Endoscopic Resection for Synchronous Esophageal Squamous Cell Carcinoma and Gastric Adenocarcinoma in Early Stage Is a Possible Alternative to Surgery
- Authors
- 박세정; 안지영; 정훈영; 나신; 박소은; 김미영; 최기숙; 이정훈; 김도훈; 최기돈; 송호준; 이진혁; 김진호; 한승봉
- Issue Date
- Jan-2015
- Publisher
- 거트앤리버 발행위원회
- Keywords
- Synchronous; Esophageal neoplasms; Stomach neoplasms
- Citation
- Gut and Liver, v.9, no.1, pp.59 - 65
- Journal Title
- Gut and Liver
- Volume
- 9
- Number
- 1
- Start Page
- 59
- End Page
- 65
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/11768
- DOI
- 10.5009/gnl13255
- ISSN
- 1976-2283
- Abstract
- Background/Aims: We investigated the clinical outcomes according to the method of treatment in synchronous esophageal and gastric cancer. Methods: Synchronous esophageal squamous cell carcinoma and gastric adenocarcinoma were diagnosed in 79 patients between 1996 and 2010.
We divided the patients into four groups according to treatment; Group 1 received surgical resection for both cancers or surgery for gastric cancer with chemoradiotherapy for esophageal cancer (n=27); Group 2 was treated by endoscopic resection with or without additional treatment (n=14); Group 3 received chemoradiotherapy only (n=18); and Group 4 received supportive care only (n=20). Results: The median survival times in groups 1 and 2 were 86 and 60 months, respectively. The recurrence rate and mortality were 23% and 48%, respectively, in group 1 and 21% and 4%, respectively, in group 2. The median survival time was 12 months in group 3 and 9 months in group 4. Multivariate analysis showed that age (p<0.001) and treatment group (p=0.019) were significantly associated with death. Compared with group 1, treatment in the intensive care unit (p=0.003), loss of body weight (p=0.042), and decrease in hemoglobin (p=0.033) were worse in group 1. Conclusions: Endoscopic resection for synchronous esophageal and gastric cancer could be considered as a possible alternative to surgery for early-stage cancer.
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