Indication for endoscopic treatment of ulcerative early gastric cancer according to depth of ulcer and morphological change

Background and Aim This study was conducted to determine the clinicopathologic factors affecting the stage of ulcerative early gastric cancer (EGC), focusing on the relationships between cancer stage and degree of endoscopic ulcer depth and morphologic changes. Methods Medical records of 183 cases o...

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Bibliographic Details
Published in:Journal of gastroenterology and hepatology 2012-11, Vol.27 (11), p.1718-1725
Main Authors: Lee, Jae Ik, Kim, Ji Hyun, Kim, Jong Han, Choi, Byoung Jin, Song, Young Jin, Choi, Sang Bun, Bae, Young Seok, Lee, Sang Heon, Jee, Sam Ryong, Kang, Mi Seon, Seol, Sang Young
Format: Article
Language:English
Subjects:
Aged
Blood Vessels - pathology
early gastric cancer
endoscopic resection
Female
Gastric Mucosa - pathology
Gastric Mucosa - surgery
Gastroscopy
Humans
Logistic Models
Lymphatic Metastasis
Lymphatic Vessels - pathology
Male
Middle Aged
Multivariate Analysis
Neoplasm Invasiveness
Neoplasm Staging
Retrospective Studies
Stomach Neoplasms - complications
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Stomach Ulcer - etiology
Stomach Ulcer - pathology
Stomach Ulcer - surgery
Time Factors
ulcer
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Summary:Background and Aim This study was conducted to determine the clinicopathologic factors affecting the stage of ulcerative early gastric cancer (EGC), focusing on the relationships between cancer stage and degree of endoscopic ulcer depth and morphologic changes. Methods Medical records of 183 cases of ulcerative EGC who had received endoscopic examination two or more times with a minimum interval of one week, and who underwent either curative surgery or endoscopic treatment were retrospectively reviewed. Results Change in ulcer morphology at follow‐up endoscopy was observed in 84 cases (45.9%) with improvement and exacerbation of ulcer in 65 (35.5%) and 19 (13.8%) cases, respectively. The presence of type III ulcer (P 
ISSN:0815-9319
1440-1746
DOI:10.1111/j.1440-1746.2012.07233.x