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Can we apply the same indication of endoscopic submucosal dissection for primary gastric cancer to remnant gastric cancer?

 Yoon Young Choi  ;  In Gyu Kwon  ;  Sang Kil Lee  ;  Hyun Ki Kim  ;  Ji Yeong An  ;  Hyoung Il Kim  ;  Jae Ho Cheong  ;  Richard Thomas Mliwa  ;  Sung Kwan Shin  ;  Yong Chan Lee  ;  Woo Jin Hyung  ;  Sung Hoon Noh 
 GASTRIC CANCER, Vol.17(2) : 310-315, 2014 
Journal Title
Issue Date
Adenocarcinoma/pathology ; Adenocarcinoma/surgery* ; Adenocarcinoma, Mucinous/pathology ; Adenocarcinoma, Mucinous/surgery ; Adult ; Aged ; Carcinoma, Papillary/pathology ; Carcinoma, Papillary/surgery ; Carcinoma, Signet Ring Cell/pathology ; Carcinoma, Signet Ring Cell/surgery ; Endoscopy ; Female ; Follow-Up Studies ; Gastrectomy* ; Gastric Mucosa/pathology ; Gastric Mucosa/surgery* ; Gastric Stump/pathology ; Gastric Stump/surgery* ; Humans ; Male ; Middle Aged ; Neoplasm Staging ; Postoperative Complications* ; Prognosis ; Retrospective Studies ; Stomach Neoplasms/pathology ; Stomach Neoplasms/surgery*
Remnant gastric cancer ; Endoscopy ; ESD ; Lymph node ; Gastric cancer
BACKGROUND: Currently, remnant gastric cancer (RGC) is uncommon compared with gastric stump cancer, but early detection of gastric cancer and improved postsurgical survival will lead to increased incidence of RGC. Therefore, the indication of endoscopic submucosal dissection (ESD) for RGC is now required, but there have been no reports about this because of the lack of information for RGC. METHODS: A retrospective review was conducted on 105 patients who underwent completion total gastrectomy (CTG) and 5 patients who underwent ESD for RGC between January 1998 and December 2010 at Yonsei University Hospital. RESULTS: Forty-one (39 %) of 105 patients were diagnosed with early RGC. Among these patients, 6 had an absolute indication for ESD, whereas 11 met expanded criteria for ESD. In these patients, there was no association between the severity of the former gastric cancer and the current RGC. Also, none of these 17 patients had LN metastasis after CTG, and only 1 (2.4 %) of 41 early RGC patients had LN metastasis. Median operative time was 216 min for CTG and median hospital stay was 8 days. There were two major and five minor complications. One splenectomy was performed because of injury that occurred during CTG. CONCLUSIONS: Applying the indication of ESD for primary gastric cancer to RGC would be possible, and it could be an alternative treatment option for selected patients with RGC.
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1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
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
Yonsei Authors
Kwon, In Gyu(권인규) ORCID logo https://orcid.org/0000-0002-1489-467X
Kim, Hyunki(김현기) ORCID logo https://orcid.org/0000-0003-2292-5584
Kim, Hyoung Il(김형일) ORCID logo https://orcid.org/0000-0002-6134-4523
Noh, Sung Hoon(노성훈) ORCID logo https://orcid.org/0000-0003-4386-6886
Shin, Sung Kwan(신성관) ORCID logo https://orcid.org/0000-0001-5466-1400
Lee, Sang Kil(이상길) ORCID logo https://orcid.org/0000-0002-0721-0364
Lee, Yong Chan(이용찬) ORCID logo https://orcid.org/0000-0001-8800-6906
Cheong, Jae Ho(정재호) ORCID logo https://orcid.org/0000-0002-1703-1781
Choi, Yoon Young(최윤영) ORCID logo https://orcid.org/0000-0002-2179-7851
Hyung, Woo Jin(형우진) ORCID logo https://orcid.org/0000-0002-8593-9214
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