ArticleGut and liver2016
Therapeutic Decision-Making Using Endoscopic Ultrasonography in Endoscopic Treatment of Early Gastric Cancer.
Article in Gut and liver, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Endoscopic ultrasound in early gastric cancer: Diagnostic accuracy and Tis/T1a lesion over staging risks.World journal of gastroenterology · 2026Article
- Endoscopic submucosal dissection for early gastrointestinal malignancies: Current state and future perspectives.World journal of gastrointestinal endoscopy · 2025Review
- Endoscopic Ultrasound (EUS) in Gastric Cancer: Current Applications and Future Perspectives.Diseases (Basel, Switzerland) · 2025Review
- Artificial Intelligence Model for a Distinction between Early-Stage Gastric Cancer Invasive Depth T1a and T1b.Journal of Cancer · 2024Article
- The factors influencing the accuracy of pre-operative endoscopic ultrasonography assessment in endoscopic treatments for gastrointestinal tumors.Cancer medicine · 2023Article
- Accuracy of Endoscopic Ultrasonography for Determining the Depth of Invasion in Early Gastric Cancer.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2022Article
- Article
- A potential decision-making algorithm based on endoscopic ultrasound for staging early gastric cancer: a retrospective study.BMC cancer · 2022Article
- Review
- Hierarchical Analysis of Factors Associated with T Staging of Gastric Cancer by Endoscopic Ultrasound.Digestive diseases and sciences · 2021Article
- Diagnostic Efficacy and Decision-Making Role of Preoperative Endoscopic Ultrasonography in Early Gastric Cancer.Frontiers in medicine · 2021Article
- Morphologic pattern analysis of submucosal deformities identified by endoscopic ultrasonography for predicting the depth of invasion in early gastric cancer.Surgical endoscopy · 2019Article
- Factors Affecting the Accuracy of Endoscopic Ultrasonography in the Diagnosis of Early Gastric Cancer Invasion Depth: A Meta-analysis.Gastroenterology research and practice · 2019Review
- Construction and external validation of a nomogram that predicts lymph node metastasis in early gastric cancer patients using preoperative parameters.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2018Article
- Clinical efficacy of endoscopic ultrasonography for decision of treatment strategy of gastric cancer.Surgical endoscopy · 2018Article
- Model to identify early-stage gastric cancers with deep invasion of submucosa based on endoscopy and endoscopic ultrasonography findings.Surgical endoscopy · 2018Article
- A specific role of endoscopic ultrasonography for therapeutic decision-making in patients with gastric cardia cancer.Surgical endoscopy · 2016Article
- Diagnostic group classifications of gastric neoplasms by endoscopic resection criteria before and after treatment: real-world experience.Surgical endoscopy · 2016Article
- What types of early gastric cancer are indicated for endoscopic ultrasonography staging of invasion depth?World journal of gastrointestinal endoscopy · 2016Article
- Discrepancy between Clinical and Final Pathological Evaluation Findings in Early Gastric Cancer Patients Treated with Endoscopic Submucosal Dissection.Journal of gastric cancer · 2016Article
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7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
aimsWe evaluated the effectiveness of an endoscopic ultrasonography (EUS)-based treatment plan compared to an endoscopy-based treatment plan in selecting candidates with early gastric cancer (EGC) for endoscopic submucosal dissection based on the prediction of invasion depth.
methodsWe reviewed 393 EGCs with differentiated histology from 380 patients who underwent EUS from July 2007 to April 2010. The effectiveness of the EUS-based and endoscopy-based plans was evaluated using a simplified hypothetical treatment algorithm.
resultsThe numbers of endoscopically determined mucosal, indeterminate, and submucosal cancers were 253 (64.4%), 56 (14.2%), and 84 (21.4%), respectively. Overall, the appropriate treatment selection rates were 75.3% (296/393) in the endoscopy-based plan and 71.5% (281/393) in the EUS-based plan (p=0.184). For endoscopic mucosal cancers, the appropriate treatment selection rates in the endoscopy-based plan were 88.1% (223/253), while the use of an EUS-based plan significantly decreased this rate to 81.4% (206/253) (p=0.036). For endoscopic submucosal cancers, the appropriate selection rates did not differ between the endoscopy-based plan (46.4%, 39/84) and the EUS-based plan (53.6%, 45/84) (p=0.070).
conclusionsEUS did not increase the likelihood of selecting the appropriate treatment in differentiated-type EGC. Therefore, EUS may not be necessary before treating differentiated-type EGC, especially in endoscopically presumed mucosal cancers.
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