Korean J Gastrointest Endosc > Volume 38(6); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;38(6): 323-331.
위 종양을 가진 고령 환자에서 내시경 점막하 박리술의 유용성 및 안정성
이응갑ㆍ전성우ㆍ오종택ㆍ이순학ㆍ배락천ㆍ조한진ㆍ장선익ㆍ정민규ㆍ김성국
경북대학교 의학전문대학원 내과학교실 소화기내과
The Feasibility and Safety of Endoscopic Submucosal Dissection for Gastric Neoplasm in Elderly Korean Patients
Eung Kap Lee, M.D., Seong Woo Jeon, M.D., Jong Taek Oh, M.D., Soon Hak Lee, M.D., Rack Chun Bae, M.D., Han Jin Jo, M.D., Sun Ik Jang, M.D., Min Kyu Jung, M.D. and Sung Kuk Kim, M.D.
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea
Abstract

Background/Aims:
Elderly patients often have high operative risk due to their comorbid diseases, and the feasibility of performing endoscopic submucosal dissection (ESD) for such patients should be investigated. The aim of this study is to evaluate the efficacy and safety of performing ESD in elderly patients.
Methods:
From 2005 to 2007, 269 patients with gastric neoplasm were treated by ESD in our hospital. These patients were divided into the elderly patients who were 65 years of age or older and the younger patients. The number of enrolled elderly patients was 123. The en bloc complete resection rate and the complications were assessed and compared with those of the younger patients.
Results:
The average age of the old age group of patients was 71.1. Of these patients, 53.7% had comorbid diseases and 51.2% revealed adenocarcinoma. The en bloc plus complete resection rate was 85.4%. Perforation during ESD occurred in 4.1% of the patients, and this was immediately closed with endoclips and then it was managed by conservative medical treatment. Bleeding occurred in 17.9% and there were no patients with severe bleeding. The en bloc plus complete resection rate and the complication rate for the elderly patients were not significantly different from those of the younger patients.
Conclusions:
The present study shows that ESD could be a safe and reliable treatment for gastric neoplasms in elderly patients. (Korean J Gastrointest Endosc 2009;38:323-331)
Key Words: Elderly patient, Gastric neoplasm, Endoscopic submucosal dissection
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