-
Comparison of Endoscopic Submucosal Dissection and Surgery for Differentiated Type Early Gastric Cancer within the Expanded Criteria
-
Dong Woo Shin, Hee Young Hwang, Seong Woo Jeon
-
Clin Endosc 2017;50(2):170-178. Published online May 9, 2016
-
DOI: https://doi.org/10.5946/ce.2016.017
-
-
Abstract
PDFPubReaderePub
- Background
/Aims: Endoscopic submucosal dissection (ESD) is a novel alternative treatment for differentiated early gastric cancer (EGC) without lymph node metastasis. We conducted this study to verify the therapeutic usefulness of ESD for treating differentiated EGC compared to that of surgery.
Methods This is a retrospective cohort study of 382 patients treated with differentiated EGC from March 2006 to May 2010. The propensity score yielded 275 matched patients. They were divided into an ESD group of 175 people and a gastrectomy group of 100 people. The patient demographics, pathologic characteristics, length of hospital stay, complication rate and survival rate were compared.
Results The complication rate was higher for the gastrectomy group than for the ESD group (15.0% vs. 5.1%, p=0.007). The average length of patient hospitalization was longer after gastrectomy than after ESD (8.6 days vs. 2.4 days, p<0.001). There were two cases of mortality in the surgery group within 30 days of procedure. The 5-year survival rates of the two groups did not show a statistically significant difference (92.0% vs. 93.3%, p=0.496).
Conclusions The long-term survival rates of ESD and gastrectomy were not significantly different. The complication rate was lower for ESD than for gastrectomy, and the length of hospital stay was shorter after ESD than after gastrectomy.
-
Citations
Citations to this article as recorded by
- Korean Practice Guidelines for Gastric Cancer 2022: An Evidence-based, Multidisciplinary Approach
Tae-Han Kim, In-Ho Kim, Seung Joo Kang, Miyoung Choi, Baek-Hui Kim, Bang Wool Eom, Bum Jun Kim, Byung-Hoon Min, Chang In Choi, Cheol Min Shin, Chung Hyun Tae, Chung sik Gong, Dong Jin Kim, Arthur Eung-Hyuck Cho, Eun Jeong Gong, Geum Jong Song, Hyeon-Su Im Journal of Gastric Cancer.2023; 23(1): 3. CrossRef - A 6-year nationwide population-based study on the current status of gastric endoscopic resection in Korea using administrative data
Jae Yong Park, Mi-Sook Kim, Beom Jin Kim, Jae Gyu Kim Scientific Reports.2023;[Epub] CrossRef - Endoscopic Resection of Early Gastric Cancer and Pre-Malignant Gastric Lesions
Ana Clara Vasconcelos, Mário Dinis-Ribeiro, Diogo Libânio Cancers.2023; 15(12): 3084. CrossRef - American Society for Gastrointestinal Endoscopy guideline on endoscopic submucosal dissection for the management of early esophageal and gastric cancers: methodology and review of evidence
Mohammad A. Al-Haddad, Sherif E. Elhanafi, Nauzer Forbes, Nirav C. Thosani, Peter V. Draganov, Mohamed O. Othman, Eugene P. Ceppa, Vivek Kaul, Michael M. Feely, Ilyas Sahin, Yibing Ruan, Behnam Sadeghirad, Rebecca L. Morgan, James L. Buxbaum, Audrey H. Ca Gastrointestinal Endoscopy.2023; 98(3): 285. CrossRef - American Society for Gastrointestinal Endoscopy guideline on endoscopic submucosal dissection for the management of early esophageal and gastric cancers: summary and recommendations
Nauzer Forbes, Sherif E. Elhanafi, Mohammad A. Al-Haddad, Nirav C. Thosani, Peter V. Draganov, Mohamed O. Othman, Eugene P. Ceppa, Vivek Kaul, Michael M. Feely, Ilyas Sahin, James L. Buxbaum, Audrey H. Calderwood, Jean M. Chalhoub, Nayantara Coelho-Prabhu Gastrointestinal Endoscopy.2023; 98(3): 271. CrossRef - A meta-analysis of the impact on gastrectomy versus endoscopic submucosal dissection for early stomach cancer
Rajesh K. Singh International Journal of Clinical Medical Research.2023; 1(3): 88. CrossRef - A meta-analysis of the impact on gastrectomy versus endoscopic submucosal dissection for early stomach cancer
Rajesh K. Singh International Journal of Clinical Medical Research.2023;[Epub] CrossRef - Endoscopic Resection Versus Surgery in the Treatment of Early Gastric Cancer: A Systematic Review and Meta-Analysis
Alexandre Moraes Bestetti, Diogo Turiani Hourneaux de Moura, Igor Mendonça Proença, Epifanio Silvino do Monte Junior, Igor Braga Ribeiro, João Guilherme Ribeiro Jordão Sasso, Angelo So Taa Kum, Sergio A. Sánchez-Luna, Wanderley Marques Bernardo, Eduardo G Frontiers in Oncology.2022;[Epub] CrossRef - Analysis of Endoscopy Findings to Identify Early Gastric Cancers with Tumor Budding: A Retrospective Study
Lanqing Cao, Zhaoyong Wang, Liwei Duan, Lijuan Wei Journal of Gastrointestinal Surgery.2021; 25(7): 1706. CrossRef - Endoscopic diagnosis and treatment of gastric dysplasia and early cancer: Current evidence and what the future may hold
Edward Young, Hamish Philpott, Rajvinder Singh World Journal of Gastroenterology.2021; 27(31): 5126. CrossRef - Gastric endoscopic submucosal dissection in Western countries: Indications, applications, efficacy and training perspective
Luca De Luca, Massimiliano Di Berardino, Benedetto Mangiavillano, Alessandro Repici World Journal of Gastrointestinal Surgery.2021; 13(10): 1180. CrossRef - Updated evaluation of endoscopic submucosal dissection versus surgery for early gastric cancer: A systematic review and meta-analysis
Qing Liu, Li Ding, Xiewu Qiu, Fanjie Meng International Journal of Surgery.2020; 73: 28. CrossRef - Evaluation of Submucosal or Lymphovascular Invasion Detection Rates in Early Gastric Cancer Based on Pathology Section Interval
Young-Il Kim, Myeong-Cherl Kook, Jee Eun Choi, Jong Yeul Lee, Chan Gyoo Kim, Bang Wool Eom, Hong Man Yoon, Keun Won Ryu, Young-Woo Kim, Il Ju Choi Journal of Gastric Cancer.2020; 20(2): 165. CrossRef - Narrowband imaging with near‐focus magnification for discriminating the gastric tumor margin before endoscopic resection: A prospective randomized multicenter trial
Jung‐Wook Kim, Yunho Jung, Jae‐Young Jang, Gwang Ha Kim, Byoung Wook Bang, Jun Chul Park, Hyuk Soon Choi, Jun‐Hyung Cho Journal of Gastroenterology and Hepatology.2020; 35(11): 1930. CrossRef - Protocol for expanded indications of endoscopic submucosal dissection for early gastric cancer in China: a multicenter, ambispective, observational, open-cohort study
Zhi Zheng, Jie Yin, Ziyu Li, Yingjiang Ye, Bo Wei, Xin Wang, Yantao Tian, Mengyi Li, Qian Zhang, Na Zeng, Rui Xu, Guangyong Chen, Jie Zhang, Peng Li, Jun Cai, Hongwei Yao, Jun Zhang, Zhongtao Zhang, Shutian Zhang BMC Cancer.2020;[Epub] CrossRef - Endoscopic submucosal dissection comparing with surgical resection in patients with early gastric cancer – A single center experience in Taiwan
Tzu-Chan Hong, Jyh-Ming Liou, Chi-Chuan Yeh, Hung-Hsuan Yen, Ming-Shiang Wu, I-Rue Lai, Chien-Chuan Chen Journal of the Formosan Medical Association.2020; 119(12): 1750. CrossRef - Effect of ilaprazole on the healing of endoscopic submucosal dissection-induced gastric ulcer: randomized-controlled, multicenter study
Chang Seok Bang, Woon Geon Shin, Seung In Seo, Min Ho Choi, Hyun Joo Jang, Se Woo Park, Sea Hyub Kae, Young Joo Yang, Suk Pyo Shin, Gwang Ho Baik, Hak Yang Kim Surgical Endoscopy.2019; 33(5): 1376. CrossRef - A Comparison by Meta-Analysis of Papillary Early Gastric Carcinoma to Its Tubular Counterpart for the Risk of Lymph Node Metastasis and Submucosal Invasion
Xiao-Yong Wang, Jin Yan, Jia Wu, Yi-Feng Zhang, Guo-Xin Zhang Journal of Clinical Gastroenterology.2019; 53(1): e19. CrossRef - Exploring the possibility of endoscopic submucosal dissection for clinical submucosal invasive early gastric cancers
Hyun Deok Lee, Hyunsoo Chung, Sang Gyun Kim, Jung Kim, Jue Lie Kim, Eunwoo Lee, Hyun Chae Jung Surgical Endoscopy.2019; 33(12): 4008. CrossRef - Comparison of endoscopic submucosal dissection with surgical gastrectomy for early gastric cancer: An updated meta-analysis
Hua Li, Li-Qian Feng, Yao-Yao Bian, Li-Li Yang, Deng-Xiang Liu, Zhi-Bin Huo, Li Zeng World Journal of Gastrointestinal Oncology.2019; 11(2): 161. CrossRef - Long‐term outcomes of endoscopic submucosal dissection versus surgery in early gastric cancer: a systematic review and meta-analysis
Mohamed M. Abdelfatah, Mohamed Barakat, Dina Ahmad, Mariam Ibrahim, Yahia Ahmed, Yahia Kurdi, Ian S. Grimm, Mohamed O. Othman European Journal of Gastroenterology & Hepatology.2019; 31(4): 418. CrossRef - Korean Practice Guideline for Gastric Cancer 2018: an Evidence-based, Multi-disciplinary Approach
Journal of Gastric Cancer.2019; 19(1): 1. CrossRef - Proton pump inhibitor: The dual role in gastric cancer
Moon Kyung Joo, Jong-Jae Park, Hoon Jai Chun World Journal of Gastroenterology.2019; 25(17): 2058. CrossRef - Comparison of Long-Term Outcomes of Endoscopic Submucosal Dissection and Surgery for Early Gastric Cancer: a Systematic Review and Meta-analysis
Lihu Gu, Parikshit A. Khadaroo, Liangliang Chen, Xinlong Li, Hepan Zhu, Xin Zhong, Junhai Pan, Manman Chen Journal of Gastrointestinal Surgery.2019; 23(7): 1493. CrossRef - Risk Factors for Metachronous Recurrence after Endoscopic Submucosal Dissection of a Gastric Neoplasm
A Reum Choe, Ki-Nam Shim, Tae Oh Kim, Sang Yoon Kim, Jiyoung Lim, Chung Hyun Tae, Chang Mo Moon, Seong-Eun Kim, Hye-Kyung Jung, Sung-Ae Jung The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2019; 19(3): 184. CrossRef - Endoscopic submucosal dissection for suspected early gastric cancer: absolute versus expanded criteria in a large Western cohort (with video)
David J. Tate, Amir Klein, Mayenaaz Sidhu, Lobke Desomer, Halim Awadie, Eric Y.T. Lee, Hema Mahajan, Duncan McLeod, Michael J. Bourke Gastrointestinal Endoscopy.2019; 90(3): 467. CrossRef - Sex-specific differences in risk factors of lymph node metastasis in patients with early gastric cancer
Eun Sook Ryu, Seung Jun Chang, Jungsuk An, Jun-Young Yang, Jun-Won Chung, Yoon Jae Kim, Kyoung Oh Kim, Dong Kyun Park, Kwang An Kwon, Seungyoon Nam, Woon Kee Lee, Jung Ho Kim, Masaru Katoh PLOS ONE.2019; 14(10): e0224019. CrossRef - Endoscopic submucosal dissection in the West: Current status and future directions
Michael X. Ma, Michael J. Bourke Digestive Endoscopy.2018; 30(3): 310. CrossRef - The Comparison between Endoscopic Submucosal Dissection and Surgery in Gastric Cancer: A Systematic Review and Meta-Analysis
Junbi Hu, Yan Zhao, Mudan Ren, Yarui Li, Xinlan Lu, Guifang Lu, Dan Zhang, Dake Chu, Shuixiang He Gastroenterology Research and Practice.2018; 2018: 1. CrossRef - Endoscopic submucosal dissection for papillary adenocarcinoma of the stomach: is it really safe?
Hyun Jung Lee, Gwang Ha Kim, Do Youn Park, Young Keum Kim, Hye Kyung Jeon, Bong Eun Lee, Geun Am Song Gastric Cancer.2017; 20(6): 978. CrossRef - Exploring the Evidence of Expanded Criteria for Endoscopic Resection of Early Gastric Cancers
Il Ju Choi Clinical Endoscopy.2017; 50(2): 99. CrossRef - Predictive risk factors associated with synchronous multiple early gastric cancer
Seok Hoo Jeong, Jungsuk An, Kwang An Kwon, Woon Kee Lee, Kyoung Oh Kim, Jun-Won Chung, Yoon Jae Kim, Dong Kyun Park, Jung Ho Kim Medicine.2017; 96(26): e7088. CrossRef
-
10,336
View
-
247
Download
-
33
Web of Science
-
32
Crossref
|