ABSTRACT
BACKGROUND: The correct histological diagnosis of a gastric adenoma is important, because an adenoma has been reported to be a precancerous lesion and is associated with focal gastric carcinoma. However, there is some discrepancy between the histology of a forceps biopsy and that of the endoscopic mucosal resection. This study compared the histological findings of a gastric mucosal lesion in the specimens of a forceps biopsy and an endoscopic mucosal resection. METHODS: 88 cases of gastric mucosal lesions, which had been removed by the endoscopic mucosal resection, were reviewed retrospectively. All the patients had undergone a forceps biopsy before the endoscopic mucosal resection. The histological findings of the specimens by a forceps biopsy were compared with those by resection. RESULTS: The histological findings were accordant at 52 of the 88 cases (59.1%). Among the 71 cases with adenoma or gastritis in the biopsied specimens, 13 cases (18.3%) were finally diagnosed with gastric cancer in the resected specimens. Among all the gastritis and adenomas determined by the forceps biopsy, the high-risk groups for adenocarcinomas were characterized by the following endoscopic findings: red-colored and depressed lesions. CONCLUSIONS: Biopsy specimens may not be representative of the entire lesion. Therefore, an endoscopic resection of a gastric mucosal lesion is needed for making an accurate histological diagnosis and treatment if adenomas such as red-colored or depressed lesions are suspected.
Subject(s)
Humans , Adenocarcinoma , Adenoma , Biopsy , Diagnosis , Gastritis , Retrospective Studies , Stomach Neoplasms , Surgical InstrumentsABSTRACT
BACKGROUND: Radiofrequency(RF) catheter ablation has been widely and successfully employed to cure young adult and old aged patients of a variety of arrhythmias. Only limited data exist which compare the results in two groups. The aim of this study was to compare the efficacy and safety of RF catheter ablation in old-aged patients(Group 1. older than 65 years old) versus young adult patients(Group 2. younger than 65 years old). METHOD: Clinical and electrophysiologic data were reviewd retrospectively in 385 patients who underwent radiofrequency catheter ablation from December. 1997 through May 2004. Procedure ralated results were used to compare 2 groups RESULTS: Mean age of each groups was 68.4+/-3.37 in group 1 versus 37.5+/-14.04 in group 2. There was no difference between two groups in gender, types of tachyarrhythmia, success rate, rate of complication and recurrence. No severe complications, such as death, vascular dissection, rupture, and major cerebrovascular accidents were present in either group. Procedure related variables, including fluroscopic time, were similar between 2 groups. CONCLUSION: RF catheter ablation is a safe and feasible primary treatment method for tachyarrhythmia in elderly patients, results similar to those achived with younger patients.
Subject(s)
Aged , Humans , Young Adult , Arrhythmias, Cardiac , Catheter Ablation , Electrophysiology , Recurrence , Retrospective Studies , Rupture , Stroke , TachycardiaABSTRACT
BACKGROUND: Radiofrequency(RF) catheter ablation has been widely and successfully employed to cure young adult and old aged patients of a variety of arrhythmias. Only limited data exist which compare the results in two groups. The aim of this study was to compare the efficacy and safety of RF catheter ablation in old-aged patients(Group 1. older than 65 years old) versus young adult patients(Group 2. younger than 65 years old). METHOD: Clinical and electrophysiologic data were reviewd retrospectively in 385 patients who underwent radiofrequency catheter ablation from December. 1997 through May 2004. Procedure ralated results were used to compare 2 groups RESULTS: Mean age of each groups was 68.4+/-3.37 in group 1 versus 37.5+/-14.04 in group 2. There was no difference between two groups in gender, types of tachyarrhythmia, success rate, rate of complication and recurrence. No severe complications, such as death, vascular dissection, rupture, and major cerebrovascular accidents were present in either group. Procedure related variables, including fluroscopic time, were similar between 2 groups. CONCLUSION: RF catheter ablation is a safe and feasible primary treatment method for tachyarrhythmia in elderly patients, results similar to those achived with younger patients.
Subject(s)
Aged , Humans , Young Adult , Arrhythmias, Cardiac , Catheter Ablation , Electrophysiology , Recurrence , Retrospective Studies , Rupture , Stroke , TachycardiaABSTRACT
ASD is a common congenital anomaly. A dehiscence of ASD patch closure is extremely rare complication. It can be suspected by the postoperative hemodynamic abnormality. Because of hemodynamic impact, it commonly needs re-operation. A 55-year-old woman with ASD was in hospitalized with partial patch closure dehiscence 7 days after open heart surgery, which was detected by transesophageal echocardiography.