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How to manage pyloric tumours that are difficult to resect completely with endoscopic resection: comparison of the retroflexion vs. forward view technique.

DC Field Value Language
dc.contributor.author김지현-
dc.contributor.author김현기-
dc.contributor.author김호근-
dc.contributor.author박준철-
dc.contributor.author박효진-
dc.contributor.author신성관-
dc.contributor.author윤영훈-
dc.contributor.author이상길-
dc.contributor.author이상인-
dc.contributor.author이용찬-
dc.contributor.author이혁-
dc.contributor.author정현수-
dc.contributor.author최경석-
dc.date.accessioned2014-12-20T17:21:53Z-
dc.date.available2014-12-20T17:21:53Z-
dc.date.issued2011-
dc.identifier.issn1590-8658-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/94463-
dc.description.abstractBACKGROUND: It is difficult to perform complete resection of prepyloric tumours, especially those involving pyloric channel due to incomplete visualisation and insufficient resection margin with forward view. AIM: To investigate outcomes of endoscopic submucosal dissection for pyloric tumours, we assess effectiveness of retroflexion view technique in comparison with forward view technique. METHODS: We investigated 47 prepyloric tumours treated by endoscopic submucosal dissection and compared results of forward view technique with those of retroflexion view technique. RESULTS: Of the 47 prepyloric tumours, 23 lesions had pyloric channel involvement (group 1) and 24 lesions did not (group 2). The en bloc resection, curative resection and complete resection rates for all endoscopic submucosal dissection cases were 80.9, 85.1 and 70.2%, respectively. The en bloc resection, curative resection and complete resection rates were significantly lower in group 1 than group 2. Of the tumours involving pyloric channel except 3 cases which were extended to duodenum, 12 lesions were resected with retroflexion and 8 lesions with forward. Curative resection rate was higher in retroflexion group than forward group (91.7% vs. 37.5%; p=0.018). None of the patients experienced perforation or pyloric stenosis. CONCLUSIONS: Endoscopic submucosal dissection using retroflexion manoeuvre is a more effective method for the curative resection of gastric tumours involving pyloric channel.-
dc.description.statementOfResponsibilityopen-
dc.format.extent958~964-
dc.relation.isPartOfDIGESTIVE AND LIVER DISEASE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdenocarcinoma/pathology-
dc.subject.MESHAdenocarcinoma/surgery*-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHDissection-
dc.subject.MESHFemale-
dc.subject.MESHGastric Mucosa/pathology-
dc.subject.MESHGastric Mucosa/surgery*-
dc.subject.MESHGastroscopy/methods*-
dc.subject.MESHHumans-
dc.subject.MESHKaplan-Meier Estimate-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeoplasm Recurrence, Local/pathology*-
dc.subject.MESHPylorus/pathology-
dc.subject.MESHPylorus/surgery*-
dc.subject.MESHStomach Neoplasms/pathology-
dc.subject.MESHStomach Neoplasms/surgery*-
dc.subject.MESHTreatment Outcome-
dc.titleHow to manage pyloric tumours that are difficult to resect completely with endoscopic resection: comparison of the retroflexion vs. forward view technique.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorJun Chul Park-
dc.contributor.googleauthorJie-Hyun Kim-
dc.contributor.googleauthorYoung Hoon Youn-
dc.contributor.googleauthorKyungseok Cheoi-
dc.contributor.googleauthorHyunsoo Chung-
dc.contributor.googleauthorHyunki Kim-
dc.contributor.googleauthorHyuk Lee-
dc.contributor.googleauthorSung Kwan Shin-
dc.contributor.googleauthorSang Kil Lee-
dc.contributor.googleauthorHoguen Kim-
dc.contributor.googleauthorHyojin Park-
dc.contributor.googleauthorSang In Lee-
dc.contributor.googleauthorYong Chan Lee-
dc.identifier.doi10.1016/j.dld.2011.08.008-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01108-
dc.contributor.localIdA01183-
dc.contributor.localIdA01676-
dc.contributor.localIdA01774-
dc.contributor.localIdA02112-
dc.contributor.localIdA02583-
dc.contributor.localIdA02812-
dc.contributor.localIdA02828-
dc.contributor.localIdA02988-
dc.contributor.localIdA03285-
dc.contributor.localIdA04033-
dc.contributor.localIdA00996-
dc.relation.journalcodeJ00735-
dc.identifier.eissn1878-3562-
dc.identifier.pmid21920829-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S1590865811002994-
dc.subject.keywordEndoscopic submucosal dissection-
dc.subject.keywordPrepyloric tumour-
dc.subject.keywordRetroflexion-
dc.contributor.alternativeNameKim, Ji Hyun-
dc.contributor.alternativeNameKim, Hyun Ki-
dc.contributor.alternativeNameKim, Ho Keun-
dc.contributor.alternativeNamePark, Jun Chul-
dc.contributor.alternativeNamePark, Hyo Jin-
dc.contributor.alternativeNameShin, Sung Kwan-
dc.contributor.alternativeNameYoun, Young Hoon-
dc.contributor.alternativeNameLee, Sang Kil-
dc.contributor.alternativeNameLee, Sang In-
dc.contributor.alternativeNameLee, Yong Chan-
dc.contributor.alternativeNameLee, Hyuk-
dc.contributor.alternativeNameChung, Hyun Soo-
dc.contributor.alternativeNameCheoi, Kyung Seok-
dc.contributor.affiliatedAuthorKim, Hyun Ki-
dc.contributor.affiliatedAuthorKim, Ho Keun-
dc.contributor.affiliatedAuthorPark, Jun Chul-
dc.contributor.affiliatedAuthorPark, Hyo Jin-
dc.contributor.affiliatedAuthorShin, Sung Kwan-
dc.contributor.affiliatedAuthorYoun, Young Hoon-
dc.contributor.affiliatedAuthorLee, Sang Kil-
dc.contributor.affiliatedAuthorLee, Sang In-
dc.contributor.affiliatedAuthorLee, Yong Chan-
dc.contributor.affiliatedAuthorLee, Hyuk-
dc.contributor.affiliatedAuthorCheoi, Kyung Seok-
dc.contributor.affiliatedAuthorKim, Ji Hyun-
dc.rights.accessRightsnot free-
dc.citation.volume43-
dc.citation.number12-
dc.citation.startPage958-
dc.citation.endPage964-
dc.identifier.bibliographicCitationDIGESTIVE AND LIVER DISEASE, Vol.43(12) : 958-964, 2011-
dc.identifier.rimsid27348-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers

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