fleshner PR,Vasiliauskas EA,Kam LY,Fleshner NE,Gaiennie J,Abreu-Martin MT,Targan SR

    更新日期:2001-11-01 00:00:00

  • B-cell clonality and infection with Helicobacter pylori: implications for development of gastric lymphoma.

    abstract:BACKGROUND:Although Helicobacter pylori has been implicated in the pathogenesis of gastric mucosa associated lymphoid tissue (MALT) and MALT lymphoma, it is not known how it may trigger these lesions and whether there is an identifiable pre-neoplastic stage. AIMS:To investigate the relation between MALT, H pylori infe...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.38.6.837

    authors: Sorrentino D,Ferraccioli GF,DeVita S,Avellini C,Beltrami CA,Labombarda A,Bernardis V,De Biase F,Trevisi A,Pivetta B,Boiocchi M,Bartoli E

    更新日期:1996-06-01 00:00:00

  • Acid and gastrin responses during intragastric titration in normal subjects and duodenal ulcer patients with G-cell hyperfunction.

    abstract::Amino acid induced acid and gastrin responses during intragastric titration at pH 2.5 and 5.5 were compared in normal subjects and duodenal ulcer patients with G-cell hyperfunction. The latter were identified on the basis of raised basal or maximal acid outputs and increased gastrin responses to feeding. In normal sub...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.26.3.232

    authors: Cooper RG,Dockray GJ,Calam J,Walker R

    更新日期:1985-03-01 00:00:00

  • Crohn's disease in Nottingham: a search for time-space clustering.

    abstract::All cases of Crohn's disease in the Nottingham area were ascertained and the date and place of domicile and work at the time of onset of symptoms noted. Applying the Knox and Pike and Smith tests for clustering of patients in time and space, no significant results were observed. Further analysis of differences in time...

    journal_title:Gut

    pub_type: 杂志文章

    doi:10.1136/gut.16.6.454

    authors: Miller DS,Keighley A,Smith PG,Hughes AO,Langman MJ

    更新日期:1975-06-01 00:00:00