检索结果-南通市图书馆

Additional gastrectomy in early-stage gastric cancer after non-curative endoscopic resection:a meta-analysis

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Gastroenterology Report 2019年第2期7卷 91-97,I0001页

作者： Run-Cong Nie Shu-Qiang Yuan Yuan-Fang Li Shi Chen Yong-Ming Chen Xiao-Jiang Chen Guo-Ming Chen Zhi-Wei Zhou Ying-Bo Chen Department of Gastric Surgery Sun Yat-sen University Cancer CenterGuangzhouGuangdongP.R.China State Key Laboratory of Oncology in South China GuangzhouGuangdongP.R.China Collaborative Innovation Center for Cancer Medicine GuangzhouGuangdongP.R.China Department of Gastric Surgery The 6th Affiliated Hospital of Sun Yat-sen UniversityGuangzhouGuangdongP.R.China

Background and objective:The role of additional gastrectomy after non-curative endoscopic resection remains *** present meta-analysis aimed to explore the risk factors for early-stage gastric-cancer patients after non-curative endoscopic resection and evaluate the efficacy of additional ***:Relevant studies that reported additional gastrectomy after non-curative endoscopic resection were comprehensively searched in MedLine,Web of Science and *** first investigated the risk factors for residual tumor and lymph-node metastasis after non-curative endoscopic resection and then analysed the survival outcome,including 5-year overall survival(OS)and 5-year disease-free survival,of additional ***:Twenty-one studies comprising 4870 cases were included in the present *** found that residual tumor was associated with larger tumor size(>3 cm)(odds ratio[OR]=2.81,P3 cm)(OR=1.73,PSM1)(OR=2.68,Pendoscopic ***,risk stratification should be performed to avoid excessive treatment.

关键词： Early gastric cancer non-curative endoscopic resection gastrectomy

Clinical characteristics of patients with early gastric prematurity cancer and analysis of complications by endoscopic resection

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Oncology 2024年第9期16卷 3898-3904页

作者： Hong Zhao Xiang-Yu Shi Li-Li Lv Yan-Zong Lai Xiao-Xiao Bao Jian-Wen Hu Department of Gastroenterology Dongyang People’s HospitalDongyang 322100Zhejiang ProvinceChina Department of Gastroenterology Yiwu Tianxiang Medical East HospitalYiwu 322100Zhejiang ProvinceChina Department of Pathology Dongyang People’s HospitalDongyang 322100Zhejiang ProvinceChina

BACKGROUND Gastric cancer,a prevalent malignancy,poses a severe threat to the health of residents in *** intervention in early stages can extend patients’*** To analyze clinical characteristics of patients with early gastric cancer and efficacy and risk of complications associated with endoscopic *** This study included 175 patients with early gastric cancer treated at our hospital,with no restrictions on sex or *** data,pathological information,and endoscopic biopsy results were *** clinical characteristics of early gastric cancer were analyzed,and endoscopic resection was *** efficacy and incidence of complications were *** analysis was performed using SPSS 26.0 and GraphPad Prism 8.0 *** A total of 175 patients with early gastric cancer were included,with 75.43%(n=132)males and 24.57%(n=43)females.38.29%(n=67)and 35.43%(n=62)of patients had a history of smoking and alcohol consumption,*** included diabetes(8.57%,n=15),coronary heart disease(10.29%,n=18),and hypertension(43.43%,n=76),which was highly prevalent.A history of abdominal surgery and family history of digestive system cancer accounted for 21.14%and 17.14%,*** most common lesion location was the antral part of the stomach(52.00%,n=91),followed by the gastric angle,body,and *** pathological types were predominantly high-grade intraepithelial neoplasia(28.00%,n=49)and well-differentiated adenocarcinoma(26.86%,n=47),followed by moderately differentiated adenocarcinoma,high-moderately differentiated adenocarcinoma,and moderate-lowly differentiated adenocarcinoma.89.14%of the patients had intestinal metaplasia and 85.14%had *** endoscopic resection,re-examination revealed that 13 patients had cancer cells at the tissue margin,with a positive margin rate of 7.43%.Postoperative complications included no cases of gastrointestinal obstruction,but incisional infec

关键词： Early gastric cancer Clinical characteristics endoscopic resection Complications

Efficacy and safety of grasping forceps-assisted endoscopic resection for gastric neoplasms:A multi-centre retrospective study

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Oncology 2021年第3期13卷 174-184页

作者： Ryoji Ichijima Sho Suzuki Mitsuru Esaki Toshiki Horii Chika Kusano Hisatomo Ikehara Takuji Gotoda Division of Gastroenterology and Hepatology Department of MedicineNihon University School of MedicineChiyoda-ku 101-0062TokyoJapan Department of Medicine and Bioregulatory Sience Graduate School of Medical SciencesKyushu UniversityFukuoka 812-8582Japan Department of Gastroenterology Yuri Kumiai General HospitalYurihonjou City 015-8511AkitaJapan

BACKGROUND endoscopic submucosal dissection(ESD)is widely accepted for early gastric cancer(EGC)without lymph node metastasis,although ESD is challenging,even for small lesions,in the greater curvature(GC)of the upper(U)and middle(M)thirds of the *** forceps-assisted endoscopic resection(GF-ER)is a type of endoscopic mucosal resection that is performed via a double-channel *** To investigate the safety and efficacy of GF-ER vs ESD in the GC of the stomach’s U and M *** We retrospectively reviewed the medical records of 506 patients who underwent ER of 522 EGC lesions in the stomach’s U and M regions in three institutions between January 2016 and May *** lesions from eight patients who underwent GF-ER for EGC(the GF-ER group)were compared to 63 lesions from 63 patients who underwent ESD(the ESD group).We also performed a subgroup analysis of small lesions(≤10 mm)in 6 patients(7 lesions)from the GF-ER group and 20 patients(20 lesions)from the ESD *** There were no statistically significant differences between the GF-ER and ESD groups in the en bloc resection rates(100%vs 100%)and the R0 resection rates(100%vs 98.4%).The median procedure time in the GF-ER group was shorter than that in the ESD group(4.0 min vs 55.0 min,P<0.01).There were no adverse events in the GF-ER group,although five perforations(8.0%)and 1 case of postoperative bleeding(1.6%)were observed in the ESD *** we only considered lesions that were≤10 mm,the median procedure time in the GF-ER group was still shorter than that in the ESD group(4.0 min vs 35.0 min,P<0.01).There were no adverse events in the GF-ER group,although 1 case of perforation(1.6%)were observed in the ESD *** These findings suggest that GF-ER may be an effective therapeutic option for small lesions in the GC of the stomach’s U and M regions.

关键词： Gastric cancer endoscopic resection endoscopic submucosal dissection endoscopic mucosal resection Grasping forceps-assisted endoscopic resection

Efficacy of Helicobacter pylori eradication for the prevention of metachronous gastric cancer after endoscopic resection for early gastric cancer

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2014年第11期20卷 2760-2764页

作者： Jae Young Jang Hoon Jai Chun Division of Gastroenterology Department of Internal MedicineCollege of MedicineKyung Hee UniversitySeoul 136-705South Korea Division of Gastroenterology and Hepatology Department of Internal MedicineInstitute of Digestive Disease and NutritionKorea University College of MedicineSeoul 136-705South Korea

Helicobacter pylori(***)plays an important role in gastric carcinogenesis,as the majority of gastric cancers develop from ***-infected gastric *** rate of early gastric cancer diagnosis has increased in Japan and Korea,where *** infection and gastric cancer are highly *** intestinal-type gastric cancer without concomitant lymph node metastasis is usually treated by endoscopic *** metachronous gastric cancers often develop because atrophic mucosa left untreated after endoscopic treatment confers a high risk of gastric *** efficacy of *** eradication for the prevention of metachronous gastric cancer remains ***,in patients who undergo endoscopic resection of early gastric cancer,*** eradication is recommended to suppress or delay metachronous gastric *** and regularly scheduled endoscopy should be performed to detect minute metachronous gastric cancer after endoscopic resection.

关键词： Helicobacter pylori Gastric cancer endoscopic resection Metachronous cancer

Clinical outcomes of endoscopic resection of superficial nonampullary duodenal epithelial tumors: A 10-year retrospective, single-center study

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Surgery 2022年第4期14卷 329-340页

作者： Joon Hyun Cho Ki Young Lim Eun Jung Lee Si Hyung Lee Division of Gastroenterology and Hepatology Department of Internal MedicineYeungnam University College of MedicineDaegu 42415South Korea

BACKGROUND Although premalignant duodenal lesions such as adenomas are uncommon,the incidences of these lesions have increased in recent times,and thus,the demand for minimally invasive treatments such as endoscopic resection(ER)has also ***,ER in the duodenum is more challenging than ER in other locations of the gastrointestinal *** To evaluate the safety and efficacy of ER for superficial nonampullary duodenal epithelial tumors(SNADETs)METHODS We performed a retrospective observational study on 56 consecutive patients(58 lesions)diagnosed with SNADETs that underwent ER from January 2011 to December 2020 at Yeungnam University *** demographics,lesion characteristics,and procedural and technical data were collected,and clinical outcomes,including procedure-related complications,completeness of resection,and recurrence were *** Median patient age was 57 years[range,26–77,30(53.6%)men].endoscopic mucosal resection(EMR)was performed on 57 lesions(98.3%)and snare polypectomy on one(1.7%).Lesions consisted of 52 adenomas with low-grade dysplasia(89.7%),3 adenomas with high-grade dysplasia(5.2%),and 3 intramucosal adenocarcinomas(5.2%).There were 16 cases of intraprocedural bleeding(27.6%)and 1 case of delayed bleeding(1.7%),and all these 17 cases were successfully managed *** perforation or procedure-related death *** lesion size was associated with an increased risk of EMR-related bleeding(P=0.033).During a median follow-up period of 23 mo(range 6–100 mo),no local recurrence occurred,despite the fact one-third of the patients(19 lesions,32.8%)underwent piecemeal resection and 3 patients(3 lesions,5.2%)that underwent en bloc resection had a pathologically determined positive lateral *** patient died from a primary duodenal *** The majority of SNADETs can be safely and curatively resected by EMR,and thus,based on consideration of the high incidence of fatal complications attribut

关键词： Duodenum Adenoma endoscopic mucosal resection endoscopic resection Superficial nonampullary duodenal epithelial tumor

Prevention of late complications of endoscopic resection of colorectal lesions with a coverage agent:Current status of gastrointestinal endoscopy

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Oncology 2022年第2期14卷 543-546页

作者： Yan-Dong Miao Xiao-Long Tang Jiang-Tao Wang Deng-Hai Mi The First Clinical Medical College Lanzhou UniversityLanzhou 730000Gansu ProvinceChina Dean's office Gansu Academy of Traditional Chinese MedicineLanzhou 730000Gansu ProvinceChina

endoscopic ectomy of large nonpedunculated colorectal lesions(≥20 mm)might cause significant adverse incidents,such as delayed perforation and delayed bleeding,despite the closure of mucosal lesions with *** conventional utilization of prophylactic clipping has not decreased the risk of postprocedural delayed adverse events,and additional outcomes and cost-effectiveness research is needed for patients with proximal lesions≥20 mm,in whom prophylactic clipping might be *** of the wound after endoscopic excision offers shield protection against delayed concomitant diseases.

关键词： endoscopic resection Non-pedunculated colorectal lesions Complication Delayed bleeding Delayed perforation Coverage agents

endoscopic resection of non-ampullary duodenal adenomas: Is cold snaring the promised land?

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Endoscopy 2023年第4期15卷 248-258页

作者： Ludovico Alfarone Marco Spadaccini Gianluca Franchellucci Kareem Khalaf Davide Massimi Alessandro De Marco Silvia Ferretti Valeria Poletti Antonio Facciorusso Roberta Maselli Alessandro Fugazza Matteo Colombo Antonio Capogreco Silvia Carrara Cesare Hassan Alessandro Repici Department of Biomedical Sciences Humanitas UniversityRozzano 20089Italy Department of Gastroenterology Division of Gastroenterology and Digestive EndoscopyHumanitas Research HospitalIRCCSRozzano 20089MilanItaly Division of Gastroenterology St.Michael's HospitalUniversity of TorontoToronto M5B 1W8Canada Gastroenterology Unit Department of Medical SciencesUniversity of FoggiaFoggia 71100Italy

Due to the high risk of morbidity and mortality associated with surgical resection in this tract,endoscopic resection(ER)has taken the place of surgical resection as the first line treatment for non-ampullary duodenal ***,due to the anatomical characteristics of this area,which enhance the risk of post-ER problems,ER in the duodenum is particularly *** to a lack of data,no ER technique for superficial non-ampullary duodenal epithelial tumours(SNADETs)has yet been backed by strong,high-quality evidence;yet,traditional hot snare-based techniques are still regarded as the standard *** having a favourable efficiency profile,adverse events during duodenal hot snare polypectomy(HSP)and hot endoscopic mucosal resection,such as delayed bleeding and perforation,have been reported to be *** events are primarily caused by electrocautery-induced ***,ER techniques with a better safety profile are needed to overcome these *** snare polypectomy,which has already been shown as a safer,equally effective pro-cedure compared to HSP for treatment of small colorectal polyps,is being increasingly evaluated as a potential therapeutic option for non-ampullary duodenal *** aim of this review is to report and discuss the early outcomes of the first experiences with cold snaring for SNADETs.

关键词： Non-ampullary duodenal adenomas endoscopic resection Cold snare polypectomy Hot snare polypectomy Safety Efficacy

endoscopic resection for calcifying fibrous tumors of the gastrointestinal tract

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Clinical Oncology 2024年第2期15卷 282-289页

作者： Zi-Han Geng Yan Zhu Pei-Yao Fu Yi-Fan Qu Shi-Yao Chen Yun-Shi Zhong Yi-Qun Zhang Wei-Feng Chen Wen-Zheng Qin Jian-Wei Hu Ming-Yan Cai Li-Qing Yao Quan-Lin Li Ping-Hong Zhou Endoscopy Center and Endoscopy Research Institute Zhongshan HospitalFudan UniversityShanghai 200032China Shanghai Collaborative Innovation Center of Endoscopy Shanghai 200032China

BACKGROUND Calcifying fibrous tumors(CFTs)are rare mesenchymal lesions that can occur in various sites throughout the body,including the tubular gastrointestinal(GI)*** To analyze the clinical findings of 36 patients with GI tract CFTs to provide guidance for diagnosis and *** This retrospective study included 36 patients diagnosed with CFTs of the GI *** collected demographic and clinical information and conducted regular follow-ups to assess for local *** The stomach was the most commonly involved site,accounting for 72.2%of the 36 *** mucosal resection(n=1,2.8%),endoscopic submucosal dissection(n=14,38.9%),endoscopic full-thickness resection(n=16,44.4%),and submucosal tunneling endoscopic resection(n=5,13.9%)were used to resect calcifying fibrous ***,34(94.4%)CFTs underwent complete endoscopic resections with a mean procedure time of 39.8±29.8 *** average maximum diameter of the tumors was 10.6±4.3 *** complications,such as bleeding or perforation,occurred during an average hospital stay of 2.9±1.2 *** addition,two patients developed new growth of CFTs near the primary tumor sites,and none of the patients developed distant metastases during the follow-up *** GI tract CFTs are rare and typically benign tumors that can be effectively managed with endoscopic procedures.

关键词： endoscopic resection Calcifying fibrous tumor Gastrointestinal tract

endoscopic resection of a giant irregular leiomyoma in fundus and cardia:A case report

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Endoscopy 2024年第12期16卷 678-685页

作者： Peng Li Guang-Ming Tang Pei-Lin Li Chun Zhang Wei-Qiang Wang Department of Gastroenterology Central Hospital Affiliated to Chongqing University of TechnologyChongqing 400054China Department of Hepatological Surgery Central Hospital Affiliated to Chongqing University of TechnologyChongqing 400054China Department of Pathology Central Hospital Affiliated to Chongqing University of TechnologyChongqing 400054China

BACKGROUND endoscopic resection of giant gastric leiomyomas,particularly in the fundus and cardia regions,is infrequently documented and presents a significant challenge for endoscopic *** SUMMARY Herein,a case of a 59-year-old woman with a giant gastric leiomyoma was *** patient presented to the department of hepatological surgery with a complaint of right upper abdominal pain for one month and worsening for one *** patient was diagnosed as gastric submucosal tumor(SMT),gallstone,and cholecystitis combined with computed tomography and gastroendoscopy prior to *** admission,following a multi-disciplinary treatment discussion,it was determined that the patient would undergo a laparoscopic cholecystectomy and endoscopic resection of gastric *** took 3 hours to completely resect the lesion by endoscopic submucosal excavation and endoscopic fullthickness resection,and about 3 hours to suture the wound and take out the *** lesion,ginger-shaped and measuring 8 cm×5 cm,led to transient peritonitis *** no cardiac complications,the patient was discharged one week after *** endoscopic resection of a giant leiomyoma in the cardiac fundus is feasible and suitable for skilled endoscopists.

关键词： Gastric leiomyoma endoscopic resection Fundus Cardia Giant Case report