Efficacy and safety of endoscopic submucosal dissection for gastric cancer in patients with liver cirrhosis

Kieji Ogura; M. Okamoto; T. Sugimoto; N. Yahagi; M. Fujishiro; N. Kakushima; S. Kodashima; T. Kawabe; M. Omata

doi:10.1055/s-2007-995650

Efficacy and safety of endoscopic submucosal dissection for gastric cancer in patients with liver cirrhosis

Kieji Ogura, M. Okamoto, T. Sugimoto, N. Yahagi, M. Fujishiro, N. Kakushima, S. Kodashima, T. Kawabe, M. Omata

Research output: Contribution to journal › Article › peer-review

39 Citations (Scopus)

Abstract

Endoscopic submucosal dissection (ESD) has become a widely accepted method for treating gastrointestinal cancer. The aim of this study was to evaluate the efficacy and safety of ESD for gastric cancer in patients with liver cirrhosis. A total of 18 gastric cancers were treated by ESD in 15 patients with cirrhosis. The rate of en bloc resection was 88.9% (16/18). En bloc resection with tumorfree lateral/ basal margins (RO resection) was 77.8% (14/18). Three patients had postoperative bleeding and underwent emergency gastroscopy for hemostasis. No recurrence was observed during the median follow-up of 21.4 months, excluding three patients in whom additional endoscopic resection or surgery was carried out ESD can be safely performed for gastric cancer in patients with cirrhosis, resulting in a high en bloc resection rate.

Original language	English
Pages (from-to)	443-445
Number of pages	3
Journal	Endoscopy
Volume	40
Issue number	5
DOIs	https://doi.org/10.1055/s-2007-995650
Publication status	Published - 2008 May
Externally published	Yes

ASJC Scopus subject areas

Gastroenterology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1055/s-2007-995650

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abstract = "Endoscopic submucosal dissection (ESD) has become a widely accepted method for treating gastrointestinal cancer. The aim of this study was to evaluate the efficacy and safety of ESD for gastric cancer in patients with liver cirrhosis. A total of 18 gastric cancers were treated by ESD in 15 patients with cirrhosis. The rate of en bloc resection was 88.9% (16/18). En bloc resection with tumorfree lateral/ basal margins (RO resection) was 77.8% (14/18). Three patients had postoperative bleeding and underwent emergency gastroscopy for hemostasis. No recurrence was observed during the median follow-up of 21.4 months, excluding three patients in whom additional endoscopic resection or surgery was carried out ESD can be safely performed for gastric cancer in patients with cirrhosis, resulting in a high en bloc resection rate.",

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AU - Ogura, Kieji

AU - Okamoto, M.

AU - Sugimoto, T.

AU - Yahagi, N.

AU - Fujishiro, M.

AU - Kakushima, N.

AU - Kodashima, S.

AU - Kawabe, T.

AU - Omata, M.

PY - 2008/5

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N2 - Endoscopic submucosal dissection (ESD) has become a widely accepted method for treating gastrointestinal cancer. The aim of this study was to evaluate the efficacy and safety of ESD for gastric cancer in patients with liver cirrhosis. A total of 18 gastric cancers were treated by ESD in 15 patients with cirrhosis. The rate of en bloc resection was 88.9% (16/18). En bloc resection with tumorfree lateral/ basal margins (RO resection) was 77.8% (14/18). Three patients had postoperative bleeding and underwent emergency gastroscopy for hemostasis. No recurrence was observed during the median follow-up of 21.4 months, excluding three patients in whom additional endoscopic resection or surgery was carried out ESD can be safely performed for gastric cancer in patients with cirrhosis, resulting in a high en bloc resection rate.

AB - Endoscopic submucosal dissection (ESD) has become a widely accepted method for treating gastrointestinal cancer. The aim of this study was to evaluate the efficacy and safety of ESD for gastric cancer in patients with liver cirrhosis. A total of 18 gastric cancers were treated by ESD in 15 patients with cirrhosis. The rate of en bloc resection was 88.9% (16/18). En bloc resection with tumorfree lateral/ basal margins (RO resection) was 77.8% (14/18). Three patients had postoperative bleeding and underwent emergency gastroscopy for hemostasis. No recurrence was observed during the median follow-up of 21.4 months, excluding three patients in whom additional endoscopic resection or surgery was carried out ESD can be safely performed for gastric cancer in patients with cirrhosis, resulting in a high en bloc resection rate.

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Efficacy and safety of endoscopic submucosal dissection for gastric cancer in patients with liver cirrhosis

Abstract

ASJC Scopus subject areas

UN SDGs

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