TITLE

Therapeutic Decision-Making Using Endoscopic Ultrasonography in Endoscopic Treatment of Early Gastric Cancer

AUTHOR(S)
Jong Yeul Lee; Il Ju Choi; Chan Gyoo Kim; Soo-Jeong Cho; Myeong-Cherl Kook; Keun Won Ryu; Young-Woo Kim
PUB. DATE
January 2016
SOURCE
Gut & Liver;Jan2016, Vol. 10 Issue 1, p42
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background/Aims: We evaluated the effectiveness of an endoscopic ultrasonography (EUS)-based treatment plan compared to an endoscopy-based treatment plan in selecting candidates with early gastric cancer (EGC) for endoscopic submucosal dissection based on the prediction of invasion depth. Methods: We reviewed 393 EGCs with differentiated histology from 380 patients who underwent EUS from July 2007 to April 2010. The effectiveness of the EUS-based and endoscopy-based plans was evaluated using a simplified hypothetical treatment algorithm. Results: The numbers of endoscopically determined mucosal, indeterminate, and submucosal cancers were 253 (64.4%), 56 (14.2%), and 84 (21.4%), respectively. Overall, the appropriate treatment selection rates were 75.3% (296/393) in the endoscopy-based plan and 71.5% (281/393) in the EUS-based plan (p=0.184). For endoscopic mucosal cancers, the appropriate treatment selection rates in the endoscopy-based plan were 88.1% (223/253), while the use of an EUS-based plan significantly decreased this rate to 81.4% (206/253) (p=0.036). For endoscopic submucosal cancers, the appropriate selection rates did not differ between the endoscopy-based plan (46.4%, 39/84) and the EUS-based plan (53.6%, 45/84) (p=0.070). Conclusions: EUS did not increase the likelihood of selecting the appropriate treatment in differentiated-type EGC. Therefore, EUS may not be necessary before treating differentiated-type EGC, especially in endoscopically presumed mucosal cancers.
ACCESSION #
112126003

 

Related Articles

  • Resource Utilization and Procedure Parameters for the Stretta Procedure: Comparison with Endoscopic Ultrasonography and Colonoscopy. Wolfsen, Herbert C.; Hemminger, Lois; Stark, Mark E.; Achem, Sami R.; Loeb, David S.; Woodward, Timothy A.; DeVault, Kenneth R. // Journal of Laparoendoscopic & Advanced Surgical Techniques;Oct2003, Vol. 13 Issue 5, p291 

    Background: No data are available regarding resource utilization of the Stretta procedure and its impact on endoscopy units in comparison with other endoscopy procedures. Methods: This observational cohort study compared the demographic data and procedural parameters for our first 13 cases...

  • Endoscopic Cystgastrostomy: Role of Endoscopic Ultrasonography. Chan, Andrew T.; Heller, Stephen J.; Van Dam, Jacques; Carr-Locke, David L.; Banks, Peter A. // American Journal of Gastroenterology;Aug1996, Vol. 91 Issue 8, p1622 

    We report a case of successful endoscopic cystgastrostomy guided by endoscopic ultrasound after an unsuccessful attempt at "blind" drainage. Endoscopic drainage of pseudocysts without endoscopic ultrasonography is an appropriate initial approach by experienced endoscopists in carefully selected...

  • Gastrointestinal Miniprobe Sonography: The Current Status. Menzel, Josef; Domschke, Wolfram // American Journal of Gastroenterology;Mar2000, Vol. 95 Issue 3, p605 

    Endoscopic ultrasonography (EUS) represents a major advance in endoscopic imaging. The usefulness and effectiveness of EUS have been established during the past few years. However, endosonography using dedicated condos (7.5/12 MPH/.) has some serious drawbacks, as follows: 1) Combining endoscopy...

  • Growth process of small pancreatic carcinoma: A case report with imaging observation for 22 months. Hisa, Takeshi; Ohkubo, Hiroki; Shiozawa, Satoshi; Ishigame, Hiroki; Takamatsu, Masato; Furutake, Masayuki; Nobukawa, Bunsei; Suda, Koichi; Pezzilli, Raffaele // World Journal of Gastroenterology;3/28/2008, Vol. 14 Issue 12, p1958 

    This report describes serial observations of the growth process of a small invasive ductal carcinoma (IDC) of the pancreas from imaging studies. Histopathological studies showed IDC with macroscopic retention cysts proximal to an intraductal papillary-mucinous adenoma with mild atypia of the...

  • Remedies for Revelers: 5 essential stomach soothers.  // Homeopathy Today;Winter2016, Vol. 36 Issue 4, p42 

    The article presents the several indispensible homeopathic remedies to have on hand for the winter and New Year festivities including pulsatilla, lycopodium and nux vomica.

  • Negative Biopsy after Referral for Biopsy-Proven Gastric Cancer. Chung Hyun Tae; Jun Haeng Lee; Byung-Hoon Min; Kyoung-Mee Kim; Poong-Lyul Rhee; Kim, Jae J. // Gut & Liver;Jan2016, Vol. 10 Issue 1, p63 

    Background/Aims: Repeat endoscopy with biopsy is often performed in patients with previously diagnosed gastric cancer to determine further treatment plans. However, biopsy results may differ from the original pathologic report. We reviewed patients who had a negative biopsy after referral for...

  • EUS.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p816 

    An encyclopedia entry for "EUS," which refers to endoscopic ultrasound, is presented.

  • Endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB): past, present, and future. Yamao, Kenji; Sawaki, Akira; Mizuno, Nobumasa; Shimizu, Yasuhiro; Yatabe, Yasushi; Koshikawa, Takashi // Journal of Gastroenterology;Nov2005, Vol. 40 Issue 11, p1013 

    Endoscopic ultrasound (EUS) is a combination of endoscopy and intraluminal ultrasonography. EUS also enables ultrasonographic images of high resolution to be obtained. However, whether a lesion is malignant or benign cannot be diagnosed solely from the findings of EUS. Endoscopic...

  • Endoscopic Ultrasonography (EUS): a Summary of the Conclusions of the Working Party for the Tenth World Congress of Gastroenterology Los Angeles, California October, 1994. Caletti, G.; Odegaard, S.; Rösch, T.; Sivak, M. V.; Tio, T. L.; Yasuda, K. // American Journal of Gastroenterology;Aug1994 Supplement, Vol. 89 Issue 8, pS138 

    Provides information on endoscopic ultrasonography (EUS). Advantages of EUS compared to conventional transabdominal ultrasonography; Information on the local staging of gastrointestinal malignancy; Discussion on the general training in gastrointestinal endoscopy.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics