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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.12
- 수록면
- 426 - 438 (13page)
- DOI
- 10.5230/jgc.2021.21.e39
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초록· 키워드
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Purpose: While the incidence of Barrett’s neoplasia has been increasing in Western countries, the disease remains rare in Asian countries. Therefore, very few studies have investigated the endoscopic treatment for Barrett’s neoplasia in Korea. Endoscopic submucosal dissection (ESD) enables en bloc and complete resection of gastrointestinal neoplastic lesions. This study aimed to evaluate the therapeutic outcomes of ESD for Barrett’s neoplasia in a single center in Korea and to examine the predictive factors for incomplete resection.
Materials and Methods: We conducted a retrospective observational study of 18 patients who underwent ESD for superficial Barrett’s neoplasia (dysplasia and early cancer) between January 2010 and December 2019 at Pusan National University Hospital. The therapeutic outcomes of ESD and procedure-related complications were analyzed.
Results: En bloc resection, complete resection, and curative resection were performed in 94%, 72%, and 61% of patients, respectively. Histopathology (submucosal or deeper invasion of the tumor) was a significant predictive factor for incomplete resection (P=0.047). Procedure-related bleeding and stenosis were not observed, whereas perforation occurred in one case. During the median follow-up period of 12 months (range, 6?74 months), local recurrence occurred in 2 patients with incomplete resection, one patient underwent repeat ESD, and the other patient received concurrent chemoradiotherapy. The 3-year overall and disease-specific survival rates were 73% and 93%, respectively.
Conclusions: ESD seems to be an effective and safe treatment for superficial Barrett’s neoplasia in Korea. Nevertheless, the suitability of ESD for Barrett’s cancer cases should be determined considering the high risk of deep submucosal invasion.
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등록된 정보가 없습니다.
참고문헌 (40)
참고문헌 신청
de Jonge PJ / 2010 / Risk of malignant progression in patients with Barrett’s oesophagus : a Dutch nationwide cohort study / Gut 59:1030~1036
Bhat S / 2011 / Risk of malignant progression in Barrett’s esophagus patients : results from a large population-based study / J Natl Cancer Inst 103:1049~1057
Botterweck AA / 2000 / Trends in incidence of adenocarcinoma of the oesophagus and gastric cardia in ten European countries / Int J Epidemiol 29:645~654
Vizcaino AP / 2002 / Time trends incidence of both major histologic types of esophageal carcinomas in selected countries, 1973-1995 / Int J Cancer 99:860~868
Goda K / 2013 / Current status of endoscopic diagnosis and treatment of superficial Barrett’s adenocarcinoma in Asia-Pacific region / Dig Endosc 25(Suppl 2):146~150
Bhat S / 2011 / Risk of malignant progression in Barrett’s esophagus patients : results from a large population-based study / J Natl Cancer Inst 103:1049~1057
Botterweck AA / 2000 / Trends in incidence of adenocarcinoma of the oesophagus and gastric cardia in ten European countries / Int J Epidemiol 29:645~654
Vizcaino AP / 2002 / Time trends incidence of both major histologic types of esophageal carcinomas in selected countries, 1973-1995 / Int J Cancer 99:860~868
Goda K / 2013 / Current status of endoscopic diagnosis and treatment of superficial Barrett’s adenocarcinoma in Asia-Pacific region / Dig Endosc 25(Suppl 2):146~150
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