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Original Articles
- Comparison between a novel core knife and the conventional IT knife 2 for endoscopic submucosal dissection of gastric mucosal lesions
- Myeongsoon Park, Jin Wook Lee, Dong Woo Shin, Jungseok Kim, Yoo Jin Lee, Ju Yup Lee, Kwang Bum Cho
- Clin Endosc 2022;55(6):767-774. Published online May 25, 2022
- DOI: https://doi.org/10.5946/ce.2022.002
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Abstract
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ePub - Background
/Aims: Few studies have compared the performances of endoscopic knives. This study aimed to compare the therapeutic outcomes of a novel core knife and the conventional IT knife 2 for endoscopic submucosal dissection (ESD) of gastric mucosal lesions.
Methods
This prospective, non-inferiority trial included patients diagnosed with gastric adenoma or early-stage adenocarcinoma at Keimyung University Dongsan Hospital between June and November 2020. The patients were randomly assigned to either the core knife or the IT knife 2 group. The operators and assistants scored the knives’ grip convenience and cutting abilities.
Results
A total of 39 patients were enrolled (core knife group, 20 patients; IT knife 2 group, 19 patients). There were no significant between-group differences in operator-assessed grip convenience (9.600 vs. 9.526, p=0.753), cutting ability (9.600 vs. 9.105, p=0.158), or assistant-assessed grip convenience (9.500 vs. 9.368, p=0.574).
Conclusions
The core knife achieved therapeutic outcomes that were comparable to those of the IT knife 2 for ESD of gastric mucosal lesions.
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- 127 Download
- Comparison of Endoscopic Submucosal Dissection and Surgery for Differentiated Type Early Gastric Cancer within the Expanded Criteria
- Dong Woo Shin, Hee Young Hwang, Seong Woo Jeon
- Clin Endosc 2017;50(2):170-178. Published online May 9, 2016
- DOI: https://doi.org/10.5946/ce.2016.017
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Abstract
PDFPubReaderePub
- Background
/Aims: Endoscopic submucosal dissection (ESD) is a novel alternative treatment for differentiated early gastric cancer (EGC) without lymph node metastasis. We conducted this study to verify the therapeutic usefulness of ESD for treating differentiated EGC compared to that of surgery.
Methods
This is a retrospective cohort study of 382 patients treated with differentiated EGC from March 2006 to May 2010. The propensity score yielded 275 matched patients. They were divided into an ESD group of 175 people and a gastrectomy group of 100 people. The patient demographics, pathologic characteristics, length of hospital stay, complication rate and survival rate were compared.
Results
The complication rate was higher for the gastrectomy group than for the ESD group (15.0% vs. 5.1%, p=0.007). The average length of patient hospitalization was longer after gastrectomy than after ESD (8.6 days vs. 2.4 days, p<0.001). There were two cases of mortality in the surgery group within 30 days of procedure. The 5-year survival rates of the two groups did not show a statistically significant difference (92.0% vs. 93.3%, p=0.496).
Conclusions
The long-term survival rates of ESD and gastrectomy were not significantly different. The complication rate was lower for ESD than for gastrectomy, and the length of hospital stay was shorter after ESD than after gastrectomy. -
Citations
Citations to this article as recorded by
- Korean Practice Guidelines for Gastric Cancer 2024: An Evidence-based, Multidisciplinary Approach (Update of 2022 Guideline)
In-Ho Kim, Seung Joo Kang, Wonyoung Choi, An Na Seo, Bang Wool Eom, Beodeul Kang, Bum Jun Kim, Byung-Hoon Min, Chung Hyun Tae, Chang In Choi, Choong-kun Lee, Ho Jung An, Hwa Kyung Byun, Hyeon-Su Im, Hyung-Don Kim, Jang Ho Cho, Kyoungjune Pak, Jae-Joon Kim
Journal of Gastric Cancer.2025; 25(1): 5. CrossRef - Long-term outcomes of additional surgery vs. observation after noncurative endoscopic submucosal dissection for early gastric cancer and application value of the eCura scoring system: a propensity score–matched study
Shangtao Mao, Wenjun Li, Yinya Pan, Hai Wu, Ying Xiang, Miao Liu, Tao Zhao, Hongji Tao, Lei Wang, Guifang Xu
Journal of Gastrointestinal Surgery.2025; 29(6): 102030. CrossRef - Korean Practice Guidelines for Gastric Cancer 2022: An Evidence-based, Multidisciplinary Approach
Tae-Han Kim, In-Ho Kim, Seung Joo Kang, Miyoung Choi, Baek-Hui Kim, Bang Wool Eom, Bum Jun Kim, Byung-Hoon Min, Chang In Choi, Cheol Min Shin, Chung Hyun Tae, Chung sik Gong, Dong Jin Kim, Arthur Eung-Hyuck Cho, Eun Jeong Gong, Geum Jong Song, Hyeon-Su Im
Journal of Gastric Cancer.2023; 23(1): 3. CrossRef - A 6-year nationwide population-based study on the current status of gastric endoscopic resection in Korea using administrative data
Jae Yong Park, Mi-Sook Kim, Beom Jin Kim, Jae Gyu Kim
Scientific Reports.2023;[Epub] CrossRef - Endoscopic Resection of Early Gastric Cancer and Pre-Malignant Gastric Lesions
Ana Clara Vasconcelos, Mário Dinis-Ribeiro, Diogo Libânio
Cancers.2023; 15(12): 3084. CrossRef - American Society for Gastrointestinal Endoscopy guideline on endoscopic submucosal dissection for the management of early esophageal and gastric cancers: methodology and review of evidence
Mohammad A. Al-Haddad, Sherif E. Elhanafi, Nauzer Forbes, Nirav C. Thosani, Peter V. Draganov, Mohamed O. Othman, Eugene P. Ceppa, Vivek Kaul, Michael M. Feely, Ilyas Sahin, Yibing Ruan, Behnam Sadeghirad, Rebecca L. Morgan, James L. Buxbaum, Audrey H. Ca
Gastrointestinal Endoscopy.2023; 98(3): 285. CrossRef - American Society for Gastrointestinal Endoscopy guideline on endoscopic submucosal dissection for the management of early esophageal and gastric cancers: summary and recommendations
Nauzer Forbes, Sherif E. Elhanafi, Mohammad A. Al-Haddad, Nirav C. Thosani, Peter V. Draganov, Mohamed O. Othman, Eugene P. Ceppa, Vivek Kaul, Michael M. Feely, Ilyas Sahin, James L. Buxbaum, Audrey H. Calderwood, Jean M. Chalhoub, Nayantara Coelho-Prabhu
Gastrointestinal Endoscopy.2023; 98(3): 271. CrossRef - A meta-analysis of the impact on gastrectomy versus endoscopic submucosal dissection for early stomach cancer
Rajesh K. Singh
International Journal of Clinical Medical Research.2023; 1(3): 88. CrossRef - A meta-analysis of the impact on gastrectomy versus endoscopic submucosal dissection for early stomach cancer
Rajesh K. Singh
International Journal of Clinical Medical Research.2023;[Epub] CrossRef - Endoscopic Resection Versus Surgery in the Treatment of Early Gastric Cancer: A Systematic Review and Meta-Analysis
Alexandre Moraes Bestetti, Diogo Turiani Hourneaux de Moura, Igor Mendonça Proença, Epifanio Silvino do Monte Junior, Igor Braga Ribeiro, João Guilherme Ribeiro Jordão Sasso, Angelo So Taa Kum, Sergio A. Sánchez-Luna, Wanderley Marques Bernardo, Eduardo G
Frontiers in Oncology.2022;[Epub] CrossRef - Analysis of Endoscopy Findings to Identify Early Gastric Cancers with Tumor Budding: A Retrospective Study
Lanqing Cao, Zhaoyong Wang, Liwei Duan, Lijuan Wei
Journal of Gastrointestinal Surgery.2021; 25(7): 1706. CrossRef - Endoscopic diagnosis and treatment of gastric dysplasia and early cancer: Current evidence and what the future may hold
Edward Young, Hamish Philpott, Rajvinder Singh
World Journal of Gastroenterology.2021; 27(31): 5126. CrossRef - Gastric endoscopic submucosal dissection in Western countries: Indications, applications, efficacy and training perspective
Luca De Luca, Massimiliano Di Berardino, Benedetto Mangiavillano, Alessandro Repici
World Journal of Gastrointestinal Surgery.2021; 13(10): 1180. CrossRef - Updated evaluation of endoscopic submucosal dissection versus surgery for early gastric cancer: A systematic review and meta-analysis
Qing Liu, Li Ding, Xiewu Qiu, Fanjie Meng
International Journal of Surgery.2020; 73: 28. CrossRef - Evaluation of Submucosal or Lymphovascular Invasion Detection Rates in Early Gastric Cancer Based on Pathology Section Interval
Young-Il Kim, Myeong-Cherl Kook, Jee Eun Choi, Jong Yeul Lee, Chan Gyoo Kim, Bang Wool Eom, Hong Man Yoon, Keun Won Ryu, Young-Woo Kim, Il Ju Choi
Journal of Gastric Cancer.2020; 20(2): 165. CrossRef - Narrowband imaging with near‐focus magnification for discriminating the gastric tumor margin before endoscopic resection: A prospective randomized multicenter trial
Jung‐Wook Kim, Yunho Jung, Jae‐Young Jang, Gwang Ha Kim, Byoung Wook Bang, Jun Chul Park, Hyuk Soon Choi, Jun‐Hyung Cho
Journal of Gastroenterology and Hepatology.2020; 35(11): 1930. CrossRef - Protocol for expanded indications of endoscopic submucosal dissection for early gastric cancer in China: a multicenter, ambispective, observational, open-cohort study
Zhi Zheng, Jie Yin, Ziyu Li, Yingjiang Ye, Bo Wei, Xin Wang, Yantao Tian, Mengyi Li, Qian Zhang, Na Zeng, Rui Xu, Guangyong Chen, Jie Zhang, Peng Li, Jun Cai, Hongwei Yao, Jun Zhang, Zhongtao Zhang, Shutian Zhang
BMC Cancer.2020;[Epub] CrossRef - Endoscopic submucosal dissection comparing with surgical resection in patients with early gastric cancer – A single center experience in Taiwan
Tzu-Chan Hong, Jyh-Ming Liou, Chi-Chuan Yeh, Hung-Hsuan Yen, Ming-Shiang Wu, I-Rue Lai, Chien-Chuan Chen
Journal of the Formosan Medical Association.2020; 119(12): 1750. CrossRef - Effect of ilaprazole on the healing of endoscopic submucosal dissection-induced gastric ulcer: randomized-controlled, multicenter study
Chang Seok Bang, Woon Geon Shin, Seung In Seo, Min Ho Choi, Hyun Joo Jang, Se Woo Park, Sea Hyub Kae, Young Joo Yang, Suk Pyo Shin, Gwang Ho Baik, Hak Yang Kim
Surgical Endoscopy.2019; 33(5): 1376. CrossRef - A Comparison by Meta-Analysis of Papillary Early Gastric Carcinoma to Its Tubular Counterpart for the Risk of Lymph Node Metastasis and Submucosal Invasion
Xiao-Yong Wang, Jin Yan, Jia Wu, Yi-Feng Zhang, Guo-Xin Zhang
Journal of Clinical Gastroenterology.2019; 53(1): e19. CrossRef - Exploring the possibility of endoscopic submucosal dissection for clinical submucosal invasive early gastric cancers
Hyun Deok Lee, Hyunsoo Chung, Sang Gyun Kim, Jung Kim, Jue Lie Kim, Eunwoo Lee, Hyun Chae Jung
Surgical Endoscopy.2019; 33(12): 4008. CrossRef - Comparison of endoscopic submucosal dissection with surgical gastrectomy for early gastric cancer: An updated meta-analysis
Hua Li, Li-Qian Feng, Yao-Yao Bian, Li-Li Yang, Deng-Xiang Liu, Zhi-Bin Huo, Li Zeng
World Journal of Gastrointestinal Oncology.2019; 11(2): 161. CrossRef - Long‐term outcomes of endoscopic submucosal dissection versus surgery in early gastric cancer: a systematic review and meta-analysis
Mohamed M. Abdelfatah, Mohamed Barakat, Dina Ahmad, Mariam Ibrahim, Yahia Ahmed, Yahia Kurdi, Ian S. Grimm, Mohamed O. Othman
European Journal of Gastroenterology & Hepatology.2019; 31(4): 418. CrossRef - Korean Practice Guideline for Gastric Cancer 2018: an Evidence-based, Multi-disciplinary Approach
Journal of Gastric Cancer.2019; 19(1): 1. CrossRef - Proton pump inhibitor: The dual role in gastric cancer
Moon Kyung Joo, Jong-Jae Park, Hoon Jai Chun
World Journal of Gastroenterology.2019; 25(17): 2058. CrossRef - Comparison of Long-Term Outcomes of Endoscopic Submucosal Dissection and Surgery for Early Gastric Cancer: a Systematic Review and Meta-analysis
Lihu Gu, Parikshit A. Khadaroo, Liangliang Chen, Xinlong Li, Hepan Zhu, Xin Zhong, Junhai Pan, Manman Chen
Journal of Gastrointestinal Surgery.2019; 23(7): 1493. CrossRef - Risk Factors for Metachronous Recurrence after Endoscopic Submucosal Dissection of a Gastric Neoplasm
A Reum Choe, Ki-Nam Shim, Tae Oh Kim, Sang Yoon Kim, Jiyoung Lim, Chung Hyun Tae, Chang Mo Moon, Seong-Eun Kim, Hye-Kyung Jung, Sung-Ae Jung
The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2019; 19(3): 184. CrossRef - Endoscopic submucosal dissection for suspected early gastric cancer: absolute versus expanded criteria in a large Western cohort (with video)
David J. Tate, Amir Klein, Mayenaaz Sidhu, Lobke Desomer, Halim Awadie, Eric Y.T. Lee, Hema Mahajan, Duncan McLeod, Michael J. Bourke
Gastrointestinal Endoscopy.2019; 90(3): 467. CrossRef - Sex-specific differences in risk factors of lymph node metastasis in patients with early gastric cancer
Eun Sook Ryu, Seung Jun Chang, Jungsuk An, Jun-Young Yang, Jun-Won Chung, Yoon Jae Kim, Kyoung Oh Kim, Dong Kyun Park, Kwang An Kwon, Seungyoon Nam, Woon Kee Lee, Jung Ho Kim, Masaru Katoh
PLOS ONE.2019; 14(10): e0224019. CrossRef - Endoscopic submucosal dissection in the West: Current status and future directions
Michael X. Ma, Michael J. Bourke
Digestive Endoscopy.2018; 30(3): 310. CrossRef - The Comparison between Endoscopic Submucosal Dissection and Surgery in Gastric Cancer: A Systematic Review and Meta-Analysis
Junbi Hu, Yan Zhao, Mudan Ren, Yarui Li, Xinlan Lu, Guifang Lu, Dan Zhang, Dake Chu, Shuixiang He
Gastroenterology Research and Practice.2018; 2018: 1. CrossRef - Endoscopic submucosal dissection for papillary adenocarcinoma of the stomach: is it really safe?
Hyun Jung Lee, Gwang Ha Kim, Do Youn Park, Young Keum Kim, Hye Kyung Jeon, Bong Eun Lee, Geun Am Song
Gastric Cancer.2017; 20(6): 978. CrossRef - Exploring the Evidence of Expanded Criteria for Endoscopic Resection of Early Gastric Cancers
Il Ju Choi
Clinical Endoscopy.2017; 50(2): 99. CrossRef - Predictive risk factors associated with synchronous multiple early gastric cancer
Seok Hoo Jeong, Jungsuk An, Kwang An Kwon, Woon Kee Lee, Kyoung Oh Kim, Jun-Won Chung, Yoon Jae Kim, Dong Kyun Park, Jung Ho Kim
Medicine.2017; 96(26): e7088. CrossRef
- Korean Practice Guidelines for Gastric Cancer 2024: An Evidence-based, Multidisciplinary Approach (Update of 2022 Guideline)
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- 247 Download
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