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Risk factors associated with surveillance loss after endoscopic submucosal dissection in patients with gastric neoplasm

Authors
 Manwoo Lee  ;  Kyungchul Kim  ;  Yong Kang Lee  ;  Byung Kyu Park  ;  San Lee  ;  Han Ho Jeon 
Citation
 ANNALS OF TRANSLATIONAL MEDICINE, Vol.9(14) : 1127, 2021-07 
Journal Title
ANNALS OF TRANSLATIONAL MEDICINE
ISSN
 2305-5847 
Issue Date
2021-07
Keywords
Gastric neoplasm ; endoscopic resection ; surveillance
Abstract
Background: After endoscopic submucosal dissection of gastric neoplasms, surveillance endoscopy is required for patients with synchronous or metachronous neoplasms. We aimed to evaluate the risk factors associated with surveillance loss in patients who underwent endoscopic submucosal dissection.

Methods: Ninety-five patients treated with endoscopic submucosal dissection for gastric neoplasms between May 2015 and June 2016 were retrospectively reviewed. Clinicopathologic factors, sociodemographic factors, psychiatric measures, and associated risk factors for surveillance loss were evaluated. The chi-square or Fisher exact test, t-test, and logistic regression analysis were used in data analysis.

Results: Twenty-five (26.3%) patients were identified as having surveillance loss. Compared to the surveillance group, the surveillance loss group was old and had dysplasia, and a healthy American Society of Anesthesiologists physical status. Similarly, surveillance loss was related to low symptom perception, low incidence of alexithymia, mindful awareness, and high trait forgiveness. Logistic regression analysis showed that dysplasia (odds ratio, 15.23; 95% CI, 1.56-149.09, P=0.019), old age (odds ratio, 7.14; 95% CI, 1.90-26.88, P=0.004), and American Society of Anesthesiologists physical status 1 (odds ratio, 3.99; 95% CI, 1.09-14.60, P=0.037) were associated with surveillance loss.

Conclusions: Dysplasia, old age, and the American Society of Anesthesiologists physical status 1 were associated with surveillance loss in patients who underwent gastric endoscopic submucosal dissection. It could be helpful to proactively monitor patients with such conditions after gastric endoscopic submucosal dissection.
Files in This Item:
T202103809.pdf Download
DOI
10.21037/atm-21-891
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Lee, San(이산) ORCID logo https://orcid.org/0000-0003-4834-8463
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/184834
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