Trimodal imaging endoscopy reduces the risk of synchronous gastric neoplasia.

Abstract:

BACKGROUND AND AIM:The accurate detection of synchronous neoplasia is important to reduce the risk of recurrence after endoscopic resection. Trimodal imaging endoscopy (TMIE) was developed for this purpose. Our aim was to compare the effects of TMIE and white-light imaging endoscopy (WLIE) in gastric neoplasia detection. PATIENTS AND METHODS:Six hundred and seventy-eight patients with gastric dysplasia or cancer initially treated by endoscopic resection and who underwent follow-up endoscopy were analyzed retrospectively. Gastric neoplasia detected within 1 year of endoscopic resection was defined as synchronous disease. WLIE or TMIE was used to detect another gastric neoplasia before endoscopic resection. RESULTS:Synchronous gastric neoplasia was observed in 41 patients (6%), and occurred more frequently after the resection of carcinoma than dysplasia (8.5 vs. 4.6%, P=0.04). TMIE significantly reduced the frequency of synchronous gastric lesions than WLIE (2.3 vs. 9.3%, P<0.01). TMIE was more effective than WLIE in reducing the risk of missing a synchronous gastric lesion after adjusting for lesion multiplicity, experience, and resected lesion pathology (hazard ratio, 0.32; 95% confidence interval, 0.108-0.762). CONCLUSION:The risk of missing synchronous gastric neoplasia is higher after endoscopic resection for gastric cancer than dysplasia, but is reduced by TMIE. TMIE before endoscopic treatment can be useful in decreasing the risk of synchronous gastric neoplasia.

authors

Gweon TG,Park JM,Lim CH,Kim JS,Cho YK,Kim SW,Choi MG

doi

10.1097/MEG.0000000000000278

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

215-20

issue

3

eissn

0954-691X

issn

1473-5687

journal_volume

27

pub_type

杂志文章
  • Thrombotic risk factors in Chinese nonmalignant and noncirrhotic patients with portal vein thrombosis: an observational study with a systematic review of the literature.

    abstract:BACKGROUND:Until now, no data on the routine screening for thrombotic risk factors in Chinese nonmalignant and noncirrhotic patients with portal vein thrombosis (PVT) have been reported. METHODS:A total of 141 nonmalignant and noncirrhotic patients with PVT who underwent screening tests for thrombotic risk factors bet...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章,评审

    doi:10.1097/MEG.0000000000000221

    authors: Qi X,Wu F,He C,Fan D,Han G

    更新日期:2015-01-01 00:00:00

  • Gastrointestinal stromal tumour of the rectum.

    abstract::Gastrointestinal stromal tumour (GIST) has been immunohistochemically defined as the tumour lacking differentiation towards either leiomyomatous tumour or schwannoma. We report a 75-year-old man who underwent an abdominoperineal resection of a large submucosal tumour of the rectum. The excised specimen was revealed to...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/00042737-200103000-00012

    authors: Shibata Y,Ueda T,Seki H,Yagihashi N

    更新日期:2001-03-01 00:00:00

  • Twenty-four-hour pH measurements in morbid obesity: effects of massive overweight, weight loss and gastric distension.

    abstract:OBJECTIVE:To investigate the influence of untreated (super)morbid obesity and the effects of massive weight loss and chronic gastric distension on gastro-oesophageal reflux. PATIENTS AND METHODS:Seventeen young morbidly obese patients (32 years old; body weight 166.5 kg; body mass index 55 kg/m2) underwent 24-h ambula...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Mathus-Vliegen LM,Tytgat GN

    更新日期:1996-07-01 00:00:00

  • Ileal aberrant pancreas induces intussusception and gastrointestinal bleeding in an adult woman--case report.

    abstract::Aberrant pancreas is a congenital anomaly. In surgical series, its incidence varied from 0.2 to 0.8%. About 70% of aberrant pancreas occur in the gastrointestinal tract. Eighty percent of them locate in the stomach and duodenum, and only 0.2% in the ileum. We report on a 25-year-old woman with ileal aberrant pancreas ...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/00042737-199910000-00017

    authors: Huang WS,Kuo CH,Changchien CS,Hsu KL,Lin CC

    更新日期:1999-10-01 00:00:00

  • Hepatitis C flare due to superinfection by genotype 4 in an HCV genotype 1b chronic carrier.

    abstract::We report here on a patient affected by chronic hepatitis C who developed acute hepatitis C virus (HCV) superinfection with replacement of genotype 1b by genotype 4. The history revealed no risk factors for a new exposure to HCV, with the exception of colonoscopy with mucosal biopsy performed about 3 months before. Th...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/00042737-200208000-00012

    authors: Accapezzato D,Fravolini F,Casciaro MA,Paroli M

    更新日期:2002-08-01 00:00:00

  • Association of pancreatic autoantibodies and human leukocyte antigen haplotypes with resolution of diabetes mellitus after therapy for hepatitis C virus infection in patients with HIV infection: case report and review of literature.

    abstract::Diabetes mellitus (DM) is a well known complication of interferon therapy for chronic hepatitis C virus (HCV) infection, but resolution of interferon-induced DM was rarely reported. In HIV and HCV co-infected patients, only two cases of incident DM during interferon therapy were reported and both cases required perman...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章,评审

    doi:10.1097/MEG.0b013e328317f4c8

    authors: Lo YC,Chang SY,Sheng WH,Hung CC,Chang SC

    更新日期:2009-04-01 00:00:00

  • A 5-year follow-up of self-expanding metal stents in the endoscopic management of patients with benign bile duct strictures.

    abstract:BACKGROUND:Metal stents offer superior biliary drainage in patients with malignant bile duct obstruction, with fewer episodes of stent occlusion compared with polyethylene stents. Metal stent patency has only been studied over limited time periods in such patients with malignant disease. OBJECTIVE:To assess the long-t...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 临床试验,杂志文章

    doi:10.1097/00042737-199802000-00008

    authors: O'Brien SM,Hatfield AR,Craig PI,Williams SP

    更新日期:1998-02-01 00:00:00

  • Transarterial chemoembolization and percutaneous ethanol injection therapy in patients with hepatocellular carcinoma.

    abstract::Both transcatheter arterial chemoembolization (TACE) and percutaneous ethanol injection therapy (PEI) have proven their efficacy in patients with unresectable hepatocellular carcinoma (HCC): TACE mainly in large lesions or disseminated disease and PEI in solitary lesions smaller than 3 cm. Although severe complication...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 评论,杂志文章,评审

    doi:10.1097/00042737-199811000-00001

    authors: Kirchhoff T,Chavan A,Galanski M

    更新日期:1998-11-01 00:00:00

  • Sclerosing peritonitis complicated by sepsis: a potential cause of portal hypertension.

    abstract::A 27-year-old woman with chronic renal failure, who had been treated with chronic ambulatory peritoneal dialysis and had developed sclerosing peritonitis, was admitted to the hospital with intra-abdominal sepsis. In spite of antibiotic therapy, sepsis recurred and was associated with intrahepatic cholestasis. In addit...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/00042737-199801000-00017

    authors: Jones EA,Bronkhorst CM,de Jonge E,ten Kate FJ

    更新日期:1998-01-01 00:00:00

  • Capsule endoscopy in real life: a four-centre experience of 160 consecutive patients in Israel.

    abstract:OBJECTIVE:The Given Capsule procedure is a new system designed to aid the gastroenterologist in diagnosing small-bowel disease. Capsule endoscopy has provided gastroenterologists with easy access to small-bowel mucosa for examination by direct visualisation. The aim of our prospective study was to determine the indicat...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/00042737-200409000-00019

    authors: Fireman Z,Eliakim R,Adler S,Scapa E

    更新日期:2004-09-01 00:00:00

  • Impact of gastroesophageal reflux disease symptoms on the quality of life in pregnant women: a prospective study.

    abstract:OBJECTIVE:Pregnant women often suffer from gastroesophageal reflux disease (GERD). GERD symptoms are known to influence the quality of life; however, there is a lack of data in pregnant women. The aim of this study was to establish the impact of GERD symptoms on health-related quality of life (HRQOL) during pregnancy. ...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/MEG.0000000000000905

    authors: Fill Malfertheiner S,Seelbach-Göbel B,Costa SD,Ernst W,Reuschel E,Zeman F,Malfertheiner P,Malfertheiner MV

    更新日期:2017-08-01 00:00:00

  • Total bile acid levels are associated with left atrial volume and cardiac output in patients with cirrhosis.

    abstract:BACKGROUND AND AIMS:Bile acids (BAs) are potent signaling molecules involved in the regulation of several metabolic and functional aspects of cardiovascular homeostasis. BA pool alteration in cirrhosis may contribute toward the development of hemodynamic and cardiac disturbances. We aimed to investigate the association...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/MEG.0000000000001043

    authors: Voiosu AM,Wiese S,Voiosu TA,Hove J,Bendtsen F,Møller S

    更新日期:2018-04-01 00:00:00

  • Antimicrobial host defense in the upper gastrointestinal tract.

    abstract:BACKGROUND:With the exception of fungi, microbial infections are rare in the oesophagus. Herein, we aimed to systematically assess the distribution and quantity of different antimicrobial host factors as well as, for the first time, functional mucosal antimicrobial activity in the upper gastrointestinal tract. METHODS...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/MEG.0b013e3283052ddb

    authors: Hosaka Y,Koslowski M,Nuding S,Wang G,Schlee M,Schäfer C,Saigenji K,Stange EF,Wehkamp J

    更新日期:2008-12-01 00:00:00

  • Clostridium difficile caused changes in fatty acids profile and resolvin D1 content in plasma of infected patients.

    abstract:OBJECTIVES:Clostridium difficile infection (CDI) is an acute gastrointestinal infection caused by anaerobic, toxin-producing bacteria. During the course of CDI, there is a general inflammatory state. In order to gain a deeper understanding of the role of fatty acids (FAs) in the pathogenesis of acute infection we analy...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/MEG.0000000000001600

    authors: Dróżdż M,Gdula-Argasińska J,Biesiada G,Jurczyszyn A,Perucki W,Wołkow P,Borys A,Sroczyńska K,Zając A,Librowski T,Garlicki A,Czepiel J

    更新日期:2020-03-01 00:00:00

  • Adjuvant chemotherapy for stage II colon cancer: influence of care structures' characteristics on a controversial clinical practice.

    abstract:BACKGROUND:Adjuvant chemotherapy for stage II colon cancer is a controversial practice and is not recommended by the French Consensus Conference outside of therapeutic trial. OBJECTIVE:To assess, within a well-defined population, the influence of hospital characteristics in this practice. PATIENTS AND METHODS:In the ...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MEG.0b013e3282e1c5b7

    authors: Alter E,Phelip JM,Guilhot JN,Matysiak M,Vermorel M,Roblin X

    更新日期:2007-11-01 00:00:00

  • Omeprazole-induced cough in a patient with gastroesophageal reflux disease.

    abstract::Persistent cough could be caused by various diseases such as postnasal drip syndrome, asthma and gastroesophageal reflux disease (GERD) or adverse event of drugs such as angiotensin-converting enzyme inhibitors. We report a case of persistent cough associated with high plasma levels of the proton pump inhibitor omepra...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/MEG.0b013e3283320129

    authors: Reiche I,Tröger U,Martens-Lobenhoffer J,Kandulski A,Neumann H,Malfertheiner P,Bode-Böger SM

    更新日期:2010-07-01 00:00:00

  • Prescribing habits in primary biliary cirrhosis: a national survey.

    abstract:BACKGROUND:Primary biliary cirrhosis (PBC) is a chronic cholestatic liver disease of unknown aetiology. A number of drugs have been used in its treatment, but only ursodeoxycholic acid (UDCA) has been shown to improve survival. Our aims were to determine the current prescribing habits in PBC of all practising gastroent...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/00042737-199908000-00001

    authors: Verma A,Jazrawi RP,Ahmed HA,Northfield TC

    更新日期:1999-08-01 00:00:00

  • Short-acting general anaesthesia facilitates therapeutic ERCP in frail elderly patients with benign extra-hepatic biliary disease.

    abstract:AIMS AND OBJECTIVES:To ascertain whether therapeutic endoscopic retrograde cholangiopancreatography (ERCP) for benign biliary disease in frail elderly patients with comorbid conditions can be safely undertaken in a district general hospital, and whether the procedure is facilitated by the use of short-acting general an...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/00042737-200012040-00014

    authors: Cocking JB,Ferguson A,Mukherjee SK,Giancola G

    更新日期:2000-04-01 00:00:00

  • Detection of nodules in liver cirrhosis: spiral computed tomography or magnetic resonance imaging? A prospective study of 88 nodules in 34 patients.

    abstract::Detection and characterization of all focal lesions in the liver are critical for screening patients with chronic liver disease. The aim of this prospective study was to investigate the accuracy of magnetic resonance imaging (MRI) and spiral computed tomography for the diagnosis of hepatic nodules in cirrhotic patient...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/00042737-200202000-00010

    authors: de Lédinghen V,Laharie D,Lecesne R,Le Bail B,Winnock M,Bernard PH,Saric J,Couzigou P,Balabaud C,Bioulac-Sage P,Drouillard J

    更新日期:2002-02-01 00:00:00

  • Hepatic stellate cell activation and hepatic fibrosis in children with type 1 autoimmune hepatitis: an immunohistochemical study of paired liver biopsies before treatment and after clinical remission.

    abstract:OBJECTIVES:The activation of hepatic stellate cells (HSC) is considered the most important event in hepatic fibrogenesis. The precise mechanism of this process is unknown in autoimmune hepatitis (AIH), and more evidence is needed on the evolution of fibrosis. The aim of this study was to assess these aspects in childre...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/MEG.0b013e328326cab6

    authors: Maia JM,Maranhão Hde S,Sena LV,Rocha LR,Medeiros IA,Ramos AM

    更新日期:2010-03-01 00:00:00

  • Hyperbaric oxygen as a treatment for malabsorption in a radiation-damaged short bowel.

    abstract::Radiation enteritis can be challenging to diagnose and treat. We report the case of a 44-year-old woman who was diagnosed with a squamous cell carcinoma of the cervix in 1978 and treated with hysterectomy and post-operative radiotherapy. Over the next 20 years she required multiple intestinal operations resulting in s...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/00042737-200606000-00017

    authors: Huddy JE,Patel P,Johnson MW,Hamilton-Farrell MR,Ede RJ,Sanderson JD

    更新日期:2006-06-01 00:00:00

  • The long-term follow-up of patients with endoscopically diagnosed reflux oesophagitis with specific emphasis to complaints.

    abstract:INTRODUCTION:Patients with gastroesophageal reflux disease (GERD) need long-term treatment with acid-suppressive therapy. Data on long-term follow-up are very rare. For this reason, a study was performed to detect complaints many years after diagnosis. PATIENTS AND METHODS:All patients diagnosed with reflux oesophagit...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/MEG.0b013e32834b8d18

    authors: Loffeld SM,Dackus GM,Loffeld RJ

    更新日期:2011-11-01 00:00:00

  • Prevention of rebleeding from oesophageal-gastric varices.

    abstract::Endoscopic sclerotherapy or ligation and/or drugs are the standard treatments for the prevention of variceal rebleeding. Failure of this treatment indicates the need for rescue transjugular intrahepatic portosystemic shunt (TIPS) implantation. The current practice to use endoscopic treatment as first-line and TIPS as ...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章,评审

    doi:10.1097/00042737-200104000-00007

    authors: Rössle M

    更新日期:2001-04-01 00:00:00

  • Short article: Outcome of medical and surgical management for perforated jejunal diverticulitis.

    abstract:OBJECTIVES:Perforated jejunal diverticulitis (PJD) is rare, but it has high mortality rates. The role of nonsurgical management is debated. The aim of this study is to assess the outcomes of medical and surgical management of PJD. PATIENTS AND METHODS:A single-centre study on a series of emergency patients diagnosed w...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/MEG.0000000000001265

    authors: Garcia-Granero A,Argüelles BG,Gallardo CM,Carreño O,Giner F,Pellino G,Frasson M

    更新日期:2019-01-01 00:00:00

  • Propofol alone prevents worsening hepatic encephalopathy rather than midazolam alone or combined sedation after esophagogastroduodenoscopy in compensated or decompensated cirrhotic patients.

    abstract:BACKGROUND:This study was conducted to determine which type and dose of sedative drugs should be given to cirrhotic patients with compensation or decompensation during esophagogastroduodenoscopy (EGD) to prevent hepatic encephalopathy (HE) after sedation. METHODS:We reviewed the medical records of cirrhotic patients c...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/MEG.0000000000001755

    authors: Jeong J,Jung K,Seo KI,Yun BC,Han BH,Lee SU,Moon W

    更新日期:2020-08-01 00:00:00

  • Treatment of refractory post-transjugular portosystemic stent-shunt encephalopathy: a novel case of stent luminal reduction.

    abstract::Encephalopathy is a significant complication of transjugular intrahepatic portosystemic stent-shunt (TIPSS). The majority respond to medical treatment but a proportion prove recalcitrant to conservative measures and eventually require some modulation of shunt blood flow in order to ameliorate their symptoms. This is p...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/00042737-200412000-00025

    authors: Clarke G,Patel R,Tsao S,Blanshard K

    更新日期:2004-11-01 00:00:00

  • Resolution of a complex mediastinal pseudocyst in a patient with alcohol-related chronic pancreatitis following abstinence from alcohol.

    abstract::We describe a 55-year-old patient with alcoholic chronic pancreatitis, a large mediastinal pseudocyst and a hemorrhagic pleural effusion. A single thoracocentesis and withdrawal of alcohol without other conservative or invasive measures resulted in a complete resolution of the pleural effusion and the mediastinal pseu...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/00042737-200601000-00020

    authors: Groeneveld JH,Tjong A Lieng JG,de Meijer PH

    更新日期:2006-01-01 00:00:00

  • Validation of [13C]urea breath test for Helicobacter pylori using a simple gas chromatograph-mass selective detector.

    abstract:OBJECTIVE:Isotope ratio mass spectrometry (IRMS) is the accepted method for accurately measuring the 13CO2:12CO2 ratio in the non-invasive and non-radioactive [13C]urea breath test (13C-UBT) for Helicobactor pylori. The IRMS instrument, an expensive and highly specialized analyser, is rarely available. The objective of...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/00042737-199807000-00008

    authors: Lee HS,Gwee KA,Teng LY,Kang JY,Yeoh KG,Wee A,Chua BC

    更新日期:1998-07-01 00:00:00

  • Systemic treatment of hepatocellular carcinoma.

    abstract::The results of systemic treatments for hepatocellular carcinoma are currently disappointing. In patients with advanced disease, none of the tested treatments (particularly systemic chemotherapy or hormonal treatment, such as tamoxifen) demonstrated an unequivocal benefit in terms of survival, and the trials including ...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章,评审

    doi:10.1097/00042737-200403000-00005

    authors: Ganne-Carrié N,Trinchet JC

    更新日期:2004-03-01 00:00:00

  • Coeliac crisis presenting with cytomegalovirus hepatitis.

    abstract::We present the case of a 23-year-old woman who presented with cytomegalovirus infection complicated by pancytopaenia, haemolysis and disseminated intravascular coagulopathy on a background diagnosis of coeliac crisis as the first presentation of coeliac disease. This is the first reported case of coeliac crisis presen...

    journal_title:European journal of gastroenterology & hepatology

    pub_type: 杂志文章

    doi:10.1097/01.meg.0000224471.28626.a6

    authors: Kelly E,Cullen G,Aftab AR,Courtney G

    更新日期:2006-07-01 00:00:00