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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 147 - 151 (5page)
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Background/Aims: Argon plasma coagulation (APC) has some merits in the treatment of gastric neoplasms including a shorter operative time and fewer complications compared with endoscopic mucosal resection or endoscopic submucosal dissection. However, there are few reports on the outcomes of gastric neoplasms treated using APC. The aim of this study was to evaluate APC in the treatment of early gastric neoplasms in terms of clinical efficacy, safety, and local recurrence.
Methods: We enrolled 28 patients who received APC therapy at the Kyungpook National University Hospital between May 2007 and April 2013. Clinical outcomes were analyzed.
Results: The median follow-up period was 24.8 months (range, 2 to 78). Among the 28 lesions treated using the APC procedure, tumor recurrence was encountered in seven lesions (25.0%). Recurrence was found in 50% (5/10) of single APC cases and 11% (2/18) of rescue APC cases. The mean time to recurrence was 16.1 months (range, 2 to 78). There were no serious APC-related complications such as perforation, bleeding, or infection.
Conclusions: APC therapy can be a useful treatment with a favorable safety profile for patients with early gastric neoplasms. However, further studies are necessary to determine the long-term prognosis of patients undergoing this treatment.
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참고문헌 (15)
참고문헌 신청
Ahn JY / 2011 / Endoscopic and oncologic outcomes after endoscopic resection for early gastric cancer: 1370 cases of absolute and extended indications / Gastrointest Endosc 7
Ahn JY / 2013 / Clinical outcomes of argon plasma coagulation for the treatment of gastric neoplasm / Surg Endosc 27 : 3146 ~ 3152
Chau CH / 2003 / Randomized controlled trial comparing epinephrine injection plus heat probe coagulation versus epinephrine injection plus argon plasma coagulation for bleedi
Gotoda T / 2006 / Endoscopic submucosal dissection of early gastric cancer / J Gastroenterol 41 : 929 ~ 942
Grund KE / 1994 / Endoscopic argon plasma coagulation (APC) first clinical experiences in flexible endoscopy / Endosc Surg Allied Technol 2 : 42 ~ 46
Ahn JY / 2013 / Clinical outcomes of argon plasma coagulation for the treatment of gastric neoplasm / Surg Endosc 27 : 3146 ~ 3152
Chau CH / 2003 / Randomized controlled trial comparing epinephrine injection plus heat probe coagulation versus epinephrine injection plus argon plasma coagulation for bleedi
Gotoda T / 2006 / Endoscopic submucosal dissection of early gastric cancer / J Gastroenterol 41 : 929 ~ 942
Grund KE / 1994 / Endoscopic argon plasma coagulation (APC) first clinical experiences in flexible endoscopy / Endosc Surg Allied Technol 2 : 42 ~ 46
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