Copyright
©The Author(s) 2015.
World J Gastroenterol. Jan 21, 2015; 21(3): 919-925
Published online Jan 21, 2015. doi: 10.3748/wjg.v21.i3.919
Published online Jan 21, 2015. doi: 10.3748/wjg.v21.i3.919
Table 1 Patient characteristics n (%)
Characteristics | |
Patient | 11 |
Gender (M/F) | 10/1 |
Tumors | 11 |
Mean age | 70.5 (65-78) |
Median period from esophagectomy to initial ESD for GTC, in months (range) | 52.4 (4-144) |
Gastric tube reconstruction | |
Anterosternal subcutaneous route | 7 (63.6) |
Posterior mediastinal route | 3 (27.3) |
Substernal route | 1 (9.1) |
Size (Major axis) | 26.1 mm (10-68 mm) |
Macroscopic type | |
0-IIa | 4 (36.4) |
0-IIc | 5 (45.5) |
0-IIa + IIc | 1 (9.1) |
Unclassified | 1 (9.1) |
Histological diagnosis | |
Differentiated | 11 (100) |
Undifferentiated | 0 (0) |
Depth | |
Mucosal | 9 (81.8) |
Submucosal | 2 (18.2) |
Helicobacter pylori infection | |
Positive | 9 (81.8) |
Negative | 2 (18.2) |
Table 2 Detailed patient characteristics
Case | Sex | Age | Gastric tube reconstruction | Wall | Location | Macroscopic finding | Period from esophagectomy (mo) | H. pylori infection | Tumor size (mm) | Resected size (mm) | Depth | Resection time (min) |
1 | M | 66 | Post | Left | Body | 0-IIa + IIc | 117 | Positive | 28 | 62 | SM | 184 |
2 | M | 77 | Ant | Left | Body | 0-IIa | 96 | Negative | 16 | 40 | M | 175 |
3 | M | 67 | Sub | Posterior | Body | 0-IIa | 50 | Positive | 10 | 21 | M | 180 |
4 | M | 62 | Ant | Right | Body | 0-IIa | 4 | Positive | 31 | 48 | M | 57 |
5 | M | 78 | Ant | Anterior | Antrum | 0-IIc | 38 | Positive | 15 | 28 | M | 65 |
6 | M | 66 | Post | Posterior | Antrum | unclassified | 144 | Negative | 68 | 74 | SM | 445 |
7 | M | 74 | Ant | Left | Body | 0-IIc | 12 | Positive | 32 | 45 | M | 208 |
8 | F | 78 | Ant | Anterior | Antrum | 0-IIa | 44 | Positive | 20 | 49 | M | 32 |
9 | M | 78 | Ant | Left | Body | 0-IIc | 6 | Positive | 12 | 31 | M | 32 |
10 | M | 65 | Ant | Posterior | Antrum | 0-IIc | 45 | Positive | 30 | 52 | M | 44 |
11 | M | 64 | Post | Left | Body | 0-IIc | 21 | Positive | 25 | 53 | M | 141 |
Table 3 Complications in the preoperative phase
Case | Anastomotic stenosis | Endoscopic dilation | Mounted attachment | Attaching overtube | Food residue |
1 | – | – | Possible | Possible | – |
2 | – | – | Possible | Possible | – |
3 | + | + | Possible | Impossible | + |
4 | + | + | Possible | Possible | – |
5 | + | + | Impossible | Impossible | – |
6 | – | – | Possible | Impossible | – |
7 | + | + | Possible | Impossible | – |
8 | – | – | Possible | Possible | + |
9 | – | – | Possible | Impossible | + |
10 | + | + | Possible | Impossible | + |
11 | – | – | Possible | Possible | – |
Table 4 Complications in the intraoperative and postoperative phase
Case | Submergence | Fibrosis of submucosa | Bleeding | Delayed bleeding | Stenosis |
1 | + | Moderate | Severe | + | – |
2 | + | Moderate | Severe | – | – |
3 | – | Moderate | Severe | + | – |
4 | – | Slight | None | – | – |
5 | – | Slight | None | – | – |
6 | – | Severe | None | – | + |
7 | + | Moderate | Severe | – | – |
8 | – | Slight | None | – | – |
9 | – | Slight | None | – | – |
10 | + | Slight | None | – | – |
11 | + | Severe | Severe | – | – |
- Citation: Mukasa M, Takedatsu H, Matsuo K, Sumie H, Yoshida H, Hinosaka A, Watanabe Y, Tsuruta O, Torimura T. Clinical characteristics and management of gastric tube cancer with endoscopic submucosal dissection. World J Gastroenterol 2015; 21(3): 919-925
- URL: https://www.wjgnet.com/1007-9327/full/v21/i3/919.htm
- DOI: https://dx.doi.org/10.3748/wjg.v21.i3.919