Endoscopic submucosal dissection for early gastric cancer with undifferentiated-type histology: A meta-analysis.
- Authors
- Bang, Chang Seok; Baik, Gwang Ho; Shin, In Soo; Kim, Jing Bong; Suk, Ki Tae; Yoon, Jai Hoon; Kim, Yeon Soo; Kim, Dong Joon; Shin, Woon Geon; Kim, Kyung Ho; Kim, Hak Yang; Lim, Hyun; Kang, Ho Seok; Kim, Jong Hyeok; Kim, Jin Bae; Jung, Sung Won; Kae, Sea Hyub; Jang, Hyun Joo; Choi, Min Ho
- Issue Date
- May-2015
- Publisher
- BAISHIDENG PUBLISHING GROUP INC
- Keywords
- Carcinoma; Endoscopic submucosal dissection; Endoscopy; Gastric cancer; Meta-analysis
- Citation
- WORLD JOURNAL OF GASTROENTEROLOGY , v.21, no.19, pp.6032 - 6043
- Indexed
- SCIE
SCOPUS
- Journal Title
- WORLD JOURNAL OF GASTROENTEROLOGY
- Volume
- 21
- Number
- 19
- Start Page
- 6032
- End Page
- 6043
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/157213
- DOI
- 10.3748/wjg.v21.i19.6032
- ISSN
- 1007-9327
- Abstract
- 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 undifferentiatedtype histology. Long-term studies are needed to confirm these therapeutic outcomes.
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