| 내시경적 점막절제술로 제거된 위선종의 장기 추적관찰 및 재발예측인자 |
| 이엄석·채경훈·허원석·정재훈·강윤세·김연수·박기오·김선문·성재규·김석현·이병석·정현용 |
| 충남대학교 의과대학 내과학교실 |
| Long-term Outcome of Endoscopic Mucosal Resection for Gastric Adenoma and Factors Related to Recurrence |
| Yeom Seok Lee, M.D., Kyung Hoon Chae, M.D., Won Seok Heo, M.D., Jae Hoon Jung, M.D., Yoon Sae Kang, M.D., Yeon Soo Kim, M.D., Ki Oh Park, M.D., Seon Mun Kim, M.D., Jae Kyu Seong, M.D., Seok Hyun Kim, M.D., Byung Seok Lee, M.D. and Hyun Yong Jeong, M.D. |
| Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea |
|
|
|
|
| Abstract |
|
Background/Aims:
Endoscopic mucosal resection (EMR) has been known as a method of local treatment for early gastric cancer (EGC) or gastric adenoma. It has been widely accepted as a useful method due to its minimal invasiveness, safety and satisfactory result. The purpose of this study was to identify the factors affecting the recurrence after EMR.
Methods:
Three hundred twenty adenomas in 297 patients were treated by EMR from January, 1991 until July 2003. Among those, 197 lesions in 184 patients that could have been followed-up were analyzed retrospectively.
Results:
The mean follow-up period was 15.0 (1∼89) months. Of the 197 lesions, there were 35 recurrences (17.7%). The recurrence rate was higher in lesions associated with severe mucosal atrophy and intestinal metaplasia in surrounding mucosa (p=0.035). Other factors showed no statistically significant difference in recurrence rate.
Conclusions:
In this study, we concluded that the presence of intestinal metaplasia and severe atrophic background mucosa were related to the recurrence of gastric adenoma after EMR. (Korean J Gastrointest Endosc 2005; 30:119125) |
| Key Words:
Endoscopic mucosal resection, Gastric adenoma, Recurrence |
| 주요어:
내시경적 점막절제술, 위선종, 재발예측인자 |
|
|
PDF Links
Full text via DOI 
Download Citation 
