지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.12
- 수록면
- 83 - 91 (9page)
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Purpose: Remnant gastric cancer is defined as a malignant tumor developing on the remnant side of stomach after partial gastrectomy. The purpose of this study is to evaluate the clinical characteristics and prognosis of remnant gastric cancer according to the cause and the reconstruction method of previous surgery.
Methods: Between January 2007 and February 2016, we analyzed 39 patients with their medical records who were diagnosed as remnant gastric cancer and underwent gastrectomy at Inje University Busan Paik Hospital.
Results: In the comparison of malignant disease (MD) and benign diseases (BD) group, the Billroth I:Billroth II ratio was 52.2% and 12.5%. The time interval from the previous operation to the diagnosis of remnant gastric cancer (RGC) was shorter in the MD group than in the BD group (6.6±6.04 vs. 34.7±10.12 years). Comparing B1 and B2 group, the proportion of patients previously undergone surgery due to MD was 85.7% and 44%. The time interval was higher in the B1 group than in the B2 group (8.0±8.78 vs. 23.8±16.48 years). Analyzing prognostic factors of survival, age and the presence of symptoms at the time of RGC diagnosis, and curability of surgery had a significant effect on the survival of the patients (P=0.032, hazard ratio [HR]=5.241, 95% confidence interval [CI], 1.158–23.723; P=0.005, HR=5.086, 95% CI, 1.642– 15.750; P=0.034, HR=3.165, 95% CI, 1.088–9.208).
Conclusion: Patients who underwent partial gastrectomy for benign or MD require regular endoscopic follow-up and appropriate surgical approach is essential for the treatment of RGC.
Methods: Between January 2007 and February 2016, we analyzed 39 patients with their medical records who were diagnosed as remnant gastric cancer and underwent gastrectomy at Inje University Busan Paik Hospital.
Results: In the comparison of malignant disease (MD) and benign diseases (BD) group, the Billroth I:Billroth II ratio was 52.2% and 12.5%. The time interval from the previous operation to the diagnosis of remnant gastric cancer (RGC) was shorter in the MD group than in the BD group (6.6±6.04 vs. 34.7±10.12 years). Comparing B1 and B2 group, the proportion of patients previously undergone surgery due to MD was 85.7% and 44%. The time interval was higher in the B1 group than in the B2 group (8.0±8.78 vs. 23.8±16.48 years). Analyzing prognostic factors of survival, age and the presence of symptoms at the time of RGC diagnosis, and curability of surgery had a significant effect on the survival of the patients (P=0.032, hazard ratio [HR]=5.241, 95% confidence interval [CI], 1.158–23.723; P=0.005, HR=5.086, 95% CI, 1.642– 15.750; P=0.034, HR=3.165, 95% CI, 1.088–9.208).
Conclusion: Patients who underwent partial gastrectomy for benign or MD require regular endoscopic follow-up and appropriate surgical approach is essential for the treatment of RGC.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (29)
참고문헌 신청
[학술지(정기간행물)] - Balfour DC / 1922 / Factors influencing the life expectancy of patients operated on for gastric ulcer / Ann Surg 76 : 405 ~ 408
[학술지(정기간행물)] - 황준 / 2007 / 소화성 궤양 천공 수술 환자의 임상적 고찰 및 수술 후 이환에 영향을 주는 인자에 대한 분석 / 대한외과학회지 73 (2) : 130 ~ 137
[학술지(정기간행물)] - Noh SH / 1998 / Results after a gastrectomy of 2,603 patients with gastric cancer: analysis of survival rate and prognostic factor / J Korean Surg Soc 55 : 206 ~ 213
[학술지(정기간행물)] - Sang Bong Lee / 2010 / Clinicopathological Characteristics and Prognosis of Remnant Gastric Cancer / Journal of Gastric Cancer 10 (4) : 219 ~ 225
[학술지(정기간행물)] - Ahn HS / 2008 / Clinicopathological features and surgical outcomes of patients with remnant gastric cancer after a distal gastrectomy / Ann Surg Oncol 15 : 1632 ~ 1639
[학술지(정기간행물)] - 황준 / 2007 / 소화성 궤양 천공 수술 환자의 임상적 고찰 및 수술 후 이환에 영향을 주는 인자에 대한 분석 / 대한외과학회지 73 (2) : 130 ~ 137
[학술지(정기간행물)] - Noh SH / 1998 / Results after a gastrectomy of 2,603 patients with gastric cancer: analysis of survival rate and prognostic factor / J Korean Surg Soc 55 : 206 ~ 213
[학술지(정기간행물)] - Sang Bong Lee / 2010 / Clinicopathological Characteristics and Prognosis of Remnant Gastric Cancer / Journal of Gastric Cancer 10 (4) : 219 ~ 225
[학술지(정기간행물)] - Ahn HS / 2008 / Clinicopathological features and surgical outcomes of patients with remnant gastric cancer after a distal gastrectomy / Ann Surg Oncol 15 : 1632 ~ 1639
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UCI(KEPA) : I410-ECN-0101-2018-514-001685018