![](/images/graphics-bg.png)
Prospective Study about the Utility of Endoscopic Ultrasound for Predicting the Safety of Endoscopic Submucosal Dissection in Early Gastric Cancer (T-HOPE 0801)
Joint Authors
Nakamura, Masanori
Furuhata, Tsukasa
Domon, Kaoru
Kikuchi, Daisuke
Hoteya, Shu
Yamashita, Satoshi
Yamada, Akihiro
Ogawa, Osamu
Mitani, Toshifumi
Matsui, Akira
Iizuka, Toshiro
Kaise, Mitsuru
Source
Gastroenterology Research and Practice
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-03-28
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Intraoperative bleeding is an important determinant for safety of endoscopic submucosal dissection (ESD) for early gastric cancer (EGC).
This study aimed to prospectively evaluate the usefulness of endoscopic ultrasound (EUS) for predicting ESD safety.
Methods.
A total of 110 patients with EGC were divided into two groups based on EUS findings: group P, almost no blood vessels in submucosa, or ≤4 small vessels per field of view; group R, remaining patients.
Primary endpoint was the decrease in Hb after ESD.
Secondary endpoints included procedure time and the incidence of muscle injury and clip use.
Results.
A total of 89 patients were evaluated.
Fifty were classified into group P and 39 into group R.
Mean decrease in Hb was 0.27 g/dL in group P and 0.35 g/dL in group R, with no significant difference.
Mean procedure time was significantly longer in group R (105.4 min) than in group P (65.5 min) (P<0.001).
The incidence of muscle injury and clip use were significantly higher in group R (25.6%/48.7%) than in group P (8.0%/20.0%) (P=0.02/P=0.004).
Conclusion.
Preoperative EUS can predict procedure time and the incidence of muscle injury and clip use and is thus considered useful for predicting gastric ESD safety.
American Psychological Association (APA)
Kikuchi, Daisuke& Iizuka, Toshiro& Hoteya, Shu& Yamada, Akihiro& Furuhata, Tsukasa& Yamashita, Satoshi…[et al.]. 2013. Prospective Study about the Utility of Endoscopic Ultrasound for Predicting the Safety of Endoscopic Submucosal Dissection in Early Gastric Cancer (T-HOPE 0801). Gastroenterology Research and Practice،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-464011
Modern Language Association (MLA)
Kikuchi, Daisuke…[et al.]. Prospective Study about the Utility of Endoscopic Ultrasound for Predicting the Safety of Endoscopic Submucosal Dissection in Early Gastric Cancer (T-HOPE 0801). Gastroenterology Research and Practice No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-464011
American Medical Association (AMA)
Kikuchi, Daisuke& Iizuka, Toshiro& Hoteya, Shu& Yamada, Akihiro& Furuhata, Tsukasa& Yamashita, Satoshi…[et al.]. Prospective Study about the Utility of Endoscopic Ultrasound for Predicting the Safety of Endoscopic Submucosal Dissection in Early Gastric Cancer (T-HOPE 0801). Gastroenterology Research and Practice. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-464011
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-464011