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

被引：40
|
作者：
Ogura, K. [1 ]
Okamoto, M. [1 ]
Sugimoto, T. [1 ]
Yahagi, N. [1 ]
Fujishiro, M. [1 ]
Kakushima, N. [1 ]
Kodashima, S. [1 ]
Kawabe, T. [1 ]
Omata, M. [1 ]
机构：
[1] Univ Tokyo, Grad Sch Med, Dept Gastroenterol, Bunkyo Ku, Tokyo 1138655, Japan
来源：
ENDOSCOPY | 2008年 / 40卷 / 05期
关键词：
D O I：
10.1055/s-2007-995650
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
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 tumor-free lateral/basal margins (R0 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.
引用
收藏
页码：443 / 445
页数：3
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