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학술저널
저자정보
이한솔 (경북의대) 전성우 (경북대학교) 김광하 (부산대학교) 김진일 (가톨릭대학교) 정일권 (순천향대학교) 지삼룡 (인제대학교부속부산백병원) 김흥업 (제주대학교) 서금석 (원광의대) 백광호 (한림대학교) 최기돈 (울산대학교) 문정섭 (인제대학교)
저널정보
대한상부위장관 헬리코박터학회 Korean Journal of Helicobacter Upper Gastrointestinal Research Korean Journal of Helicobacter Upper Gastrointestinal Research Vol.16 No.1
발행연도
2016.1
수록면
13 - 18 (6page)

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Background/Aims: Treatment of gastric neuroendocrine tumors is determined by type and size of the lesion. This study aimed to compare the long-term efficacy of observation and endoscopic resection for type 1 gastric neuroendocrine tumors without metastasis. Materials and Methods: Among the 223 cases of gastric neuroendocrine tumors diagnosed between January 1996 and December 2011, 104 cases were type 1 gastric neuroendocrine tumors. Sixty-seven patients were treated endoscopically and 27 patients were observed without treatment. Endoscopic mucosal resection, endoscopic submucosal dissection, and polypectomy were the meth- ods used for endoscopic treatment. Therapeutic efficacy and rates of complication and recurrence were evaluated retrospectively. Results: In the endoscopic resection group, complete resection was obser ved in 53 patients (79.1%), and recurrence was obser ved in 14 patients (20.9%). On analysis of the observation group, no change was observed in 19 patients (70.4%), and tumor pro- gression was observed in 8 patients (29.6%). Median follow-up duration was 49 months (31∼210 months). No mortality was re- ported in either group during follow-up. Conclusions: Observation of type 1 gastric neuroendocrine tumors without metastasis yields results similar to those produced by endoscopic resection. Observation alone may be a safe treatment. (Korean J Helicoba cter Up Gastrointest Res 2016;16:13-18)

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