ArticleJournal of gastroenterology2019
Short- and long-term outcomes of endoscopic submucosal dissection for early gastric cancer in the remnant stomach after gastrectomy.
Article in Journal of gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Clinical outcomes of endoscopic resection for remnant gastric cancer: a multicenter prospective cohort study.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026Article
- Evaluating the Need for Additional Surgery After Non-Curative Endoscopic Resection in Patients with Remnant Gastric Cancer.Journal of gastrointestinal cancer · 2025Article
- Clinicopathological characteristics and clinical outcomes of remnant gastric cancer with endoscopic submucosal dissection.Frontiers in oncology · 2025Article
- Characteristics and Risk Factors of Delayed Perforation in Endoscopic Submucosal Dissection for Early Gastric Cancer.Journal of clinical medicine · 2024Article
- Delayed Perforation Occurring after Gastric Endoscopic Submucosal Dissection: Clinical Features and Management Strategy.Gut and liver · 2024Article
- Current status of evaluation and treatment of early-stage remnant gastric cancer.Frontiers in oncology · 2024Review
- Risk factors for remnant gastric cancer after distal gastrectomy for gastric cancer: a retrospective database review.Journal of gastrointestinal oncology · 2023Article
- Article
- Endoscopic submucosal dissection for lesions involving the anastomosis after upper gastrointestinal surgery.Surgical endoscopy · 2023Article
- Utility and Feasibility of Removing Surgical Staples from the Remnant Stomach or Gastric Conduit during Endoscopic Submucosal Dissection.Internal medicine (Tokyo, Japan) · 2023Article
- Incidence of Metachronous Remnant Gastric Cancer after Proximal Gastrectomy with the Double-flap Technique (rD-FLAP-rGC Study): A Multicenter, Retrospective Study.Annals of surgical oncology · 2023Review
- Endoscopic Submucosal Dissection in Patients with Early Gastric Cancer in the Remnant Stomach.Diagnostics (Basel, Switzerland) · 2022Article
- Comparison of Endoscopic Submucosal Dissection and Radical Surgery for Early Gastric Cancer in Remnant Stomach.Journal of clinical medicine · 2022Article
- The risk scoring system for assessing the technical difficulty of endoscopic submucosal dissection in cases of remnant gastric cancer after distal gastrectomy.Surgical endoscopy · 2022Article
- Bleeding following Endoscopic Submucosal Dissection for Early Gastric Cancer in Surgically Altered Stomach.Digestion · 2022Article
- An effective method for removing surgical staples during endoscopic submucosal dissection for early gastric cancer on the suture line of remnant stomach.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2021Article
- Efficacy and safety of endoscopic submucosal dissection for gastric tube cancer: A multicenter retrospective study.World journal of gastroenterology · 2021Article
- Feasibility of endoscopic submucosal dissection for colorectal neoplasia at anastomotic sites: a retrospective study.Surgical endoscopy · 2020Article
- Safety and efficacy of endoscopic submucosal dissection for metachronous early cancer or precancerous lesions emerging at the anastomotic site after curative surgical resection of colorectal cancer.Annals of translational medicine · 2020Article
- Clinical outcomes of endoscopic submucosal dissection for lesions on the proximal location between remnant and entire stomach.Surgical endoscopy · 2020Article
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Authors and funding
13 authors.
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Abstract
backgroundEndoscopic submucosal dissection (ESD) for early gastric cancer (EGC) in the remnant stomach is a minimally invasive treatment. Few studies compared the technical difficulty of ESD involving the suture line and anastomosis, and information on long-term outcomes is insufficient. This study aimed to elucidate the short- and long-term outcomes of ESD for EGC in the remnant stomach.
methodsWe investigated patients who underwent ESD for EGC in the remnant stomach between September 2002 and March 2016. Clinicopathological data were retrieved to assess en bloc resection rates, complications, and long-term outcomes including overall survival and cause-specific survival.
resultsA total of 136 consecutive patients with 165 lesions resected by 157 ESD procedures were retrospectively evaluated. The en bloc resection rate was 95.5%. Complications included 16 intraoperative perforations (10.2%), 2 delayed perforations (1.3%), and 15 delayed bleeding (9.6%), which were successfully treated with endoscopy. The en bloc resection rate was significantly higher in the suture line group (100%) and the non-anastomosis or suture line group (98.8%) than in the anastomosis group (82.9%). However, the intraoperative perforation rate was significantly higher in the anastomosis group (31.4%) than in other groups. The 5-year overall and cause-specific survival rates were 88.4% and 97.6%, respectively, during a median follow-up period of 50.7 months (interquartile range 30.8-91.3).
conclusionsThe long-term outcomes of ESD for EGC in the remnant stomach were favorable. However, ESD involving the anastomosis was a technically demanding procedure due to the low en bloc resection rate and high perforation rate.
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