Resection Area of 15 mm as Dividing Line for Choosing Strip Biopsy or Endoscopic Submucosal Dissection for Mucosal Gastric Neoplasm
| Autor: | Masao Toki, Masanori Sugiyama, Shin'ichi Takahashi, Nobutsugu Abe, Naoya Katusmi, Hitoshi Ishida, Kei Aoki, Yasuharu Yamaguchi, Katsuro Morozumi, Kenji Nakamura |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Biopsy Endoscopic mucosal resection Postoperative Complications Stomach Neoplasms Submucosa Gastroscopy medicine Humans Prospective Studies Recurrent Neoplasm Stomach cancer Chi-Square Distribution medicine.diagnostic_test business.industry Dissection Gastroenterology Endoscopic submucosal dissection medicine.disease Surgery Endoscopy Treatment Outcome medicine.anatomical_structure Gastric Mucosa Female Neoplasm Recurrence Local business Gastric Neoplasm Follow-Up Studies |
| Zdroj: | Journal of Clinical Gastroenterology. 41:472-476 |
| ISSN: | 0192-0790 |
| DOI: | 10.1097/01.mcg.0000247987.02677.b3 |
| Popis: | Background: Endoscopic mucosal resection (EMR) is effective treatment for mucosal gastric neoplasm. Endoscopic submucosal dissection (ESD), a novel EMR method, has been reported to enable en bloc resection more frequently than conventional EMR methods such as strip biopsy (SB). However, ESD requires more time than SB. A small lesion can be resected en bloc and effectively treated with SB. Goal: To evaluate using a 15 mm resection area as the dividing line between SB and ESD prospectively. Study: SB was applied for resection area less than 15mm (SB group) and ESD for 15 mm or larger resection (ESD group). We compared characteristics of lesions and outcomes of EMR between the 2 groups. Results: Ninety lesions were prospectively assigned to SB group (36 lesions) and ESD group (54 lesions). The average neoplasm size was 9.0 ± 3.9 mm in the SB group and 19.1 ± 11.3mm in the ESD group (P |
| Databáze: | OpenAIRE |
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