医学
累积发病率
存活率
回顾性队列研究
入射(几何)
胃肠病学
外科
内镜黏膜下剥离术
内科学
生存分析
队列
光学
物理
作者
Yasuaki Nagami,Masaki Ominami,Masatsugu Shiba,Hiroaki Minamino,Shusei Fukunaga,Natsuhiko Kameda,Satoshi Sugimori,Hirohisa Machida,Tetsuya Tanigawa,Hirokazu Yamagami,Toshio Watanabe,Kazunari Tominaga,Yasuhiro Fujiwara,Tetsuo Arakawa
标识
DOI:10.1016/j.dld.2016.12.009
摘要
Endoscopic submucosal dissection (ESD) is a widely accepted procedure for superficial esophageal squamous cell neoplasia (ESCN) because of a high complete resection rate. However, there were a few reports about the long-term outcomes of these patients due to short follow-up periods.We aimed to evaluate the 5-year survival after ESD for superficial ESCN.This was a retrospective cohort study performed at a single institution. Between 2006 and 2009, 94 patients with superficial ESCN underwent ESD. Eighty-three patients (93.3%) who had completed an extended period of observation of at least 5 years were enrolled. The main outcomes were the 5-year survival rates. The secondary outcomes were the cumulative incidence rate of metachronous ESCN, and the clinical outcomes.The 5-year relative overall survival rate was 99.0%, whereas the cause specific survival rate was 100% during 72.9 months of median follow up period. Subgroup analysis showed that the 5year survival of patients with EP/LPM and MM/SM1 (submucosal invasion ≤200μm) were 100% and 89.0%, respectively. The cumulative incidence rate of metachronous ESCN at 5 years was 16.8%.ESD for superficial ESCN is a curative treatment with a favorable 5-year survival rate.
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