지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.86 No.6
- 발행연도
- 2014.6
- 수록면
- 289 - 294 (6page)
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초록· 키워드
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Purpose: We hypothesized that gastroesophageal reflux disease (GERD) would be more prevalent after a gastric wedge resection of a submucosal tumor (SMT) located close to the gastroesophageal junction (GEJ) than after a gastric wedge resection of an SMT at other locations because of the damage to the lower esophageal sphincter during surgery.
Methods: Fifty-eight patients with gastric SMT who underwent open or laparoscopic gastric wedge resection between January 2000 and August 2012 at the Department of Surgery, Incheon St. Mary"s Hospital were enrolled into this study. The patients were divided into 2 groups according to the location of the tumor, upper or lateral border of the tumor within 5 cm of the GEJ (GEJ ≤ 5 cm group) and upper or lateral border of the tumor greater than 5 cm distal to the GEJ (GEJ > 5 cm group). The surgical records, clinicopathologic findings, postoperative GERD symptoms, postoperative use of acid suppressive medications and preoperative and postoperative endoscopic findings were retrospectively reviewed and compared between the 2 groups.
Results: There was no difference in the frequency of the preoperative GERD symptoms between the 2 groups, whereas postoperative GERD symptoms and postoperative use of acid suppressive medications were more frequent in the GEJ ≤ 5 cm group (P = 0.045 and P = 0.031). However, there were no differences in the follow-up endoscopic findings in terms of reflux esophagitis and Hill’s grade between the 2 groups.
Conclusion: The incidence of GERD was higher after gastric wedge resection of SMTs located close to the GEJ. Hence, adequate care should be taken during the follow-up of these patients.
Methods: Fifty-eight patients with gastric SMT who underwent open or laparoscopic gastric wedge resection between January 2000 and August 2012 at the Department of Surgery, Incheon St. Mary"s Hospital were enrolled into this study. The patients were divided into 2 groups according to the location of the tumor, upper or lateral border of the tumor within 5 cm of the GEJ (GEJ ≤ 5 cm group) and upper or lateral border of the tumor greater than 5 cm distal to the GEJ (GEJ > 5 cm group). The surgical records, clinicopathologic findings, postoperative GERD symptoms, postoperative use of acid suppressive medications and preoperative and postoperative endoscopic findings were retrospectively reviewed and compared between the 2 groups.
Results: There was no difference in the frequency of the preoperative GERD symptoms between the 2 groups, whereas postoperative GERD symptoms and postoperative use of acid suppressive medications were more frequent in the GEJ ≤ 5 cm group (P = 0.045 and P = 0.031). However, there were no differences in the follow-up endoscopic findings in terms of reflux esophagitis and Hill’s grade between the 2 groups.
Conclusion: The incidence of GERD was higher after gastric wedge resection of SMTs located close to the GEJ. Hence, adequate care should be taken during the follow-up of these patients.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (25)
참고문헌 신청
1. [학술지(정기간행물)] - Buscaglia JM. / 2012 / Diagnostic yield and safety of jumbo biopsy forceps in patients with subepithelial lesions of the upper and lower GI tract / Gastrointest Endosc 75 : 1147 ~ 1152
2. [학술지(정기간행물)] - Papanikolaou IS. / 2011 / Endoscopic ultrasonography for gastric submucosal lesions / World J Gastrointest Endosc 3 : 86 ~ 94
3. [학술지(정기간행물)] - Mekky MA. / 2010 / Diagnostic utility of EUS-guided FNA in patients with gastric submucosal tumors / Gastrointest Endosc 71 : 913 ~ 919
4. [학술지(정기간행물)] - Karaca C. / 2010 / Accuracy of EUS in the evaluation of small gastric subepithelial lesions / Gastrointest Endosc 71 : 722 ~ 727
5. [학술지(정기간행물)] - Polkowski M. / 2009 / Diagnostic yield and safety of endoscopic ultrasound-guided trucut [corrected] biopsy in patients with gastric submucosal tumors : a prospective study / Endoscopy 41 : 329 ~ 334
2. [학술지(정기간행물)] - Papanikolaou IS. / 2011 / Endoscopic ultrasonography for gastric submucosal lesions / World J Gastrointest Endosc 3 : 86 ~ 94
3. [학술지(정기간행물)] - Mekky MA. / 2010 / Diagnostic utility of EUS-guided FNA in patients with gastric submucosal tumors / Gastrointest Endosc 71 : 913 ~ 919
4. [학술지(정기간행물)] - Karaca C. / 2010 / Accuracy of EUS in the evaluation of small gastric subepithelial lesions / Gastrointest Endosc 71 : 722 ~ 727
5. [학술지(정기간행물)] - Polkowski M. / 2009 / Diagnostic yield and safety of endoscopic ultrasound-guided trucut [corrected] biopsy in patients with gastric submucosal tumors : a prospective study / Endoscopy 41 : 329 ~ 334
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