雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Prognosis and Indications for Early Gastric Cancer ESD in the Elderly:Indications for ESD in the Elderly Patients with Stage I Gastric Cancer in Terms of Surgical Outcomes Souya Nunobe 1 , Yu Jesse Tajima 1 , Satoshi Ida 1 , Koushi Kumagai 1 , Rie Makuuchi 1 , Manabu Ohashi 1 1Department of Gastroenterological Surgery, Cancer Institute Ariake Hospital, Tokyo Keyword: 早期胃癌 , 高齢者 , 胃切除 , LECS , E-PASS pp.1499-1506
Published Date 2020/11/25
DOI https://doi.org/10.11477/mf.1403202187
  • Abstract
  • Look Inside
  • Reference

 An analysis of the surgical results of elderly patients with Stage I gastric cancer based on data collected by the Japan Gastric Cancer Society registration project shows that the 5-year overall survival rate decreases with increasing age, ranging from 47.0%-93.1%. In contrast, the disease-specific 5-year survival rate was 91.4%-98.2% and did not differ significantly. In addition, an examination of elderly patients with Stage I gastric cancer using E-PASS(estimation of physiologic ability and surgical stress)at our hospital showed that the prognosis was significantly poorer in the high CRS(comprehensive risk score)group. In multivariate analysis, CRS was an independent prognostic factor.

 In elderly patients with gastric cancer, lymph node metastasis does not affect prognosis when mortality due to other diseases is taken into consideration, leading to the expansion of local treatment by endoscopic submucosal dissection. E-PASS was also considered useful for selecting patients with a poor prognosis.


Copyright © 2020, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

関連文献

もっと見る