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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
- 358 - 364 (7page)
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초록· 키워드
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Background/Aims: Endoscopic submucosal dissection (ESD) allows removal of colorectal epithelial neoplasms en bloc regardlessof size. Colorectal ESD is a difficult procedure because of technical difficulties and risks of complications. This studyaimed to assess the relationship between ESD outcome and degree of submucosal fibrosis. Methods: Patients with colorectaltumors undergoing ESD and their medical records were reviewed retrospectively. The degree of submucosal fibrosis was classifiedinto three types. The relationship between ESD outcome and degree of submucosal fibrosis was analyzed. Results: ESDwas performed in 158 patients. Thirty-eight cases of F0 (no) fibrosis (24.1%) and 46 cases of F2 (severe) fibrosis (29.1%) wereobserved. Complete resection was achieved for 138 lesions (87.3%). Multivariate analysis demonstrated that submucosal invasionof tumor and histology of carcinoma were independent risk factors for F2 fibrosis. Severe fibrosis was an independent riskfactor for incomplete resection. Conclusions: Severe fibrosis is an important factor related to incomplete resection duringcolorectal ESD. In cases of severe fibrosis, the rate of complete resection was low even when ESD was performed by an experiencedoperator. Evaluation of submucosal fibrosis may be helpful to predict the submucosal invasion of tumors and technicaldifficulties in ESD.
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등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Isomoto H / 2009 / Endoscopic submucosal dissection for early gastric cancer: a large-scale feasibility study / Gut 58:331~336
Chung IK / 2009 / Therapeutic outcomes in 1000cases of endoscopic submucosal dissection for early gastric neoplasms: Korean ESD Study Group multicenter study / Gastrointest Endosc 69:1228~1235
Niimi K / 2010 / Long-term outcomes of endoscopic submucosal dissection for colorectal epithelial neoplasms / Endoscopy 42:723~729
Tanaka S / 2008 / Colorectal endoscopic submucosal dissection: present status and future perspective, including its differentiation from endoscopic mucosal resection / J Gastroenterol 43:641~651
Fujishiro M / 2006 / Endoscopic submucosal dissection for rectal epithelial neoplasia / Endoscopy 38:493~497
Chung IK / 2009 / Therapeutic outcomes in 1000cases of endoscopic submucosal dissection for early gastric neoplasms: Korean ESD Study Group multicenter study / Gastrointest Endosc 69:1228~1235
Niimi K / 2010 / Long-term outcomes of endoscopic submucosal dissection for colorectal epithelial neoplasms / Endoscopy 42:723~729
Tanaka S / 2008 / Colorectal endoscopic submucosal dissection: present status and future perspective, including its differentiation from endoscopic mucosal resection / J Gastroenterol 43:641~651
Fujishiro M / 2006 / Endoscopic submucosal dissection for rectal epithelial neoplasia / Endoscopy 38:493~497
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