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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 182 - 186 (5page)
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초록· 키워드
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Background/Aims: Endoscopic submucosal dissection (ESD) for tumors occurring in the remnant stomach is technically difficult to perform because of limited working space and severe fibrosis and staples present around the suture line. We aimed to elucidate the feasibility and clinical outcomes of performing ESD for tumors in the remnant stomach.
Methods: Between December 2007 and January 2013, 18 patients underwent ESD for tumors (six adenomas and 12 differentiated-type early gastric cancers [EGCs]) occurring in the remnant stomach after distal gastrectomy. Clinicopathologic features and clinical outcomes after ESD were retrospectively analyzed.
Results: Two-thirds of the lesions were located on the body, and half were located on the suture line. En bloc resection, R0 resection, and en bloc with R0 resection rates were 88.9%, 100%, and 88.9%, respectively. Curative resection rate for EGC was 91.7%. Perforation occurred in one patient (5.6%) and was successfully managed by endoscopic closure with metallic clips and conservative management. There was no significant bleeding after ESD. During a median follow-up of 47.5 months, no local, metachronous, or extragastric recurrence was seen for either EGC or adenoma lesions.
Conclusions: ESD is a feasible and effective treatment modality and can be considered a primary intervention for early gastric neoplasia occurring in the remnant stomach.
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등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Nozaki I / 2010 / Risk factors for metachronous gastric cancer in the remnant stomach after early cancer surgery / World J Surg 34:1548~1554
Sasako M / 1991 / Surgical treatment of carcinoma of the gastric stump / Br J Surg 78:822~824
Nonaka S / 2013 / Endoscopic submucosal dissection for early gastric cancer in the remnant stomach after gastrectomy / Gastrointest Endosc 78:63~72
Ojima T / 2014 / Endoscopic submucosal dissection for gastric tumors in various types of remnant stomach / Endoscopy 46:645~649
Oh SJ / 2011 / Stapling technique for performing Billroth II anastomosis after distal gastrectomy / J Gastrointest Surg 15:1244~1246
Sasako M / 1991 / Surgical treatment of carcinoma of the gastric stump / Br J Surg 78:822~824
Nonaka S / 2013 / Endoscopic submucosal dissection for early gastric cancer in the remnant stomach after gastrectomy / Gastrointest Endosc 78:63~72
Ojima T / 2014 / Endoscopic submucosal dissection for gastric tumors in various types of remnant stomach / Endoscopy 46:645~649
Oh SJ / 2011 / Stapling technique for performing Billroth II anastomosis after distal gastrectomy / J Gastrointest Surg 15:1244~1246
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