Stomach and Intestine(Tokyo) Volume 52, Issue 3 (March 2017)
Japanese

Comparisons of Background Factors and Clinical Outcomes of Endoscopic Submucosal Dissection between Gastric Cardiac Adenocarcinoma and Barrett's Esophageal Adenocarcinoma in Siewert Type II Pathological T1 Adenocarcinomas Hiroki Osumi 1 , Junko Fujisaki 1 , Hiroshi Kawachi 2 , Masami Omae 1 , Tomoki Shimizu 1 , Toshiyuki Yoshio 1 , Akiyoshi Ishiyama 1 , Toshiaki Hirasawa 1 , Tomohiro Tsuchida 1 , Noriko Yamamoto 2 , Yorimasa Yamamoto 1 1Departments of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo 2Departments of Pathology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo Keyword: 噴門部癌 , Barrett食道腺癌 , 食道胃接合部癌 , ESD pp.311-318
Published Date 2017/3/25
DOI https://doi.org/10.11477/mf.1403200853
  • Abstract
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 Background:In esophagogastric junction adenocarcinoma, both GCA(gastric cardiac adenocarcinoma)and BEA(Barrett's esophageal adenocarcinoma)originated in short-segment Barrett's esophagus are included. This study aimed to compare background factors and clinical outcomes of ESD(endoscopic submucosal dissection)between GCA and BEA.

 Materials and Methods:We enrolled 139 patients who underwent ESD between 2006 and 2014 at the cancer institute hospital. We compared background factors, endoscopic features, and clinical outcomes of endoscopy between 54(38.9%)patients with BEA and 85(61.1%)patients with GCA.

 Results:The curative resection rate of GCA was higher than that of BEA. There were no significant differences in background factors between the two groups. The risk factor for non-curative resection, lymphovascular invasion, and depth of invasion was higher in the BEA group than in the GCA group.

 Conclusion:Although there were no significant differences in background factors, BEA was found to be a risk factor for the non-curative resection of ESD.


Copyright © 2017, Igaku-Shoin Ltd. All rights reserved.

基本情報

05362180.52.3.jpg
胃と腸
52巻3号 (2017年3月)
電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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