Long-term prognosis after endoscopic submucosal dissection for early gastric cancer in super-elderly patients
| Autor: | Norifumi Numata, Shiro Oka, Tomohiro Miwata, Yoji Sanomura, Yoshikazu Yoshifuku, Toru Hiyama, Kazuaki Chayama, Shinji Tanaka |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Risk medicine.medical_specialty Endoscopic Mucosal Resection Disease Adenocarcinoma Postoperative Hemorrhage Group A Group B Disease-Free Survival 03 medical and health sciences 0302 clinical medicine Postoperative Complications Stomach Neoplasms Internal medicine Medicine Humans Neoplasm Staging Retrospective Studies Aged 80 and over Esophageal Perforation business.industry Cancer Hepatology medicine.disease Prognosis Early Gastric Cancer Surgery Tumor Burden Survival Rate Treatment Outcome Gastric Mucosa 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Female business Complication Abdominal surgery |
| Zdroj: | Surgical endoscopy. 30(10) |
| ISSN: | 1432-2218 |
| Popis: | No previous study has confirmed the safety of endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) in the super-elderly patient population. The current study aimed to evaluate the validity of ESD for EGC in super-elderly patients aged ≥85 years with comorbidities. Our study group included 85 super-elderly patients (102 EGCs) who were diagnosed at Hiroshima University Hospital between April 2002 and October 2014. We evaluated the en bloc resection rates, R0 resection rates, complication rates, and prognosis in relation to the degree of comorbidities (group A–H, patients with high-risk comorbidities; group A–L, patients with low-risk comorbidities; group B, patients without comorbidities; and group C, patients followed without ESD). The en bloc resection rates were 100, 96, and 100 % in groups A–H, A–L, and B, respectively. R0 resection rates were 94, 96, and 94 % in groups A–H, A–L, and B, respectively. There were no severe complications related to ESD. During the follow-up period, there was a significantly higher frequency of death in group A than in group B (p |
| Databáze: | OpenAIRE |
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