Abstract:
BACKGROUND AND STUDY AIMS:Gastrectomy with lymph node dissection is the gold standard curative treatment for clinical submucosal invasive early gastric cancer (cSM EGC), but a relatively small number of operable patients with cSM EGC have undergone endoscopic submucosal dissection (ESD) instead because they refused surgery. The aim of this study was to determine the effectiveness of ESD in these operable patients. METHODS:The therapeutic outcomes of ESD were retrospectively assessed for 38 patients with 38 operable cSM EGC lesions who initially refused surgery at the National Cancer Center Hospital, Tokyo, from January 1999 to December 2008. RESULTS:The en bloc resection rate was 84.2% (32 lesions) and the complete (R0) resection rate was 63.2% (24 lesions). A total of 33 lesions (86.8%) involved submucosal invasion on pathology. Resection was non-curative in 34 patients (89.5%), 22 of whom (64.7%) underwent subsequent gastrectomy after the need for such surgery was carefully explained to them again. The median follow-up period was 73.2 months (range 3-115 months). Local recurrence was detected in one patient, distant metastasis in two patients, and both local recurrence and distant metastasis were detected in one patient. None of these four patients with recurrence (10.5%) had undergone surgery when their recurrent disease was detected and all of them died from gastric cancer. The 5-year cause-specific survival rate for all patients was 91.8%. CONCLUSION:The 5-year cause-specific survival rate for all patients was lower than the previously reported rate of 96.7% for pathologically submucosal invasive EGC patients after gastrectomy; therefore, ESD appears to have been an ineffective treatment for operable patients with cSM EGC.
journal_name
Endoscopyjournal_title
Endoscopyauthors
Suzuki H,Oda I,Nonaka S,Yoshinaga S,Saito Ydoi
10.1055/s-0032-1325929subject
Has Abstractpub_date
2013-01-01 00:00:00pages
93-7issue
2eissn
0013-726Xissn
1438-8812journal_volume
45pub_type
杂志文章相关文献
ENDOSCOPY文献大全abstract:BACKGROUND AND STUDY AIMS:Compared with any other location in the gastrointestinal tract, the duodenum presents the most challenging site for endoscopic resection. The aim of this study was to analyze the clinical outcomes of duodenal endoscopic resection and to assess the feasibility of the technique as a therapeutic ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1390774
更新日期:2015-02-01 00:00:00
abstract::It has been suggested that pre-procedural oral simethicone improves visibility in upper GI tract endoscopy. We examined three-hundred-thirty patients referred for upper endoscopy who were randomized and were required to swallow a placebo solution or one of three liquid simethicone solutions 15 min prior to the examina...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1055/s-2007-1010479
更新日期:1992-05-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Discomfort during colonoscopy may affect acceptability of the procedure. The study aim was to determine factors, including prior hysterectomy and gender, associated with higher levels of patient discomfort during colonoscopy to help with procedural planning such as choice of instrument and sed...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1365462
更新日期:2014-06-01 00:00:00
abstract::A case of accidental oesophageal perforation during endoscopy in an elderly woman with acute alimentary obstruction of a caustic stenosis is presented. This demonstrates the risks in routine use of oblique-viewing endoscopes, especially in oesophageal exploration. The lesion was successfully treated by internal splint...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1098297
更新日期:1978-08-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Angiogenesis has been reported to be an essential step in the progression of cancers arising from Barrett's esophagus. Confocal laser scanning microscopy (CLM) has the potential to perform in vivo microscopy to detect angiogenesis and determine microvessel density (MVD). We aimed therefore to ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2008-1077718
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND: A delayed perforation can often occur after endoscopic treatment for duodenal neoplasms and may be fatal due to leakage of pancreatic and bile juices. We aimed to evaluate the feasibility and safety of laparoscopic and endoscopic cooperative surgery for duodenal neoplasms (D-LECS) in a multicenter, retrospe...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/a-1327-5939
更新日期:2020-12-02 00:00:00
abstract:BACKGROUND AND STUDY AIMS:In endoscopic submucosal dissection (ESD), effective countertraction may overcome the current drawbacks of longer procedure times and increased technical demands. The objective of this study was to compare the efficacy of ESD using a novel magnetic countertraction device with that of the tradi...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1364940
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:Gastrointestinal endoscopy is an integral tool in the evaluation and management of many gastrointestinal and hepatobiliary conditions. Although rare, media reports of infectious complications following gastrointestinal endoscopy persist in this new millennium. With only limited data available, society guidel...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-966644
更新日期:2007-08-01 00:00:00
abstract::One hundred and forty two patients with bleeding peptic ulcers underwent emergency endoscopy. Seventy six had endoscopic stigmata of haemorrhage and nine subsequently died. There were no deaths amongst sixty six patients without stigmata (p less than 0.02). Patients with stigmata were also significantly more likely to...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-2007-1018493
更新日期:1985-09-01 00:00:00
abstract::A case of an ulcer of the rectum in a 20-year-old patient with rectal pain and rectal bleeding is reported. Histological examination of the endoscopic biopsy showed the presence of gastric or fundic mucosa. The patient was treated with Cimetidine and alkaline drugs, with positive results. Ulcer cicatrization was verif...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1013008
更新日期:1984-09-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Tumor ingrowth through self-expanding metal stents presents a difficult problem for management. The techniques for treating tumor ingrowth have not yet been well described, and the optimal endoscopic approach is not clear. We have recently used photodynamic therapy (PDT) to treat tumor ingrowt...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-2007-1004188
更新日期:1997-05-01 00:00:00
abstract:BACKGROUND: Colonoscopy surveillance is recommended for patients at increased risk of colorectal cancer (CRC) following adenoma removal. Low-, intermediate-, and high-risk groups are defined by baseline adenoma characteristics. We previously examined intermediate-risk patients from hospital data and identified a higher...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/a-1217-0155
更新日期:2020-08-19 00:00:00
abstract::A prospective clinical study was conducted to evaluate the safety, feasibility, and efficacy of endoscopic ultrasound (EUS)-guided choledochoduodenostomy (CDS) with direct metallic stent placement using a prototype forward-viewing echoendoscope. The indication for EUS - CDS in this study was lower biliary obstruction ...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章
doi:10.1055/s-0032-1326076
更新日期:2013-01-01 00:00:00
abstract::Cannulation of an intradiverticular papilla during endoscopic retrograde cholangiopancreatography (ERCP) can be challenging. We present here a technique for endoscopic ultrasound-guided puncture of the common bile duct followed by rendezvous ERCP for biliary drainage through the native intradiverticular papilla. ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2005-861250
更新日期:2005-05-01 00:00:00
abstract::PillCam colon capsule endoscopy (CCE) is an innovative noninvasive, and painless ingestible capsule technique that allows exploration of the colon without the need for sedation and gas insufflation. Although it is already available in European and other countries, the clinical indications for CCE as well as the report...
journal_title:Endoscopy
pub_type: 杂志文章,实务指引
doi:10.1055/s-0031-1291717
更新日期:2012-05-01 00:00:00
abstract::We have established a pre-operative diagnosis in four cases of non-secretory gastric carcinoid of the body and fundus presenting as multiple polyps in three patients, and a single polyp mass in the fourth patient. Clinical and endoscopic findings are not specific, and the pre-operative diagnosis was established by mea...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018342
更新日期:1986-05-01 00:00:00
abstract::We report a case of early papillary stenosis following successful endoscopic sphincterotomy for residual common bile duct stone which needed surgical revision. In this rare and unexpected complication the importance of early diagnosis is stressed. ...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018538
更新日期:1984-03-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:The Endocuff is a new colonoscopy accessory that has been designed to improve both the adenoma detection rate and endoscope tip control. PATIENTS AND METHODS:A total of 50 Endocuff-assisted colonoscopies were analyzed retrospectively with regard to safety, procedural success, and complication...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1365446
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND AND STUDY AIM:It is commonly assumed that ablation of any remaining Barrett's epithelium after endoscopic resection of early Barrett's neoplasia improves outcome by reducing the rate of metachronous lesions, but this has not yet been evaluated in a randomized trial. The aim of this study was to compare argon...
journal_title:Endoscopy
pub_type: 杂志文章,随机对照试验
doi:10.1055/s-0033-1358813
更新日期:2014-01-01 00:00:00
abstract::Perforation is a major complication of endoscopic submucosal dissection (ESD) for early gastric cancer (EGC). However, there have been no reports on delayed perforation after ESD for EGC. We aimed to elucidate the incidence and outcomes of delayed perforation after ESD. Clinical courses in 1159 consecutive patients wi...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0030-1255932
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:Despite the recognized efficacy of sclerotherapy and elastic band ligation in controlling variceal hemorrhage, the results of endoscopic treatment in Child-Pugh class C patients remain poor. The aim of this prospective, controlled, and randomized study was to compare conventional sclerotherapy...
journal_title:Endoscopy
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1055/s-2001-14257
更新日期:2001-05-01 00:00:00
abstract::The sump syndrome has been reported to occur infrequently following a choledochoenterostomy (duodenostomy or jejunostomy) for stone disease. The enterostomy stoma usually decreases in diameter following surgery allowing for reflux into the distal, inactive segment of the bile duct without adequate egress of the materi...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1021630
更新日期:1982-11-01 00:00:00
abstract::Ischemic-type biliary lesions (ITBLs) are the most frequent cause of nonanastomotic biliary strictures in liver grafts, affecting about 2-19 % of patients after liver transplantation. ITBL is characterized by bile duct destruction, subsequent stricture formation, and sequestration. We report here the case of a patient...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2003-40242
更新日期:2003-07-01 00:00:00
abstract::ESGE recommends the "pull" technique as the standard method for percutaneous endoscopic gastrostomy (PEG) placement.Strong recommendation, low quality evidence.ESGE recommends the direct percutaneous introducer ("push") technique for PEG placement in cases where the "pull" method is contraindicated, for example in sev...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/a-1331-8080
更新日期:2021-02-01 00:00:00
abstract::Laparoscopic transcystic cholangioscopy (LTC) in combination with electrohydraulic lithotripsy may be an alternative treatment to ERCP and sphincterotomy in patients with both gallbladder and common bile duct stones undergoing laparoscopic cholecystectomy. Preliminary experience using LTC lithotripsy in 13 cases is re...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1010577
更新日期:1992-11-01 00:00:00
abstract:BACKGROUND AND STUDY AIMS:We investigated whether intraductal ultrasonography (IDUS) could distinguish between stage T1 and T2 bile duct cancer. MATERIALS AND METHODS:In-vitro study. Resected bile duct specimens (n = 8) were immersed in a water tank and were pierced with straight pins to clarify the normal layer struc...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1004296
更新日期:1997-10-01 00:00:00
abstract::The incidence of esophageal tumors, and of adenocarcinoma in particular, has risen markedly in recent years in the developed countries. The use of a variety of histopathological and biological markers is now offering promising prospects for the future. Vertical tumor invasion, intratumoral microvessel density, antimuc...
journal_title:Endoscopy
pub_type: 杂志文章,评审
doi:10.1055/s-2001-11182
更新日期:2001-01-01 00:00:00
abstract::In recent years, several endoscopic features of microscopic colitis have been noted. The pickup of these on colonoscopy depends on local expertise, endoscopic technology, and case volume. As the incidence of microscopic colitis has increased, we wanted to draw attention to endoscopists' ability to recognize such findi...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0034-1391986
更新日期:2015-08-01 00:00:00
abstract::In recent years, primary gastrointestinal follicular lymphoma has been increasingly detected in the duodenum on esophagogastroduodenoscopy (EGD). Primary gastrointestinal follicular lymphomas are frequently distributed to multiple sites in the gastrointestinal tract. Therefore, investigation into the spread of follicu...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-0028-1119467
更新日期:2009-02-01 00:00:00
abstract::Endoscopic ultrasonography (EUS) was evaluated in the diagnosis of carcinoma of the papilla of Vater. Thirteen cases of carcinoma of the papilla examined by EUS were investigated with the aim of assessing the detection capability of EUS in comparison with other diagnostic tools, and its usefulness in diagnosing the ex...
journal_title:Endoscopy
pub_type: 杂志文章
doi:10.1055/s-2007-1018179
更新日期:1988-08-01 00:00:00