Sekons D H, McSherry C K, Calhoun W F, Pudalov B, Beaton H L, Shinya H
Am J Surg. 1984 May;147(5):662-5. doi: 10.1016/0002-9610(84)90136-3.
The contribution of fiberoptic endoscopy to the diagnosis and treatment of gastric cancer was evaluated in 174 patients. For the purpose of staging, they were compared with 99 patients admitted to the same institution in the pre-endoscopy era. The frequency of minimal gastric cancer (stages I and II) was 16.5 percent in the patients who had esophagogastroduodenoscopy in contrast with only 4 percent in the patients without endoscopy. Fiberoptic endoscopy was superior to barium gastrography in the diagnosis of minimal gastric cancer. The effect of early diagnosis on survival was such that at 3 year follow-up, the cumulative proportion of stage I and II patients still alive was 85 percent compared with only 17.5 percent of stage III patients and none of the stage IV patients.
对174例患者评估了纤维内镜检查对胃癌诊断和治疗的贡献。为了进行分期，将他们与内镜检查前时代在同一机构住院的99例患者进行比较。接受食管胃十二指肠镜检查的患者中微小胃癌（I期和II期）的发生率为16.5%，而未接受内镜检查的患者中这一比例仅为4%。在微小胃癌的诊断方面，纤维内镜检查优于钡剂胃造影。早期诊断对生存的影响是，在3年随访时，I期和II期仍存活患者的累积比例为85%，而III期患者仅为17.5%，IV期患者无一存活。
