Long-term outcomes of endoscopic submucosal dissection for early gastric cancer: a single-center experience

Choi, Mun Ki; Kim, Gwang Ha; Park, Do Youn; Song, Geun Am; Kim, Dong Uk; Ryu, Dong Yup; Lee, Bong Eun; Cheong, Jae Hoon; Cho, Mong

doi:10.1007/s00464-013-3030-4

Cited by 114 publications

(101 citation statements)

References 23 publications

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“…However, diagnosis of the depth of lesions was very important. Besides, studies conducted by Yamaguchi et al [32] and Choi et al [33] showed that the expanded criteria (without undifferentiated lesions) of ESDs also had relatively higher rates of complications, which meant the conclusion of this meta-analysis was not decided by the fourth expanded criterion, that is, undifferentiated EGCs (those <1 cm) that are confined to the mucosa.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Expanded Criteria of Endoscopic Submucosal Dissection for Early Gastric Cancers: A Meta-Analysis

Dai

Huang²,

Lü³

et al. 2015

Digestion

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Background: In 2010, undifferentiated early-stage gastric cancers (EGCs; ≤1 cm and confined to the mucosa) were included in the expanded criteria for endoscopic submucosal dissection (ESD), as established by the Japanese Gastric Cancer Association. Objective: To evaluate the safety and efficacy of the newly expanded criteria of ESD for EGCs. Methods: PubMed, Embase, and the Cochrane Library were searched for relevant studies published between January 1, 2010 and July 10, 2014. These studies were collected by 2 authors and then analyzed with RevMan 5.0. Results: Six studies including 6,687 patients were identified. Compared to the standard group (SG), the expanded group (EG) had higher bleeding (OR 1.66; 95% CI 1.02-2.68), perforation (OR 2.03; 95% CI 1.25-3.31), positive lateral margin rates (OR 16.88; 95% CI 3.83-74.5) and lower en bloc resection rate (OR 0.48; 95% CI 0.34-0.70). The local recurrence (OR 2.46; 95% CI 0.31-19.23) and total survival rates (OR 0.92; 95% CI 0.76-1.12) between the 2 groups were not statistically different. Conclusions: Considering the similar rates of local recurrence and total survival between the SG and EG, the use of ESD for the management of EGCs that meet the expanded criteria could be considered a safe and effective treatment method.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the Expanded Criteria of Endoscopic Submucosal Dissection for Early Gastric Cancers: A Meta-Analysis

Dai

Huang²,

Lü³

et al. 2015

Digestion

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“…Among the remaining 19 papers, seven articles were additionally excluded because they did not compare the outcomes of EI and AI (e.g., some of them compared EMR and ESD). Finally, 12 studies were found to be appropriate for the meta-analyses [14,18,21,[24][25][26][27][28][29][30][31][32]. These studies described a total of 9635 EGC lesions: 4150 lesions the EI group and 5485 lesions in the AI group.…”

Section: Study Inclusion and Assessmentmentioning

confidence: 97%

Endoscopic and oncologic outcomes according to indication criteria of endoscopic resection for early gastric cancer: a systematic review and meta-analysis

et al. 2015

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“…ESD is recommended according to the Japanese Gastric Cancer Treatment Guidelines for the treatment of intramucosal cancer, differentiated adenocarcinoma without ulcer, and gastric tumors measuring less than 2 cm in size, affording to a feasible and effective method for treating early gastric cancers (20). ESD may carry an increased risk of failing to detect lymph node metastasis, therefore the expanded application of ESD is now under examination (21,22).…”

Section: Discussionmentioning

confidence: 99%

Increase in Endoscopic and Laparoscopic Surgery Regarding the Therapeutic Approach of Gastric Cancer Detected by Cancer Screening in Saga Prefecture, Japan

et al. 2016

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Objective Despite recent advances in endoscopic treatment and laparoscopic surgery for gastric cancers, an increase in the uptake of these therapeutic approaches has not yet been fully demonstrated. Therefore, the present study aimed to investigate the change in therapeutic approaches regarding the treatment of gastric cancers detected by cancer screening in Saga Prefecture, Japan between April 2002 and March 2011. Methods Gastric cancer screening by X-ray was performed on 311,074 subjects between April 2002 and March 2011. In total, 534 patients were thereafter diagnosed with gastric cancer. Eighteen subjects were excluded because precise details of their treatment were not available. To evaluate the changes in the therapeutic approach, the observation period was divided into three 3-year intervals: ResultsThe use of open laparotomy for the treatment of gastric cancer decreased, and laparoscopic surgery and endoscopic treatment increased markedly in a time-dependent manner. A 2.5-fold increase in endoscopic treatment, and a 18.4-fold increase in laparoscopic surgery were observed in Period III compared with Period I (after adjusting for age and tumor characteristics). Conclusion Endoscopic treatment and laparoscopic surgery for gastric cancer increased during the investigation period (2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011), although the tumor characteristics of the gastric cancers detected through cancer screening in Saga Prefecture, Japan did not show any changes.

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Long-term outcomes of endoscopic submucosal dissection for early gastric cancer: a single-center experience

Abstract: ESD appears to be a feasible and effective method for treating EGCs, based on the standard and expanded criteria. Close follow-up surveillance, after ESD, should be standard for all patients.

Cited by 114 publications

References 23 publications

Evaluation of the Expanded Criteria of Endoscopic Submucosal Dissection for Early Gastric Cancers: A Meta-Analysis

Evaluation of the Expanded Criteria of Endoscopic Submucosal Dissection for Early Gastric Cancers: A Meta-Analysis

Endoscopic and oncologic outcomes according to indication criteria of endoscopic resection for early gastric cancer: a systematic review and meta-analysis

Increase in Endoscopic and Laparoscopic Surgery Regarding the Therapeutic Approach of Gastric Cancer Detected by Cancer Screening in Saga Prefecture, Japan

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