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
- 2016.1
- 수록면
- 757 - 763 (7page)
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초록· 키워드
오류제보하기
Background/Aims: Surgeons must be aware of risk factors for strictures before performing endoscopic submucosal dissection (ESD), to enable early interventions to prevent severe strictures. Methods: This study was a single-center retrospective study. We reviewed the clinical data of patients who has undergone gastric ESD from January 2007 to December 2012. Results: Among the 3,819 patients who had undergone gastric ESD, 11 patients (7.2%) developed pyloric strictures and received successful endoscopic balloon dilation.
Significant differences were noted between the patients without and with post-ESD strictures for pretreatment of antral or pyloric deformities (46.4% vs 81.8%), the proportion of extension to the lumen circumference (>3/4, 9.4% vs 54.5%), the longitudinal extent of mucosal defects (27.9±10.1 mm vs 51.5±10.8 mm), and post-ESD bleeding (2.9% vs 27.3%).
Multivariate analysis revealed that pretreatment antral or pyloric deformities (odds ratio [OR], 30.53; 95% confidence interval [CI], 1.476 to 631.565; p=0.027), larger longitudinal extent of mucosal defects (OR, 1.20; 95% CI, 1.074 to 1.340; p=0.001), and circumferential extension of ≥3/4 (OR, 13.69; 95% CI, 1.583 to 118.387; p=0.017) were independent risk factors for post-ESD stricture. Conclusions: Antral or pyloric deformities, sub-circumferential resection over more than 75% of the circumference and greater longitudinal extent of mucosal defects are independent risk factors for post-ESD stricture.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
정민우 / 2014 / 미분화 조기위암에서 내시경 점막하박리술과 위절제수술의 장기 치료 성적 비교 / 대한소화기학회지 63(2):90~98
Gotoda T / 2007 / Endoscopic resection of early gastric cancer / Gastric Cancer 10:1~11
Gotoda T / 2006 / Endoscopic submucosal dissection of early gastric cancer / J Gastroenterol 41:929~942
Gotoda T / 2000 / Incidence of lymph node metastasis from early gastric cancer: estimation with a large number of cases at two large centers / Gastric Cancer 3:219~225
Hirasawa T / 2009 / Incidence of lymph node metastasis and the feasibility of endoscopic resection for undifferentiated-type early gastric cancer / Gastric Cancer 12:148~152
Gotoda T / 2007 / Endoscopic resection of early gastric cancer / Gastric Cancer 10:1~11
Gotoda T / 2006 / Endoscopic submucosal dissection of early gastric cancer / J Gastroenterol 41:929~942
Gotoda T / 2000 / Incidence of lymph node metastasis from early gastric cancer: estimation with a large number of cases at two large centers / Gastric Cancer 3:219~225
Hirasawa T / 2009 / Incidence of lymph node metastasis and the feasibility of endoscopic resection for undifferentiated-type early gastric cancer / Gastric Cancer 12:148~152
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