Long-term Outcome of Endoscopic Mucosal Resection for Gastric Adenoma and Factors Related to Recurrence / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 119-125, 2005.
Article
in Korean
| WPRIM
| ID: wpr-33404
ABSTRACT
BACKGROUND/AIMS:
Endoscopic mucosal resection (EMR) has been known as a method of local treatment for early gastric cancer (EGC) or gastric adenoma. It has been widely accepted as a useful method due to its minimal invasiveness, safety and satisfactory result. The purpose of this study was to identify the factors affecting the recurrence after EMR.METHODS:
Three hundred twenty adenomas in 297 patients were treated by EMR from January, 1991 until July 2003. Among those, 197 lesions in 184 patients that could have been followed-up were analyzed retrospectively.RESULTS:
The mean follow-up period was 15.0 (1~89) months. Of the 197 lesions, there were 35 recurrences (17.7%). The recurrence rate was higher in lesions associated with severe mucosal atrophy and intestinal metaplasia in surrounding mucosa (p=0.035). Other factors showed no statistically significant difference in recurrence rate.CONCLUSIONS:
In this study, we concluded that the presence of intestinal metaplasia and severe atrophic background mucosa were related to the recurrence of gastric adenoma after EMR.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Atrophy
/
Stomach Neoplasms
/
Adenoma
/
Retrospective Studies
/
Follow-Up Studies
/
Metaplasia
/
Mucous Membrane
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
2005
Type:
Article
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