Hot Biopsy Forceps vs. Endoscopic Ultrasonography in Determining the Depth of Gastric Epithelial Neoplasia: A Simple Novel Method to Decide whether or not to Perform Endoscopic Submucosal Dissection

被引:1
作者
Li Huikai [1 ]
Linghu Enqiang [1 ]
机构
[1] Peoples Liberat Army Gen Hosp, Dept Gastroenterol & Hepatol, Beijing 100853, Peoples R China
关键词
Hot biopsy forceps; Depth; Endoscopic ultrasonography; Gastric epithelial neoplasia; LYMPH-NODE METASTASIS; FOLLOW-UP; CANCER; DYSPLASIA;
D O I
10.5754/hge12602
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background/Aims: It is of vital importance to determine the depth of lesions to be treated by endoscopic submucosal dissection. This study aimed to compare the accuracy of using hot biopsy forceps method with endoscopic ultrasonography for determination of the depth of gastric epithelial neoplasia. Methodology: Hot biopsy forceps method and/or endoscopic ultrasonography were used to determine the depth of lesions in 27 patients. With hot biopsy forceps method, we assumed a lesion completely lifted up by a hot biopsy forceps to be confined to the mucosal layer, and one partly lifted up to be located beyond the mucosal layer. The accuracy of hot biopsy forceps method and endoscopic ultrasonography in determining the depth of lesions were compared. Results: Of the 27 patients, 25 underwent endoscopic submucosal dissection and 2 underwent surgery The total accuracy of hot biopsy forceps method in determining the depth of lesions was 92.6% and that of endoscopic ultrasonography was 81.8%. Overestimation of hot biopsy forceps method and endoscopic ultrasonography were 3.7% vs. 13.6%, respectively. The sensitivity and the specificity of hot biopsy forceps method were 95.5% and 80.0% and those of EUS were 83.3% and 75.0%. Conclusions: Hot biopsy forceps method has a trend towards higher accuracy and lower overestimation than endoscopic ultrasonography.
引用
收藏
页码:54 / 57
页数:4
相关论文
共 13 条
[1]   GASTRIC DYSPLASIA - A 10-YEAR FOLLOW-UP-STUDY [J].
BEARZI, I ;
BRANCORSINI, D ;
SANTINELLI, A ;
REZAI, B ;
MANNELLO, B ;
RANALDI, R .
PATHOLOGY RESEARCH AND PRACTICE, 1994, 190 (01) :61-68
[2]   Miniprobe EUS in the pretherapeutic assessment of early esophageal neoplasia [J].
Chemaly, M. ;
Scalone, I. ;
Durivage, G. ;
Napoleon, B. ;
Pujol, B. ;
Lefort, C. ;
Hervieux, V. ;
Scoazec, J. Y. ;
Souquet, J. C. ;
Ponchon, T. .
ENDOSCOPY, 2008, 40 (01) :2-6
[3]   Comparison of endoscopic ultrasonography and conventional endoscopy for prediction of depth of tumor invasion in early gastric cancer [J].
Choi, J. ;
Kim, S. G. ;
Im, J. P. ;
Kim, J. S. ;
Jung, H. C. ;
Song, I. S. .
ENDOSCOPY, 2010, 42 (09) :705-713
[4]   Is endoscopic ultrasonography indispensable in assessing the appropriateness of endoscopic resection for gastric cancer? [J].
Hizawa, K ;
Iwai, K ;
Esaki, M ;
Matsumoto, T ;
Suekane, H ;
Iida, M .
ENDOSCOPY, 2002, 34 (12) :973-978
[5]   The accuracy of endoscopic ultrasonography in differentiating mucosal from deeper gastric cancer [J].
Kwee, Robert M. ;
Kwee, Thomas C. .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2008, 103 (07) :1801-1809
[6]   Predictable Factors for Lymph Node Metastasis in Early Gastric Cancer-Analysis of Single Institutional Experience [J].
Lim, Man Sup ;
Lee, Hae-Wan ;
Im, Hyoungjune ;
Kim, Byung Seup ;
Lee, Mi Yeol ;
Jeon, Jang Yong ;
Yang, Dae Hyun ;
Lee, Bong Hwa .
JOURNAL OF GASTROINTESTINAL SURGERY, 2011, 15 (10) :1783-1788
[7]   Endoscopic ultrasonography is valuable for identifying early gastric cancers meeting expanded-indication criteria for endoscopic submucosal dissection [J].
Okada, Kazuhisa ;
Fujisaki, Junko ;
Kasuga, Akiyoshi ;
Omae, Masami ;
Yoshimoto, Kazuhito ;
Hirasawa, Toshiaki ;
Ishiyama, Akiyoshi ;
Yamamoto, Yorimasa ;
Tsuchida, Tomohiro ;
Hoshino, Etsuo ;
Igarashi, Masahiro ;
Takahashi, Hiroshi .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2011, 25 (03) :841-848
[8]   Long-term follow-up study of gastric intraepithelial neoplasias: progression from low-grade dysplasia to invasive carcinoma [J].
Park, Soo Young ;
Jeon, Seong Woo ;
Jung, Min Kyu ;
Cho, Chang Min ;
Tak, Won Young ;
Kweon, Young Oh ;
Kim, Sung Kook ;
Choi, Yong Hwan .
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 2008, 20 (10) :966-970
[9]   GASTRIC EPITHELIAL DYSPLASIA - A PROSPECTIVE MULTICENTER FOLLOW-UP-STUDY FROM THE INTERDISCIPLINARY-GROUP-ON-GASTRIC-EPITHELIAL-DYSPLASIA [J].
RUGGE, M ;
FARINATI, F ;
DIMARIO, F ;
BAFFA, R ;
VALIANTE, F ;
CARDIN, F .
HUMAN PATHOLOGY, 1991, 22 (10) :1002-1008
[10]   The long term outcome of gastric non-invasive neoplasia [J].
Rugge, M ;
Cassaro, M ;
Di Mario, F ;
Leo, G ;
Leandro, G ;
Russo, VM ;
Pennelli, G ;
Farinati, F .
GUT, 2003, 52 (08) :1111-1116