PMID- 26996290
OWN - NLM
STAT- MEDLINE
DCOM- 20170830
LR  - 20170830
IS  - 1097-6779 (Electronic)
IS  - 0016-5107 (Linking)
VI  - 84
IP  - 4
DP  - 2016 Oct
TI  - Incidence and impact of scheduled endoscopic surveillance on recurrence after
      curative endoscopic resection for early gastric cancer.
PG  - 628-638.e1
LID - 10.1016/j.gie.2016.03.1404 [doi]
LID - S0016-5107(16)01666-7 [pii]
AB  - BACKGROUND AND AIMS: The aim of this study was to identify the incidence of
      recurrent lesions after endoscopic submucosal dissection (ESD) and to determine
      whether scheduled endoscopic surveillance might control their development and
      treatment. METHODS: We reviewed the clinical data of patients who underwent
      gastric ESD between March 2007 and April 2014. RESULTS: A total of 1347 patients 
      who underwent curative ESD for early gastric cancer that met the expanded
      indication for ESD were analyzed. Of these, recurrence at the previous ESD site
      occurred in 39 patients, whereas recurrence in the stomach at a site other than
      the ESD site occurred in 102 patients. Older age, intestinal metaplasia, flat or 
      depressed lesions, and ESD criteria were associated with recurrence in the
      stomach in places other than the ESD site. The annual incidence was .84% for
      recurrence at the previous ESD site and 2.48% for recurrence in the stomach at
      other than the ESD site. In cases of local recurrence and metachronous lesions,
      there was a significant difference between the short- and long-surveillance
      interval group (</=12 months vs >12 months) in the proportions of recurrent
      adenocarcinoma (31.9% vs 60.9%, P = .021), additional gastrectomy (7.1% vs 46.2%,
      P = .033), and size (8.92 +/- 4.17 mm vs 18.08 +/- 10.47 mm, P = .010).
      CONCLUSIONS: Scheduled endoscopy surveillance is necessary for detecting
      recurrent lesions. In addition, scheduled endoscopy surveillance might help to
      detect recurrent lesions at a stage early enough for a curative resection.
CI  - Copyright (c) 2016 American Society for Gastrointestinal Endoscopy. Published by 
      Elsevier Inc. All rights reserved.
FAU - Hahn, Kyu Yeon
AU  - Hahn KY
AD  - Division of Gastroenterology, Department of Internal Medicine, Severance
      Hospital, Institute of Gastroenterology, Yonsei University College of Medicine,
      Seoul, Korea.
FAU - Park, Jun Chul
AU  - Park JC
AD  - Division of Gastroenterology, Department of Internal Medicine, Severance
      Hospital, Institute of Gastroenterology, Yonsei University College of Medicine,
      Seoul, Korea.
FAU - Kim, Eun Hye
AU  - Kim EH
AD  - Division of Gastroenterology, Department of Internal Medicine, Severance
      Hospital, Institute of Gastroenterology, Yonsei University College of Medicine,
      Seoul, Korea.
FAU - Shin, Suji
AU  - Shin S
AD  - Division of Gastroenterology, Department of Internal Medicine, Severance
      Hospital, Institute of Gastroenterology, Yonsei University College of Medicine,
      Seoul, Korea.
FAU - Park, Chan Hyuk
AU  - Park CH
AD  - Department of Internal Medicine, Guri Hospital, Hanyang University College of
      Medicine, Seoul, Korea.
FAU - Chung, Hyunsoo
AU  - Chung H
AD  - Division of Gastroenterology, Department of Internal Medicine, Severance
      Hospital, Institute of Gastroenterology, Yonsei University College of Medicine,
      Seoul, Korea.
FAU - Shin, Sung Kwan
AU  - Shin SK
AD  - Division of Gastroenterology, Department of Internal Medicine, Severance
      Hospital, Institute of Gastroenterology, Yonsei University College of Medicine,
      Seoul, Korea.
FAU - Lee, Sang Kil
AU  - Lee SK
AD  - Division of Gastroenterology, Department of Internal Medicine, Severance
      Hospital, Institute of Gastroenterology, Yonsei University College of Medicine,
      Seoul, Korea.
FAU - Lee, Yong Chan
AU  - Lee YC
AD  - Division of Gastroenterology, Department of Internal Medicine, Severance
      Hospital, Institute of Gastroenterology, Yonsei University College of Medicine,
      Seoul, Korea.
LA  - eng
PT  - Journal Article
DEP - 20160317
PL  - United States
TA  - Gastrointest Endosc
JT  - Gastrointestinal endoscopy
JID - 0010505
SB  - IM
MH  - Adenocarcinoma/pathology/*surgery
MH  - Aftercare/*methods
MH  - Aged
MH  - *Endoscopic Mucosal Resection
MH  - Female
MH  - Gastrectomy
MH  - Gastroscopy/*methods
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - Neoplasm Recurrence, Local/diagnosis/*epidemiology/surgery
MH  - Neoplasm Staging
MH  - Retrospective Studies
MH  - Stomach Neoplasms/pathology/*surgery
EDAT- 2016/03/22 06:00
MHDA- 2017/08/31 06:00
CRDT- 2016/03/22 06:00
PHST- 2015/12/04 00:00 [received]
PHST- 2016/03/06 00:00 [accepted]
PHST- 2016/03/22 06:00 [entrez]
PHST- 2016/03/22 06:00 [pubmed]
PHST- 2017/08/31 06:00 [medline]
AID - S0016-5107(16)01666-7 [pii]
AID - 10.1016/j.gie.2016.03.1404 [doi]
PST - ppublish
SO  - Gastrointest Endosc. 2016 Oct;84(4):628-638.e1. doi: 10.1016/j.gie.2016.03.1404. 
      Epub 2016 Mar 17.