Clinical Endoscopy

Original Articles

Endoscopic Submucosal Dissection for Early Gastric Neoplasia Occurring in the Remnant Stomach after Distal Gastrectomy: Ji Young Lee, Byung-Hoon Min, Jung Gyu Lee, Donghyo Noh, Jun Haeng Lee, Poong-Lyul Rhee, Jae J. Kim; Clin Endosc 2016;49(2):182-186. Published online February 11, 2016; DOI: https://doi.org/10.5946/ce.2015.049

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.

Citations

Citations to this article as recorded by

Long-Term Outcomes of Endoscopic Submucosal Dissection for Early Remnant Gastric Cancer: A Retrospective Multicenter Study
Kazunori Tsuda, Shinwa Tanaka, Tetsuya Yoshizaki, Yoshinobu Yamamoto, Takayuki Ose, Tsukasa Ishida, Yasuaki Kitamura, Daisuke Obata, Mineo Iwatate, Atsushi Ikeda, Ryusuke Ariyoshi, Fumiaki Kawara, Hiroshi Takihara, Hirofumi Abe, Toshitatsu Takao, Yoshinor
Digestion.2023; 104(5): 381. CrossRef
The Incidence and Risk Factors for Metachronous Gastric Cancer in the Remnant Stomach after Gastric Cancer Surgery
Yonghoon Choi, Nayoung Kim, Hyuk Yoon, Cheol Min Shin, Young Soo Park, Dong Ho Lee, Young Suk Park, Sang-Hoon Ahn, Yun-Suhk Suh, Do Joong Park, Hyung Ho Kim
Gut and Liver.2022; 16(3): 366. CrossRef
Comparison of Endoscopic Submucosal Dissection and Radical Surgery for Early Gastric Cancer in Remnant Stomach
Yi Liu, Zhihao Chen, Hong Zhou, Yingtai Chen, Lizhou Dou, Yueming Zhang, Yong Liu, Shun He, Dongbing Zhao, Guiqi Wang
Journal of Clinical Medicine.2022; 11(18): 5403. CrossRef
Endoscopic Submucosal Dissection in Patients with Early Gastric Cancer in the Remnant Stomach
Mai Murakami, Takuto Hikichi, Jun Nakamura, Minami Hashimoto, Tsunetaka Kato, Ryoichiro Kobashi, Takumi Yanagita, Rei Suzuki, Mitsuru Sugimoto, Yuki Sato, Hiroki Irie, Mika Takasumi, Tadayuki Takagi, Yuko Hashimoto, Masao Kobayakawa, Hiromasa Ohira
Diagnostics.2022; 12(10): 2480. CrossRef
Intestinal Mucosal Wound Healing and Barrier Integrity in IBD–Crosstalk and Trafficking of Cellular Players
Katrin Sommer, Maximilian Wiendl, Tanja M. Müller, Karin Heidbreder, Caroline Voskens, Markus F. Neurath, Sebastian Zundler
Frontiers in Medicine.2021;[Epub] CrossRef
Clinical outcomes of endoscopic submucosal dissection for lesions on the proximal location between remnant and entire stomach
Su Jin Kim, Cheol Woong Choi, Dae Hwan Kang, Hyung Wook Kim, Su Bum Park, Hyeong Seok Nam, Dae Gon Ryu
Surgical Endoscopy.2020; 34(2): 880. CrossRef
Endoscopic submucosal dissection for early neoplastic lesions in the surgically altered stomach: a systematic review and meta-analysis
Mohamed Barakat, Mohamed Seif, Mohamed M. Abdelfatah, Andrew Ofosu, David L. Carr-Locke, Mohamed O. Othman
Surgical Endoscopy.2019; 33(8): 2381. CrossRef
Current controversies in treating remnant gastric cancer: Are minimally invasive approaches feasible?
Fu-Hai Ma, Hao Liu, Shuai Ma, Yang Li, Yan-Tao Tian
World Journal of Clinical Cases.2019; 7(21): 3384. CrossRef
Endoscopic Submucosal Dissection of Gastric Epithelial Neoplasms after Partial Gastrectomy: A Single-Center Experience
Byeong Gu Song, Gwang Ha Kim, Bong Eun Lee, Hye Kyung Jeon, Dong Hoon Baek, Geun Am Song
Gastroenterology Research and Practice.2017; 2017: 1. CrossRef

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Usefulness of Ready-to-Use 0.4% Sodium Hyaluronate (Endo-Ease) in the Endoscopic Resection of Gastrointestinal Neoplasms: Eun Ran Kim, Yun Gyoung Park, Byung-Hoon Min, Jun Haeng Lee, Poong-Lyul Rhee, Jae J. Kim, Jung Ho Park, Dong Il Park, Dong Kyung Chang; Clin Endosc 2015;48(5):392-398. Published online September 30, 2015; DOI: https://doi.org/10.5946/ce.2015.48.5.392

Abstract PDF PubReader ePub

Background/Aims

Commercially available sodium hyaluronate solutions are usually too thick to inject through catheters and need dilution with normal saline (NS) before use, which increases the risk of contamination. We evaluated the usefulness of ready-to-use 0.4% sodium hyaluronate, Endo-Ease (EE; UNIMED Pharm. Inc., Seoul, Korea).

Methods

We performed a prospective multicenter randomized study from May 2011 to September 2012. Patients requiring endoscopic resection (ER) for gastric or colorectal neoplasm at two referral hospitals were enrolled.

Results

One hundred fifty-four patients (72 with a gastric neoplasm and 82 with a colorectal neoplasm) were included in intention-to-treat analysis. Thirty-seven gastric neoplasms and 43 colorectal neoplasms were enrolled in the EE group. The usefulness rate was significantly higher in the EE group than in the NS group (89.2% vs. 60.0% for gastric neoplasms and 95.3% vs. 67.7% for colorectal neoplasms, p<0.001). In the EE group, the ease of mucosal resection was significantly higher than in the NS group (p<0.001). The injected volume was smaller in the EE group than in the NS group (p<0.05).

Conclusions

The use of EE reduced the need for additional injections and improved the ease of ER. A submucosal injection of EE is useful for the ER of both gastric and colorectal neoplasms.

Citations

Citations to this article as recorded by

Efficacy and safety of a submucosal injection solution of sodium alginate for endoscopic resection in a porcine model
Kyung Uk Jung, Yeon Jae Lee, Jae-Young Jang, Joo Young Cho
Scientific Reports.2024;[Epub] CrossRef
Injectable temperature-sensitive hydrogel facilitating endoscopic submucosal dissection
Ruifen Xu, Xiaoyu Yang, Tong Yi, Tao Tan, Zhongqi Li, Xuyang Feng, Jing Rao, Pinghong Zhou, Hao Hu, Yonghua Zhan
Frontiers in Bioengineering and Biotechnology.2024;[Epub] CrossRef
Hypertonic solution as an optimal submucosal injection solution for endoscopic resection of gastrointestinal mucosal lesions: Systematic review and network meta‐analysis
Li Gao, Jiawei Bai, Kai Liu, Lulu Wang, Shaohua Zhu, Xin Zhao, Ying Han, Zhiguo Liu
Digestive Endoscopy.2023;[Epub] CrossRef
Injectable Thermosensitive Chitosan Solution with β-Glycerophosphate as an Optimal Submucosal Fluid Cushion for Endoscopic Submucosal Dissection
Seung Jeong, Han Jo Jeon, Kyoung-Je Jang, Sangbae Park, Hyuk Soon Choi, Jong Hoon Chung
Polymers.2021; 13(11): 1696. CrossRef

7,209 View
71 Download
4 Web of Science
4 Crossref

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