Long-term follow-up after endoscopic resection of gastric superficial neoplastic lesions in Portugal.

Abstract:

BACKGROUND AND STUDY AIMS:Although endoscopic resection for the treatment of gastric superficial neoplastic lesions is an established first-line treatment in Eastern countries, its role has yet to be considered in Western guidelines, mostly due to a lack of long-term studies. The aim of this study was to describe long-term outcomes for endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) in the treatment of gastric neoplasias in Portugal. PATIENTS AND METHODS:This was a single-center, retrospective, cohort study between March 2003 and April 2013. A total of 162 consecutive patients with 195 gastric superficial neoplasias underwent EMR (n = 54) or ESD (n = 141) and were followed up for a median of 3.2 years. RESULTS:Resection was feasible in 97 %, with en bloc and R0 resection rates of 85 % (94 % ESD vs. 61 % EMR; P = 0.001) and 81 % (91 % ESD vs. 54 % EMR; P < 0.001), respectively. The recurrence rate was 7 %, and recurrence was associated with Rx/R1 resection irrespective of resection technique (OR 5.8; 95 % confidence interval 3.9 - 8.8). The long-term curative resection rate was 86 % after one procedure and 91 % after two procedures. Adverse events were observed in 13 % of cases: 8 % bleeding and 2 % of perforations (EMR = ESD). Surgery was performed in 7 %: 6 % after noncurative endoscopic resection and 1 % due to complications. Metachronous lesion detection rate was 1 % - 1.5 % per patient year. Cancer-specific survival rate was 100 % at follow-up. CONCLUSIONS:For the first time in a Western country, results are reported to be similar to those in Eastern countries. Endoscopic resection, particularly ESD, is a highly effective treatment for gastric superficial lesions, without compromising cancer survival. Endoscopic resection should also be considered as first-line treatment for gastric neoplasias in Western countries.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Pimentel-Nunes P,Mourão F,Veloso N,Afonso LP,Jácome M,Moreira-Dias L,Dinis-Ribeiro M

doi

10.1055/s-0034-1377348

subject

Has Abstract

pub_date

2014-11-01 00:00:00

pages

933-40

issue

11

eissn

0013-726X

issn

1438-8812

journal_volume

46

pub_type

杂志文章
  • A novel, stiff-shaft, flexible-tip guidewire for cannulation of biliary stricture during endoscopic retrograde cholangiopancreatography: a randomized trial.

    abstract:BACKGROUND AND STUDY AIMS:During endoscopic retrograde cholangiopancreatography (ERCP), a guidewire is used to cannulate biliary strictures and allow for therapeutic interventions. The aim of this study was to assess the success of stricture cannulation using a combination of a flexible guidewire and a stable nitinol w...

    journal_title:Endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/s-0034-1377628

    authors: Albert JG,Lucas K,Filmann N,Herrmann E,Schröder O,Sarrazin C,Trojan J,Kronenberger B,Bojunga J,Zeuzem S,Friedrich-Rust M

    更新日期:2014-10-01 00:00:00

  • Hepatic metastases: computed tomography versus magnetic resonance imaging in 1997.

    abstract::The developments in computed tomography (CT) and magnetic resonance (MR) imaging that have taken place over the last two decades have dramatically increased our ability to detect and characterize focal liver lesions, and have led to the liver becoming the primary focus of interest in abdominal imaging. At the same tim...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-1004257

    authors: Paley MR,Ros PR

    更新日期:1997-08-01 00:00:00

  • Comments on "Combined endoscopic submucosal dissection and transanal minimally invasive surgery for resection of large refractory rectal polyp".

    abstract:: ...

    journal_title:Endoscopy

    pub_type: 评论,杂志文章

    doi:10.1055/a-0826-4558

    authors: Valdes-Hernandez J

    更新日期:2019-03-01 00:00:00

  • Endoscopic ultrasound-guided fine-needle marking of lymph nodes.

    abstract:BACKGROUND AND STUDY AIMS:No previous studies have evaluated the ability of endoscopic ultrasonography to describe the anatomic location of lymph nodes on the basis of a node-to-node comparison. The aim of this study was to assess the feasibility and safety of a new endoscopic ultrasound (EUS)-guided fine-needle techni...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0029-1215378

    authors: Larsen MH,Fristrup CW,Pless T,Ainsworth AP,Nielsen HO,Hovendal CP,Mortensen MB

    更新日期:2010-02-01 00:00:00

  • A randomized, prospective cross-over trial comparing methylene blue-directed biopsy and conventional random biopsy for detecting intestinal metaplasia and dysplasia in Barrett's esophagus.

    abstract:BACKGROUND AND STUDY AIMS:The value of methylene blue-directed biopsies (MBDB) in detecting specialized intestinal metaplasia and dysplasia in Barrett's esophagus remains unclear. The aim of this study was to compare the accuracy of MBDB with random biopsy in detecting intestinal metaplasia and dysplasia in patients wi...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2003-44599

    authors: Ragunath K,Krasner N,Raman VS,Haqqani MT,Cheung WY

    更新日期:2003-12-01 00:00:00

  • Magnetic compression anastomosis for benign obstruction of the common bile duct.

    abstract::Advances in interventional radiology have made possible magnetic compression anastomosis between the bile duct and the small intestine as a novel treatment. A 70-year-old man who had undergone subtotal gastrectomy for gastric cancer 2 years previously experienced recurring cholangitis with high fever and jaundice. Dia...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2001-17923

    authors: Takao S,Matsuo Y,Shinchi H,Nakajima S,Aikou T,Iseji T,Yamanouchi E

    更新日期:2001-11-01 00:00:00

  • Combined endobronchial and esophageal endosonography for the diagnosis and staging of lung cancer: European Society of Gastrointestinal Endoscopy (ESGE) Guideline, in cooperation with the European Respiratory Society (ERS) and the European Society of Thor

    abstract::This is an official guideline of the European Society of Gastrointestinal Endoscopy (ESGE), produced in cooperation with the European Respiratory Society (ERS) and the European Society of Thoracic Surgeons (ESTS). It addresses the benefit and burden associated with combined endobronchial and esophageal mediastinal nod...

    journal_title:Endoscopy

    pub_type: 杂志文章,实务指引

    doi:10.1055/s-0034-1392040

    authors: Vilmann P,Clementsen PF,Colella S,Siemsen M,De Leyn P,Dumonceau JM,Herth FJ,Larghi A,Vazquez-Sequeiros E,Hassan C,Crombag L,Korevaar DA,Konge L,Annema JT

    更新日期:2015-06-01 00:00:00

  • Ulcers and gastritis.

    abstract::This article reviews recently published literature regarding ulcers and gastritis. Although endoscopy is the most useful procedure for diagnosis in the upper gastrointestinal tract, complications do occur, and procedure-related costs are significant. The appropriate indication for endoscopy has recently been debated. ...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-2003-36397

    authors: Kashiwagi H

    更新日期:2003-01-01 00:00:00

  • A percussion lithotripter.

    abstract::A mechanical lithotripter producing a percussion action on biliary stones is described. This device seems to be robust and flexible at the same time. Every biliary stone is easily crushed by this lithotripter. Sixty-seven patients have been endoscopically treated with the aid of this probe. ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018387

    authors: Oselladore D,Rossoni R,Stevanato G

    更新日期:1986-11-01 00:00:00

  • Clinical features, pathophysiology and relevance of portal hypertensive gastropathy.

    abstract::The frequency and importance of gastric mucosal lesions in patients with portal hypertension have been increasingly recognized in recent years. This article describes the clinical and endoscopic features of portal hypertensive gastropathy and reviews the current state of knowledge concerning the pathophysiology and tr...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-1010663

    authors: Smart HL,Triger DR

    更新日期:1991-07-01 00:00:00

  • Endoscopic gastric reduction with an endoluminal suturing device: a multicenter prospective trial with 1-year follow-up.

    abstract:BACKGROUND:Obesity is the pandemic disease of this century. Surgery is the only effective treatment but cannot be offered to every patient. Endoscopic sutured gastroplasty is a minimally invasive technique that may potentially fill the gap between surgery and behavioral therapy. In this study, we prospectively investig...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1055/a-0630-1224

    authors: Huberty V,Machytka E,Boškoski I,Barea M,Costamagna G,Deviere J

    更新日期:2018-12-01 00:00:00

  • Morphological changes in the terminal oesophagus with varices, following sclerosis of the wall.

    abstract::Autopsies were performed on 53 patients with oesophageal varices treated with ethoxysclerol to effect sclerosis of the terminal oesophageal wall. The morphological changes after perivascular injection, disturbance of wound healing and complications are described. In 20 cases it was possible to follow the various stage...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1021692

    authors: Helpap B,Bollweg L

    更新日期:1981-11-01 00:00:00

  • Gut perforation caused by biliary endoprosthesis.

    abstract::Two cases are reported of perforation of the gut caused by biliary endoprosthesies in the three-year period 1993-1995. The first patient was an 81-year-old man who had perforation of the terminal ileum caused by a straight 10 French/7 cm stent which had been dislodged from the bile duct; he underwent laparotomy but di...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2000-87

    authors: Størkson RH,Edwin B,Reiertsen O,Faerden AE,Sortland O,Rosseland AR

    更新日期:2000-01-01 00:00:00

  • Electronic endoscopy--the latest technology.

    abstract::At present, video endoscopic systems (VE) are available from four companies. We have had an opportunity to test these instruments in clinical practice. In principle, all the VE's are similar in that they employ charge coupling devices (CCD-chips) as image sensors, but they differ significantly in CCD chip technology a...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018255

    authors: Classen M,Knyrim K,Seidlitz HK,Hagenmüller F

    更新日期:1987-05-01 00:00:00

  • Inflammatory bowel disease: what is new?

    abstract::This article reviews a selection of 50 papers on inflammatory bowel disease published between April 2002 and August 2003. The new information and progress summarized here includes: the role of bacteria, their interaction with CARD15/NOD2 gene products and the modulating effects of probiotics; new imaging techniques, s...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-2004-814180

    authors: Marteau P,Daniel F,Seksik P,Jian R

    更新日期:2004-02-01 00:00:00

  • Transgastroscopic ultrasonography.

    abstract::A newly designed ultrasonography probe is presented which can be advanced through the instrumentation channel of an operative endoscope (TGF-Olympus). The A-scan allows the differentiation between solid and cystic masses in the upper abdomen leading to gastric impression. Guided puncture of pancreatic pseudocysts is b...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098414

    authors: Lutz H,Rösch W

    更新日期:1976-11-01 00:00:00

  • Transpapillary bile duct drainage with a large-caliber endoprosthesis.

    abstract::A new method for transpapillary bile duct drainage by means of a large-caliber endoprosthesis is described. It facilitates the transpapillary introduction of endoprostheses with an internal diameter of 3.5 to 5 mm irrespective of the actual diameter of the duodenoscope instrument channel. The method has been successfu...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1021542

    authors: Kautz G

    更新日期:1983-09-01 00:00:00

  • Botulinum toxin injection as a diagnostic tool for verification of sphincter of Oddi dysfunction causing recurrent pancreatitis.

    abstract::Sphincter of Oddi dyskinesia (SOD) is among the less frequent causes of acute recurrent pancreatitis. We report on a patient with frequent pain attacks accompanied by pancreatic enzyme elevation, in whom a transitory decrease of the SO pressure following endoscopic botulinus toxin injection was a diagnostic clue for S...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1004086

    authors: Muehldorfer SM,Hahn EG,Ell C

    更新日期:1997-02-01 00:00:00

  • Endoscopic treatment of nonstricture-related benign biliary diseases using covered self-expandable metal stents.

    abstract:BACKGROUND AND STUDY AIMS:Nonstricture benign biliary diseases (BBDs) such as leaks, perforations, and bleeding, have been traditionally managed by placement of one or more plastic stents. Emerging data support the use of covered, self-expandable, metal stents (CSEMSs). The aim of this study was to assess the outcomes ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0034-1391093

    authors: Irani S,Baron TH,Law R,Akbar A,Ross AS,Gluck M,Gan I,Kozarek RA

    更新日期:2015-04-01 00:00:00

  • Endoscopy innovations.

    abstract::Innovation everywhere for everybody - this is the way we can summarize the 2014 Digestive Disease Week, which was held in Chicago, Illinois, last May. Many sessions introduced new innovative materials and concepts. From the robot of the future to the simplest ideas, the congress was fertile and sometimes full of surpr...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-0034-1377510

    authors: Vanbiervliet G,Gonzalez JM,Barthet M

    更新日期:2014-09-01 00:00:00

  • Endoscopic submucosal dissection in a European setting. A multi-institutional report of a technique in development.

    abstract:BACKGROUND AND STUDY AIMS:Endoscopic submucosal dissection (ESD) is a technique for "en bloc" resection of superficial tumors of the gastrointestinal tract. In France, experience with this technique is still limited. We wanted to assess the development of ESD in France, with special attention to short term outcomes. P...

    journal_title:Endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-0030-1256413

    authors: Farhat S,Chaussade S,Ponchon T,Coumaros D,Charachon A,Barrioz T,Koch S,Houcke P,Cellier C,Heresbach D,Lepilliez V,Napoleon B,Bauret P,Coron E,Le Rhun M,Bichard P,Vaillant E,Calazel A,Bensoussan E,Bellon S,Mangiala

    更新日期:2011-08-01 00:00:00

  • Overcoming the barriers to dissemination and implementation of quality measures for gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and United European Gastroenterology (UEG) position statement.

    abstract::The European Society of Gastrointestinal Endoscopy (ESGE) has developed performance measures and established a framework for quality assessment for gastrointestinal endoscopy in Europe. Most national societies actively undertake initiatives to implement and explicitly endorse these quality indicators. Given this, ESGE...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-1312-6389

    authors: Bisschops R,Rutter MD,Areia M,Spada C,Domagk D,Kaminski MF,Veitch A,Khannoussi W,Gralnek IM,Hassan C,Messmann H,Ponchon T,Fockens P,Dignass A,Dinis-Ribeiro M

    更新日期:2021-02-01 00:00:00

  • Development and use of a quality scale for assessing studies that analyze the diagnostic capacity of capsule endoscopy.

    abstract:BACKGROUND AND STUDY AIMS:The aim of this study was to develop a scale for assessing the quality of published studies on capsule endoscopy, and to apply it to research papers retrieved by a systematic review. METHODS:The scale was based on the evidence-based quality assessment tools used in diagnostic accuracy studies...

    journal_title:Endoscopy

    pub_type: 杂志文章,meta分析

    doi:10.1055/s-2006-944958

    authors: Varela-Lema L,Ruano-Ravina A

    更新日期:2006-12-01 00:00:00

  • Clinical outcome of endoscopic resection for nonampullary duodenal tumors.

    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

    authors: Nonaka S,Oda I,Tada K,Mori G,Sato Y,Abe S,Suzuki H,Yoshinaga S,Nakajima T,Matsuda T,Taniguchi H,Saito Y,Maetani I

    更新日期:2015-02-01 00:00:00

  • Video endoscopy. Fundamentals and problems.

    abstract::The video system represents a new endoscopic technique with major advantages, some of which point the way into the future. This system permits a large number of persons to participate directly in the examination. Documentation is more comprehensive and more reliable, and pathological processes can be observed with the...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018491

    authors: Demling L,Hagel HJ

    更新日期:1985-09-01 00:00:00

  • Endoscopic resection as local treatment of mucosal cancer of the esophagus.

    abstract::Limited surgery is indicated for mucosal cancer of the esophagus without lymph node metastasis. Esophagectomy without thoracotomy and endoscopic resection are carried out as the operative modalities of reduced surgery. Mucosal cancer less than 3 cm in size without any nodal involvement is suitable for endoscopic resec...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1010430

    authors: Endo M

    更新日期:1993-11-01 00:00:00

  • Massive subcutaneous emphysema following colonoscopy.

    abstract::A case of massive subcutaneous emphysema following colonoscopic polypectomy is reported. The incidence of colonic perforation following colonoscopy is 0.1% and may be intraperitoneal or retroperitoneal. Intraperitoneal perforation is usually immediately apparent and likely to require urgent surgical exploration. The d...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018566

    authors: Humphreys F,Hewetson KA,Dellipiani AW

    更新日期:1984-07-01 00:00:00

  • NOTES transvaginal video-assisted cholecystectomy: first series.

    abstract:BACKGROUND AND STUDY AIMS:Extensive research has been conducted to develop natural-orifice transluminal endoscopic surgery (NOTES) as a new approach to less invasive surgery. Our aim is to present the technique and initial prospective results of a transvaginal video-assisted laparoscopic approach to NOTES cholecystecto...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2008-1077398

    authors: Ramos AC,Murakami A,Galvão Neto M,Galvão MS,Silva AC,Canseco EG,Moyses Y

    更新日期:2008-07-01 00:00:00

  • Accuracy and concordance of endocytoscopic atypia for the diagnosis of gastric cancer.

    abstract:BACKGROUND AND AIM:High-grade atypia demonstrated by endocytoscopy may be a key criterion for the diagnosis of gastric cancer. We therefore sought to verify whether endocytoscopic atypia can provide satisfactory levels of diagnostic accuracy and concordance among trainee and expert endoscopists. METHOD:A total of 100 ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0034-1377524

    authors: Kaise M,Kimura R,Nomura K,Kuribayashi Y,Kikuchi D,Iizuka T,Ohkura Y

    更新日期:2014-10-01 00:00:00

  • Metal stents for benign and malignant bile duct strictures stents for benign and malignant bile duct strictures.

    abstract::Self-expanding metal stents provide a much larger diameter--up to 30 Fr--in comparison with plastic stents, which have a maximum diameter of 12 Fr. Although they have consequently been found to be far superior to plastic prostheses, they are not removable, and in benign strictures metal stents should therefore be used...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-1001449

    authors: Rösch T

    更新日期:1998-11-01 00:00:00