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The role of follow-up endoscopy after total gastrectomy for gastric cancer

被引：23
|
作者：
Lee, SY
Lee, JH
Hwang, NC
Kim, YH
Rhee, PL
Kim, JJ
Paik, SW
Rhee, JC
Sohn, TS
Kim, S
机构：
[1] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Med, Seoul 135710, South Korea
[2] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Gen Surg, Seoul 135710, South Korea
来源：
EJSO | 2005年 / 31卷 / 03期
关键词：
gastrectomy; total; endoscopy; recurrence; stenosis;
D O I：
10.1016/j.ejso.2004.11.018
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Background. Follow-up endoscopy after total gastrectomy for gastric cancer is commonly performed without there being any definite evidence of clinical relevance. Therefore, we investigated the role of the upper endoscopic examinations after total gastrectomy for gastric cancer. Methods. The medical. records of 212 early gastric cancer (EGC) patients and 622 advanced gastric cancer (AGC) patients who underwent follow-up endoscopic examination after total. gastrectomy between 1994 and 2001 were reviewed. Results. Two of 212 EGC patients and 233 of 622 AGC patients revealed tumour recurrence at all sites. All the endoscopically accessible local tumour recurrences (n=24) were found in the AGC group. Anastomosis site stenosis was detected in 72 of 834 patients. Conclusion. Follow-up endoscopy after total gastrectomy for gastric cancer is useful in detecting complications and tumour recurrence. However, this procedure has a limited rote in the clinical management and overall survival for patients with recurrent gastric adenocarcinoma. (c) 2004 ELsevier Ltd. All rights reserved.
引用
收藏
页码：265 / 269
页数：5
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