医学
发育不良
内窥镜检查
彩色内窥镜
病变
胃肠病学
内科学
危险系数
粘膜切除术
优势比
癌症
置信区间
放射科
外科
结肠镜检查
结直肠癌
作者
Tae‒Geun Gweon,Jae Myung Park,Chul-Hyun Lim,Jin Su Kim,Yu Kyung Cho,Sang Woo Kim,Myung‐Gyu Choi
标识
DOI:10.1097/meg.0000000000000278
摘要
Background and aim The accurate detection of synchronous neoplasia is important to reduce the risk of recurrence after endoscopic resection. Trimodal imaging endoscopy (TMIE) was developed for this purpose. Our aim was to compare the effects of TMIE and white-light imaging endoscopy (WLIE) in gastric neoplasia detection. Patients and methods Six hundred and seventy-eight patients with gastric dysplasia or cancer initially treated by endoscopic resection and who underwent follow-up endoscopy were analyzed retrospectively. Gastric neoplasia detected within 1 year of endoscopic resection was defined as synchronous disease. WLIE or TMIE was used to detect another gastric neoplasia before endoscopic resection. Results Synchronous gastric neoplasia was observed in 41 patients (6%), and occurred more frequently after the resection of carcinoma than dysplasia (8.5 vs. 4.6%, P=0.04). TMIE significantly reduced the frequency of synchronous gastric lesions than WLIE (2.3 vs. 9.3%, P<0.01). TMIE was more effective than WLIE in reducing the risk of missing a synchronous gastric lesion after adjusting for lesion multiplicity, experience, and resected lesion pathology (hazard ratio, 0.32; 95% confidence interval, 0.108–0.762). Conclusion The risk of missing synchronous gastric neoplasia is higher after endoscopic resection for gastric cancer than dysplasia, but is reduced by TMIE. TMIE before endoscopic treatment can be useful in decreasing the risk of synchronous gastric neoplasia.
科研通智能强力驱动
Strongly Powered by AbleSci AI