Comparison of Endoscopic Submucosal Dissection and Surgery for Differentiated Type Early Gastric Cancer within the Expanded Criteria

Endoscopic submucosal dissection (ESD) is a novel alternative treatment for differentiated early gastric cancer (EGC) without lymph node metastasis. We conducted this study to verify the therapeutic usefulness of ESD for treating differentiated EGC compared to that of surgery. This is a retrospectiv...

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Bibliographic Details
Published in:Clinical endoscopy 2017-03, Vol.50 (2), p.170-178
Main Authors: Shin, Dong Woo, Hwang, Hee Young, Jeon, Seong Woo
Format: Article
Language:English
Subjects:
Endoscopic submucosal dissection
Gastrectomy
Original
Stomach neoplasms
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Summary:Endoscopic submucosal dissection (ESD) is a novel alternative treatment for differentiated early gastric cancer (EGC) without lymph node metastasis. We conducted this study to verify the therapeutic usefulness of ESD for treating differentiated EGC compared to that of surgery. This is a retrospective cohort study of 382 patients treated with differentiated EGC from March 2006 to May 2010. The propensity score yielded 275 matched patients. They were divided into an ESD group of 175 people and a gastrectomy group of 100 people. The patient demographics, pathologic characteristics, length of hospital stay, complication rate and survival rate were compared. The complication rate was higher for the gastrectomy group than for the ESD group (15.0% vs. 5.1%, =0.007). The average length of patient hospitalization was longer after gastrectomy than after ESD (8.6 days vs. 2.4 days,
ISSN:2234-2400
2234-2443
DOI:10.5946/ce.2016.017