Endoscopic submucosal dissection for early gastric cancer with undifferentiated-type histology: A meta-analysis

被引：35

作者：

Bang, Chang Seok ^{[1
]}

Baik, Gwang Ho ^{[1
]}

Shin, In Soo ^{[2
]}

Kim, Jing Bong ^{[1
]}

Suk, Ki Tae ^{[1
]}

Yoon, Jai Hoon ^{[1
]}

Kim, Yeon Soo ^{[1
]}

Kim, Dong Joon ^{[1
]}

Shin, Woon Geon ^{[1
]}

Kim, Kyung Ho ^{[1
]}

Kim, Hak Yang ^{[1
]}

Lim, Hyun ^{[1
]}

Kang, Ho Seok ^{[1
]}

Kim, Jong Hyeok ^{[1
]}

Kim, Jin Bae ^{[1
]}

Jung, Sung Won ^{[1
]}

Kae, Sea Hyub ^{[1
]}

Jang, Hyun Joo ^{[1
]}

Choi, Min Ho ^{[1
]}

机构：

[1] Hallym Univ, Coll Med, Dept Internal Med, Kyodong 200704, Chuncheon, South Korea

[2] Jeonju Univ, Coll Educ, Jeonju 560759, South Korea

来源：

WORLD JOURNAL OF GASTROENTEROLOGY | 2015年 / 21卷 / 19期

关键词：

Carcinoma; Endoscopic submucosal dissection; Endoscopy; Gastric cancer; Meta-analysis; LYMPH-NODE METASTASIS; LONG-TERM OUTCOMES; EXPANDED INDICATION; PREDICTIVE FACTORS; CLINICAL-OUTCOMES; RISK-FACTORS; RESECTION; BIAS; FEASIBILITY; INVASION;

D O I：

10.3748/wjg.v21.i19.6032

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

AIM: To evaluate the efficacy and safety of endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) with undifferentiated-type histology. METHODS: A systematic literature review was conducted using the core databases. Complete resection, curative resection, en bloc resection, recurrence and adverse event rate were extracted and analyzed. A random effect model was applied. The methodological quality of the enrolled studies was assessed using the Newcastle-Ottawa Scale. Publication bias was evaluated using a funnel plot, the trim and fill method, Egger's test, and a rank correlation test. RESULTS: Fourteen retrospective studies between 2009 and 2014 were identified (972 EGC lesions with undifferentiated-type histology). The total en bloc and complete resection rates were estimated as 92.1% (95%CI: 87.4%-95.2%) and 77.5% (95%CI: 69.3%-84%), respectively. The total curative resection rate was 61.4% (95%CI: 44.5%-75.9%). The overall recurrence rate was 7.6% (95%CI: 3.4%-16%). Limited to histologically diagnosed expanded-criteria lesions, the en bloc and complete resection rates were 91.2% and 85.6%, respectively. The curative resection rate was 79.8%. CONCLUSION: In this analysis, ESD is a technically feasible treatment modality for EGC with undifferentiated-type histology. Long-term studies are needed to confirm these therapeutic outcomes.

引用

页码：6032 / 6043

页数：12

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