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Simultaneous endoscopic submucosal dissection for multiple early gastric cancers in a low volume center.
Chen, Zhao-Sheng; Jin, Xi-Feng; Wu, Hong-Lei; Guo, Jian-Qiang.
Affiliation
  • Chen ZS; Department of Gastroenterology, The Second Hospital of Shandong University Department of Gastroenterology, Tengzhou Central People's Hospital , Tengzhou, Shandong Province, China.
Medicine (Baltimore) ; 96(36): e7745, 2017 Sep.
Article in En | MEDLINE | ID: mdl-28885329
The aim of the study is to evaluate the safety and efficacy of simultaneous endoscopic submucosal dissection (ESD) for multiple early gastric cancers.A total of 70 solitary early gastric cancers from 70 patients and 20 multiple early gastric cancers from 10 patients were included in this retrospective study. The curative resection rate, en bloc resection rate, procedure-related complications, and local recurrence were compared between the 2 groups.There was no statistical difference in the rate of complete resection, en bloc resection, and curative resection between the 2 groups (P > .05). No significant difference was found with respect to the occurrence of postoperative bleeding (P > .05). Procedure time was significantly longer in the simultaneous group than that in the single group (87.6 ±â€Š25.1 min vs 54.6 ±â€Š22.0 min, P = .004). The overall incidence of synchronous early gastric cancer was 7.5%.Simultaneous ESD for multiple early gastric cancers is a safe and feasible choice in low-volume hospital. The entire stomach should be examined meticulously during and after ESD. Larger randomized studies are needed to validate our results.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Stomach Neoplasms / Hospitals, Low-Volume / Endoscopic Mucosal Resection Type of study: Observational_studies / Risk_factors_studies Limits: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Language: En Journal: Medicine (Baltimore) Year: 2017 Document type: Article Affiliation country: Country of publication:

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Stomach Neoplasms / Hospitals, Low-Volume / Endoscopic Mucosal Resection Type of study: Observational_studies / Risk_factors_studies Limits: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Language: En Journal: Medicine (Baltimore) Year: 2017 Document type: Article Affiliation country: Country of publication: