scholarly journals Early Gastric Cancer: Current Advances of Endoscopic Diagnosis and Treatment

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Linlin Zhu ◽  
Jinyu Qin ◽  
Jin Wang ◽  
Tianjiao Guo ◽  
Zijing Wang ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Detection Rate ◽  
Diagnostic Yield ◽  
Endoscopic Diagnosis ◽  
Diagnosis And Treatment ◽  
High Detection Rate ◽  
Endoscopic Techniques ◽  
High Detection ◽  
Gastric Cancer Screening

Endoscopy is a major method for early gastric cancer screening because of its high detection rate, but its diagnostic accuracy depends heavily on the availability of endoscopic instruments. Many novel endoscopic techniques have been shown to increase the diagnostic yield of early gastric cancer. With the improved detection rate of EGC, the endoscopic treatment has become widespread due to advances in the instruments available and endoscopist’s experience. The aim of this review is to summarize frequently-used endoscopic diagnosis and treatment in early gastric cancer (EGC).

scholarly journals Đánh giá kết quả chẩn đoán và điều trị ung thư dạ dày sớm tại Bệnh viện Trung ương Huế

2020 ◽  
Author(s):  
Nhật Tân Phan
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Endoscopic Submucosal Dissection ◽  
Early Cancer ◽  
Magnifying Endoscopy ◽  
Diagnosis And Treatment ◽  
Central Hospital ◽  
Endoscopic Techniques ◽  
White Light Endoscopy ◽  
Submucosal Dissection

TO EVALUATE THE DIAGNOSIS AND TREATMENT OF EARLY GASTRIC CANCER AT HUE CENTRAL HOSPITAL Objectiva: to evaluate the diagnosis and treatment of early gastric cancer at Hue Central Hospital. Material and methods: A retrospective study on patients with suspected lesions on white light endoscopy were performed magnifying endoscopy at Hue Central Hospital from January 2017 to December 2018. Patients who were diagnosed with early cancer will be removed with ESD treatment if indicated and surveiled after 06 months of treatment. Results: We collected and analyzed data from 104 endoscopic patients who screening for early cancer by magnifying endoscopy, 24 patients were diagnosed with early cancer, 15 men, 9 women;12 patients were treated with the Endoscopic Submucosal Dissection (ESD) method from January 2017 to December 2018. There are no specific symptoms for early stomach cancer. Superficial depressed-type (0-IIc) and Differentiated type account for the highest proportion. The patients in the study were treated with ESD, had a hemorrhage patient in the procedure and had to intervene with Coagrasper Hemostatic Forceps, without perforation complications during and after the procedure. The Diagnosis before and after treatment is consistent. During follow-up, no patients were found to have recurrence or distant metastasis. Conclusion: Early gastric cancer can still be treated well with endoscopic techniques. Multi-disciplinary coordination is needed to develop early diagnosis and treatment of cancer. Keywords: early gastric cancer, Endoscopic submucosal dissection (ESD)

scholarly journals Quality management system for screening esophagogastroduodenoscopy improves detection of Helicobacter pylori-negative interval gastric cancer

2021 ◽  
Vol 09 (12) ◽  
pp. E1900-E1908
Author(s):  
Fumiaki Ishibashi ◽  
Konomi Kobayashi ◽  
Tomohiro Kawakami ◽  
Ryu Tanaka ◽  
Kazuaki Sugihara ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Helicobacter Pylori ◽  
Cancer Screening ◽  
Quality Management ◽  
Early Gastric Cancer ◽  
Detection Rate ◽  
Quality Management System ◽  
Detection Rates ◽  
Cancer Group ◽  
Gastric Cancer Screening

Abstract Background and study aims Double-checking the findings of examinations is necessary for endoscopy quality control in gastric cancer screening; however, there have been no reports showing its effectiveness. We prospectively analyzed the effectiveness of a quality management system (QMS) in endoscopy for gastric cancer screening. Patients and methods QMS was defined as having images and reports checked by a second endoscopist on the same day and reporting inconsistencies to the examining endoscopist. Patients diagnosed with early gastric cancer (EGC) in the 2 years before and after the introduction of QMS were divided into two groups: the interval cancer group, which included those for whom cancer was detected within 1 year of the last endoscopy and the noninterval cancer group. Changes in detection rates were compared. Results Before the introduction of QMS, 11 interval EGC cases were diagnosed among 36,189 endoscopies, whereas after the introduction, 32 interval ECG cases were diagnosed among 38,290 endoscopies (P = 0.004). Fifteen noninterval EGC cases were diagnosed before the introduction, while 12 noninterval EGC cases were diagnosed after the introduction; no significant difference was observed. Subanalyses by Helicobacter pylori (HP) infection status revealed no difference in the detection rate among HP-positive EGC patients, but the detection rates among HP-eradicated and HP-naïve EGC patients were improved (P = 0.005 and P = 0.011). Logistic regression analysis showed that QMS was an independent predictor for detection of HP-negative interval EGC (P = 0.017, OR = 4.4, 95 % CI: 2.0–9.7). Conclusions QMS improved the detection rate for HP-negative interval early gastric cancer. (UMIN000042991)

Blue laser imaging-bright improves the real-time detection rate of early gastric cancer: a randomized controlled study

2019 ◽  
Vol 89 (1) ◽  
pp. 47-57 ◽  
Author(s):  
Osamu Dohi ◽  
Nobuaki Yagi ◽  
Yuji Naito ◽  
Akifumi Fukui ◽  
Yasuyuki Gen ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Early Gastric Cancer ◽  
Real Time ◽  
Detection Rate ◽  
Blue Laser ◽  
Controlled Study ◽  
Laser Imaging ◽  
The Real ◽  
Randomized Controlled ◽  
Blue Laser Imaging
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