We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Association between Time Interval from Diagnosis to Endoscopic Submucosal Dissection and Complete Resection in Patients with Gastric Neoplasm.
- Authors
Jin Woong Park; Gil Ho Lee; Jin Soo Park; Joon Koo Kang; Sun Gyo Lim; Sung Jae Shin; Kee Myung Lee; Kwang Jae Lee; Choong-kyun Noh
- Abstract
Background/Aims There are no standard guidelines regarding the time interval from the diagnosis of gastric neoplasms to endoscopic submucosal dissection (ESD). This study was aimed to evaluate the association between the time interval from the diagnosis to ESD and success of complete resection for high-grade dysplasia (HGD) and early gastric cancers (EGCs). Methods A total of 1,728 patients who underwent ESD for HGD or EGC from January 2005 to March 2019 were enrolled. The time intervals from the diagnosis to ESD were analyzed as continuous variables. A multivariable logistic regression analysis was performed to evaluate the influence of the time interval on success of complete resection. Results Of the 1,728 enrolled patients, 568 (32.9%) and 1,160 (67.1%) patients were diagnosed with HGD and EGC, respectively. The complete resection rate is 91.1% (1,572 patients) and the mean time interval for all patients was 36.30 (±19.17) days. There was significant difference in the mean waiting time between two groups divided by referral center (our center vs other center: 29.4±14.5 vs 40.4±20.4, p<0.001). However, the success rate of complete resection was not different between two groups (p>0.05). The time interval does not significantly influence the incidence of complete resection (adjusted odds ratio, 0.995; 95% confidence interval, 0.985 to 1.004; p=0.326). Conclusions A longer time interval from the diagnosis to ESD was not associated with incomplete resection. These results could help establish endoscopic treatment guidelines for gastric neoplasms and aid both patients and endoscopists.
- Subjects
GASTRECTOMY; LOGISTIC regression analysis; DUODENAL tumors; TUMORS; STOMACH cancer; ARTERIAL dissections
- Publication
Gut & Liver, 2019, Vol 13, Issue 6(suppl. 1), p144
- ISSN
1976-2283
- Publication type
Article