Clinical Endoscopy

  • 제51권5호
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  • Pages.478-484
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  • 2018
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  • 2234-2400(pISSN)
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  • 2234-2443(eISSN)
대한소화기내시경학회 (The Korean Society of Gastrointestinal Endoscopy)
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Factors Affecting Endoscopic Curative Resection of Gastric Cancer in the Population-Based Screening Era

  • Mun, Yoon Gwon (Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Choi, Myung-Gyu (Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Lim, Chul-Hyun (Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Lee, Han Hee (Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Kang, Dong Hoon (Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Park, Jae Myung (Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Song, Kyo Young (Division of Gastrointestinal Surgery, Department of Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • 투고 : 2017.11.30
  • 심사 : 2018.03.31
  • 발행 : 2018.09.30
⟨ 이전 논문 다음 논문 ⟩

초록

Background/Aims: Since population-based screening for gastric cancer in Korea was implemented, endoscopic treatment of early gastric cancer has become increasingly popular. This study investigates factors affecting endoscopic curative resection of early gastric cancer in population-based screening for gastric cancer. Methods: We retrospectively reviewed data of patients with newly diagnosed gastric cancer who underwent treatment at Seoul St. Mary's Hospital. All patients completed questionnaires about clinical information, including interval between surveillance tests for gastric cancer. Results: Of 469 gastric cancer patients, 147 (31.3%) had undergone curative endoscopic resection, 260 (55.4%) had undergone curative surgical resection, and 62 (13.3%) underwent non-curative resection or were in an inoperable state. Patients with curative endoscopic resection had fewer alarm symptoms/signs than other groups. In multivariate analysis, regular surveillance endoscopy was the only factor predicting curative endoscopic resection (odds ratio [OR], 6.099; 95% confidence interval [CI], 2.532-14.933). In addition, patients undergoing gastric cancer screening had a significantly higher rate of endoscopic curative resection compared with subjects who had never been screened. (1-year interval: OR, 49.969; 95% CI, 6.340-393.827, 2-year interval: OR, 15.283; 95% CI, 1.833-127.406, over 2-year interval: OR, 10.651; 95% CI, 1.248-90.871). Shorter screening test intervals were associated with higher rates of endoscopic curative resection. Conclusions: Regular surveillance testing was the independent factor predicting curative endoscopic resection of gastric cancer.

키워드

참고문헌

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피인용 문헌

  1. The More, the Better: Is This True in Endoscopy for Gastric Cancer Screening? vol.51, pp.5, 2018, https://doi.org/10.5946/ce.2018.098
  2. Risk Factors and Clinical Outcomes of Non-Curative Resection in Patients with Early Gastric Cancer Treated with Endoscopic Submucosal Dissection: A Retrospective Multicenter Study in Korea vol.53, pp.2, 2020, https://doi.org/10.5946/ce.2019.123