胃癌全胃切除术后随访内镜检查的作用。
The role of follow-up endoscopy after total gastrectomy for gastric cancer.
作者信息
Lee S-Y, Lee J H, Hwang N C, Kim Y-H, Rhee P-L, Kim J J, Paik S W, Rhee J C, Sohn T S, Kim S
机构信息
Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Irwon-dong 50, Gangnam-gu, Seoul 135-710, South Korea.
出版信息
Eur J Surg Oncol. 2005 Apr;31(3):265-9. doi: 10.1016/j.ejso.2004.11.018.
BACKGROUND
Follow-up endoscopy after total gastrectomy for gastric cancer is commonly performed without there being any definite evidence of clinical relevance. Therefore, we investigated the role of the upper endoscopic examinations after total gastrectomy for gastric cancer.
METHODS
The medical records of 212 early gastric cancer (EGC) patients and 622 advanced gastric cancer (AGC) patients who underwent follow-up endoscopic examination after total gastrectomy between 1994 and 2001 were reviewed.
RESULTS
Two of 212 EGC patients and 233 of 622 AGC patients revealed tumour recurrence at all sites. All the endoscopically accessible local tumour recurrences (n=24) were found in the AGC group. Anastomosis site stenosis was detected in 72 of 834 patients.
CONCLUSION
Follow-up endoscopy after total gastrectomy for gastric cancer is useful in detecting complications and tumour recurrence. However, this procedure has a limited role in the clinical management and overall survival for patients with recurrent gastric adenocarcinoma.
背景
胃癌全胃切除术后进行随访内镜检查时，通常并无明确的临床相关证据。因此，我们研究了胃癌全胃切除术后上消化道内镜检查的作用。
方法
回顾了1994年至2001年间接受全胃切除术后随访内镜检查的212例早期胃癌（EGC）患者和622例进展期胃癌（AGC）患者的病历。
结果
212例EGC患者中有2例，622例AGC患者中有233例在所有部位均出现肿瘤复发。所有内镜可及的局部肿瘤复发（n = 24）均在AGC组中发现。834例患者中有72例检测到吻合口狭窄。
结论
胃癌全胃切除术后的随访内镜检查有助于发现并发症和肿瘤复发。然而，该检查在复发性胃腺癌患者的临床管理和总体生存方面作用有限。
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