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Clinical outcomes and factors related to resectability and curability of EMR for early colorectal can

DC Field Value Language
dc.contributor.author신재국-
dc.contributor.author전승민-
dc.contributor.author천재희-
dc.contributor.author홍성필-
dc.contributor.author권지은-
dc.contributor.author김원호-
dc.contributor.author김태일-
dc.contributor.author김호근-
dc.contributor.author문창모-
dc.contributor.author박재준-
dc.contributor.author복현정-
dc.date.accessioned2014-12-20T17:29:32Z-
dc.date.available2014-12-20T17:29:32Z-
dc.date.issued2011-
dc.identifier.issn0016-5107-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/94701-
dc.description.abstractBACKGROUND: EMR has emerged as an alternative therapeutic option for selected cases of early colorectal cancer (ECC). However, the factors associated with resectability and curability of EMR for ECC remain unknown. OBJECTIVE: To investigate clinical outcomes and factors related to resectability and curability in ECC cases treated with EMR. DESIGN: Retrospective study. SETTING: Tertiary-care academic medical center. PATIENTS: This study involved all patients in whom EMR was performed for ECC at Severance Hospital between March 1997 and August 2007. A total of 236 cases of ECC occurring in 231 patients (66.2% men) were enrolled. INTERVENTION: EMR. Curative surgical resection and lymph node dissection were used in cases that were incompletely cured by EMR. MAIN OUTCOME MEASUREMENTS: Resectability, curability, and recurrence. RESULTS: Complete cure was achieved for 162 lesions (68.6%). Of the remaining 74 cases (31.4%), 69 (29.2%) were incompletely cured, and the other 5 (2.1%) had an undetermined resection status and ultimately required supplementary surgical resection for curative treatment. Location on the right side of the colon, piecemeal resection, and submucosal carcinoma were independently associated with incomplete resection, whereas depressed tumor type was independently related to incomplete cure. Among the ECC cases completely cured by EMR and followed for more than a year (n = 118), local recurrence was observed in one case (0.8%) during the median follow-up period of 39.4 months (range 12.4-123.1 months). LIMITATIONS: Single-center, retrospective study. CONCLUSION: Our data show that EMR is feasible and could be an effective option for treatment of ECC if the technique is applied with the appropriate indications.-
dc.description.statementOfResponsibilityopen-
dc.format.extent1337~1346-
dc.relation.isPartOfGASTROINTESTINAL ENDOSCOPY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAged, 80 and over-
dc.subject.MESHColonoscopy/methods*-
dc.subject.MESHColorectal Neoplasms/diagnosis-
dc.subject.MESHColorectal Neoplasms/surgery*-
dc.subject.MESHDissection/methods*-
dc.subject.MESHEarly Diagnosis*-
dc.subject.MESHFeasibility Studies-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHumans-
dc.subject.MESHIntestinal Mucosa/pathology-
dc.subject.MESHIntestinal Mucosa/surgery*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeoplasm Staging*-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTime Factors-
dc.subject.MESHTreatment Outcome-
dc.titleClinical outcomes and factors related to resectability and curability of EMR for early colorectal can-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorJae Jun Park-
dc.contributor.googleauthorJae Hee Cheon-
dc.contributor.googleauthorJi Eun Kwon-
dc.contributor.googleauthorJae Kook Shin-
dc.contributor.googleauthorSoung Min Jeon-
dc.contributor.googleauthorHyun Jung Bok-
dc.contributor.googleauthorJin Ha Lee-
dc.contributor.googleauthorChang Mo Moon-
dc.contributor.googleauthorSung Pil Hong-
dc.contributor.googleauthorTae Il Kim-
dc.contributor.googleauthorHoguen Kim-
dc.contributor.googleauthorWon Ho Kim-
dc.identifier.doi10.1016/j.gie.2011.07.069-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02138-
dc.contributor.localIdA03526-
dc.contributor.localIdA04404-
dc.contributor.localIdA00253-
dc.contributor.localIdA00774-
dc.contributor.localIdA01079-
dc.contributor.localIdA01183-
dc.contributor.localIdA01390-
dc.contributor.localIdA01636-
dc.contributor.localIdA01866-
dc.contributor.localIdA04030-
dc.relation.journalcodeJ00920-
dc.identifier.eissn1097-6779-
dc.identifier.pmid22136778-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0016510711020542-
dc.subject.keywordECC-
dc.subject.keywordearly colorectal cancer-
dc.subject.keywordESD-
dc.subject.keywordendoscopic submucosal dissection-
dc.contributor.alternativeNameShin, Jae Kook-
dc.contributor.alternativeNameJeon, Soung Min-
dc.contributor.alternativeNameCheon, Jae Hee-
dc.contributor.alternativeNameHong, Sung Pil-
dc.contributor.alternativeNameKwon, Ji Eun-
dc.contributor.alternativeNameKim, Won Ho-
dc.contributor.alternativeNameKim, Tae Il-
dc.contributor.alternativeNameKim, Ho Keun-
dc.contributor.alternativeNameMoon, Chang Mo-
dc.contributor.alternativeNamePark, Jae Jun-
dc.contributor.alternativeNameBok, Hyun Jung-
dc.contributor.affiliatedAuthorShin, Jae Kook-
dc.contributor.affiliatedAuthorJeon, Soung Min-
dc.contributor.affiliatedAuthorHong, Sung Pil-
dc.contributor.affiliatedAuthorKwon, Ji Eun-
dc.contributor.affiliatedAuthorKim, Won Ho-
dc.contributor.affiliatedAuthorKim, Tae Il-
dc.contributor.affiliatedAuthorKim, Ho Keun-
dc.contributor.affiliatedAuthorMoon, Chang Mo-
dc.contributor.affiliatedAuthorPark, Jae Jun-
dc.contributor.affiliatedAuthorBok, Hyun Jung-
dc.contributor.affiliatedAuthorCheon, Jae Hee-
dc.rights.accessRightsnot free-
dc.citation.volume74-
dc.citation.number6-
dc.citation.startPage1337-
dc.citation.endPage1346-
dc.identifier.bibliographicCitationGASTROINTESTINAL ENDOSCOPY, Vol.74(6) : 1337-1346, 2011-
dc.identifier.rimsid27691-
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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