Efficacy of Clinical Pathway for the Management of Mucosal Gastric Carcinoma Treated with Endoscopic Submucosal Dissection Using an Insulated-tip Diathermic Knife
スポンサーリンク
概要
- 論文の詳細を見る
Objective, /b> Recently, the cases of early gastric carcinomas which can be treated by endoscopic submucosal dissection (ESD) method have been increasing in our institute. Simple and precise guidelines for treating mucosal gastric carcinoma are necessary for improving the treatment outcome of this disease. In our institute, ESD using an insulated-tip diathermic knife (IT-ESD) was introduced for the treatment of mucosal gastric carcinoma in 1996. The purpose of this study was to evaluate the impact of a clinical pathway and standardize the treatment for mucosal gastric carcinoma treated with IT-ESD. Materials and Methods The Clinical Pathway and standardized of treatment for mucosal gastric carcinoma treated with IT-ESD were introduced at our institute in January 2002. We compared the length of hospitalization, total costs, hospital costs, operation time and bleeding rate during the 18 months before and after January 2002. Results There was no significant difference in the clinical characteristics of the 20 patients in the control group and the 23 patients in the pathway group. There were 9 and 13 bleeding cases in the respective groups. The mean length of hospitalization, total costs and hospital costs were significantly less for patients in the pathway group. There was no significant difference in the operation time or bleeding rate among the two groups. Conclusion Our clinical pathway and the standardization of treatment for mucosal gastric carcinoma treated with IT-ESD proved effective for treating patients with mucosal gastric carcinoma and for minimizing the length of hospitalization without compromising patient care.
- 社団法人 日本内科学会の論文
- 2004-12-01
著者
-
Koide Norio
住友別子病院 内科
-
Koide N
Shinshu Univ. School Of Medicine Matsumoto Jpn
-
Koide Norio
Department Of Laboratory Medicine Okayama University Medical School
-
SHIRATORI YASUSHI
Department of Gastroenterology, Faculty of Medicine, University of Tokyo
-
SHINJI Toshiyuki
Department of Laboratory Medicine, Okayama University Medical School
-
HIRASAKI SHOJI
Department of Internal Medicine, National Shikoku Cancer Center
-
MORIWAKI TOSHIKAZU
Department of Internal Medicine, National Shikoku Cancer Center
-
TANIMIZU MASAHITO
Department of Internal Medicine, National Shikoku Cancer Center
-
HYODO ICHINOSUKE
Department of Internal Medicine, National Shikoku Cancer Center
-
Hyodo Ichinosuke
Department Of Internal Medicine National Shikoku Cancer Center
-
Shiratori Yasushi
Department Of Gastroenterology And Hepatology Okayama University Graduate School Of Medicine Dentist
-
Shiratori Yasushi
Department Of Medicine And Medical Science Okayama University Graduate School Of Medicine And Dentis
-
Hirasaki Shoji
Department Of Internal Medicine National Shikoku Cancer Center
-
Masumoto Toshikazu
Department Of Internal Medicine National Shikoku Cancer Center
-
Matsumoto Takayuki
Department Of Medicine And Clinical Science Graduate School Of Medical Sciences Kyushu University
-
Hirasaki Shoji
国立病院機構四国がんセンター
-
Matsumoto Takayuki
Department Of Medicine And Clinical Science Graduate School Of Medicine Science Kyushu University
-
Moriwaki Toshikazu
Department Of Internal Medicine National Shikoku Cancer Center
-
Koide Norio
Department Of Internal Medicine Okayama University School Of Medicine
-
Shinji Toshiyuki
Department Of Laboratory Medicine Okayama University Graduate School Of Medicine Dentistry And Pharm
-
Shinji Toshiyuki
First Department Of Internal Medicine Okayama University School Of Medicine
-
Hyodo Ichinosuke
Department Of Gastroenterology Institute Of Clinical Medicine University Of Tsukuba Graduate School
-
Hyodo Ichinosuke
Department Of Gastroenterology And Hepatology Institute Of Clinical Medicine Graduate School Of Comp
-
Hirasaki Shoji
Department Of Gastroenterology And Hepatology Institute Of Clinical Medicine Graduate School Of Comp
-
Hirasaki Shoji
Department Of Gastroenterology And Hepatology Institute Of Clinical Medicine Graduate School Of Comp
-
Moriwaki Toshikazu
Department of Gastroenterology and Hepatology, Institute of Clinical Medicine, Graduate School of Comprehensive Human Sciences, University of Tsukuba
-
SHIRATORI Yasushi
Department of Gastroenterology & Hepatology, Okayama University Graduate School of Medicine and Dentistry, Okayama
-
HIRASAKI Shoji
Department of Endoscopy, Shikoku Cancer Center, Matsuyama
-
Tanimizu Masahito
Department of Endoscopy, Shikoku Cancer Center
-
Hirasaki Shoji
Department of Endoscopy, Shikoku Cancer Center
関連論文
- Case of amebic colitis complicated by intestinal spirochaetosis
- AUTOFLUORESCENCE IMAGING COLONOSCOPY IN ULCERATIVE COLITIS : COMPARISON WITH CONVENTIONAL AND NARROW-BAND IMAGING COLONOSCOPY
- ISOLATED INTRAMUSCULAR DISTANT METASTASIS AS AN INITIAL MANIFESTATION OF RECTAL CANCER
- Colonic obstruction due to giant inflammatory polyposis in a patient with ulcerative colitis
- t(11 ; 18)(q21 ; q21)-Associated low-grade mucosa-associated lymphoid tissue lymphoma involving the gastrointestinal tract, the lung, and the salivary glands
- Fatal colorectal cancer in juvenile polyposis syndrome
- Analysis of factors influencing hepatocellular carcinoma detection : efficient use of computed tomography during arterial portography and during hepatic arteriography
- Congenital absence of portal vein with multiple hyperplastic nodular lesions in the liver
- Hepatocellular carcinoma depicted as hypoattenuation on CT hepatic arteriography (CTA) and hyperattenuation on CT during arterial portography (CTAP)
- Platelet conut reflects stage of chronic hepatitis C
- Large Calcified Mass on the Mitral Annulus
- SMALL EARLY GASTRIC CANCER OCCURRING IN A YOUNG WOMAN WITH NODULAR GASTRITIS
- DIFFUSE ANTRAL VASCULAR ECTASIA OF THE STOMACH EFFECTIVELY TREATED BY ESTROGEN-PROGESTERONE THERAPY
- Pachydermoperiostosis associated with juvenile polyps of the stomach and gastric adenocarcinoma
- Analysis of the β-Catenin/T Cell Factor Signaling Pathway in 36 Gastrointestinal and Liver Cancer Cells
- Frameshift Mutations at Mononucleotide Repeats in RAD50 Recombinational DNA Repair Gene in Colorectal Cancers with Microsatellite Instability
- Matrix Metalloproteinase-2 in Pancreatic Juice for Diagnosis of Pancreatic Cancer
- Clusters of Basic Amino Acids in Midkine: Roles in Neurite-Promoting Activity and Plasminogen Activator-Enhancing Activity^1
- Enzyme-Linked Immunoassay for Midkine, and Its Application to Evaluation of Midkine Levels in Developing Mouse Brain and Sera from Patients with Hepatocellular Carcinomas
- A CASE OF SIALADENOMA PAPILLIFERUM OF THE ESOPHAGUS
- Hepatitis C virus genotype distribution in Myanmar : Predominance of genotype 6 and existence of new genotype 6 subtype
- PJ-626 Short and Intermediate-term Echocardiographic Results after Transcatheter Atrial Septal Defect Closure Using Amplatzer Septal Occluder(PJ105,Echo/Doppler (Others) 2 (I),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Ci
- PE-227 Alterations of Heart Rate and Heart Rate Variability after Slowpathway Radiofrequency Catheter Ablation. : Comparison during daytime with nighttime(ECG/Body Surface Potential Mapping/Holter 4 (A) : PE39)(Poster Session (English))
- Exponential-Exponential Cosine Fitting of Blood Pressure Decay by a Long-Acting Calcium Channel Blocker, Amlodipine, Using Home-Blood Pressure Measurement
- Relationship between R-R Interval (RR-l) and Maximal-Flow-Velocity of Aorta as a Marker of Cardiac Performance in Patients with Chronic Non-Valvular Atrial Fibrillation (NVAF)
- Granular cell tumor occurring in the sigmoid colon treated by endoscopic mucosal resection using a transparent cap (EMR-C)
- Evaluation of endoscopic injection sclerotherapy with and without simultaneous ligation for the treatment of esophageal varices
- Circulating vascular endothelial growth factor(VEGF) is a possible tumor marker for metastasis in human hepatocellular carcinoma
- Analysis of Anxiety in Cancer Patients : The Effects of Telling the Truth
- PJ-568 Fractional Flow Reserve (FFR) by Fullback (PB) Method to Predict Restenosis and Target Lesion Revascularization : Comparison with Conventional (C) Method(Restenosis after Angioplasty, Basic/Clinical 7 (IHD) : PJ95)(Poster Session (Japanese))
- PJ-167 Increase of Escape Rhythms with Years after Radiofrequency Ablation of Atrioventricular-junction Combined with Pacemaker (Ablate and Pace) in Atrial Fibrillation(Arrhythmia, Non-Pharmacological Therapy 6 (A) : PJ28)(Poster Session (Japanese))
- PJ-297 Changes in Serum Interferon-gamma Inducible Protein 10 (IP-10) Levels Correlated with Ventricular Function and Infarct Size in Myocardial Infarction Patients(Acute myocardial infarction, clinical (diagnosis/treatment)-8 (IHD) PJ50,Poster Session (J
- Lp3/Hapln3 Expression is Coordinately Upregulated with Versican in Balloon-injured Artery and is Enhanced by PDGF in Arterial Smooth Muscle Cell (Restenosis after Angioplasty, Basic/Clinical 3 (IHD), The 69th Annual Scientific Meeting of the Japanese Circ
- SUCCESSFUL ENDOSCOPIC REMOVAL OF A DUODENAL ADENOMA OCCURRING IN BRUNNER'S GLAND HYPERPLASIA
- Primary hepatic marginal zone B cell lymphoma of mucosa-associated lymphoid tissue type : case report and review of the literature
- Evidence for the Proteolytic Cleavage of Versican in Infarct Heart (Old Myocardial Infarction/Remodeling 2 (IHD), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-065 Increments of serum chemokine interferon-gamma inducible protein 10 (IP-10) levels correlated with left ventricular function in acute myocardial infarction patients(Acute Myocardial Infarction, Clinical (Pathophysiology) 3 (IHD) : PJ11)(Poster Sess
- OE-312 Vasl1 (Vascular Link Protein-1) Is a Novel Extracellular Matrix Protein Limited To Vessels and Is Upregulated in Pressure Overload Heart(Hypertension, Basic 3 (H) : OE39)(Oral Presentation (English))
- OE-278 Low dose of Cerivastatin increased microvessel formation and induced angiogenesis in conjunction with attenuating antiangiogenic protein in rat myocardial infarction(Cardiovascular Pharmacology, Basic/Clinical 1 (H) : OE34)(Oral Presentation (Engli
- OE-072 Serum Antibodies to Human Heat Shock Protein 60 Is Elevated in Subjects With Unstable Angina Pectoris(Acute Coronary Syndrome, Basic/Clinical 3 (IHD) : OE9)(Oral Presentation (English))
- FRS-078 ADAMTS-1, A Disintegrin And Metalloprotease with ThromboSpondin motifs-1, Is a Novel Hypoxic Immediate Gene Expressed by Endothelial Cells(NO and Cardiovascular System (H) : FRS10)(Featured Research Session (English))
- Endothelial Cells of Newly Formed Vessels in the Border Zone of Myocardial Infarction Express Proteoglycan Decorin and Biglycan
- Metalloprotease ADAMTS-1 Was Rapidly Expressed by Endothalial Cells in Acute Myocardial Infarction and Its Quantitative Analysis by Real-Time PCR
- Dynamic Induction of ADAMTS1 Gene in the Early Phase of Acute Myocardial Infarction
- Efficacy of Clinical Pathway for the Management of Mucosal Gastric Carcinoma Treated with Endoscopic Submucosal Dissection Using an Insulated-tip Diathermic Knife
- Expression of Nov, CYR61 and CTGF genes in human hepatocellular carcinoma
- Active intestinal tuberculosis with esophageal candidiasis due to idiopathic CD4+ T-lymphocytopenia in an elderly woman
- Benign gastric ulcer associated with Candida infection in a healthy adult
- Tuberous Sclerosis Associated with Multiple Hepatic Lipomatous Tumors and Hemorrhagic Renal Angiomyolipoma
- Unusual variant of left paraduodenal hernia herniated into the mesocolic fossa leading to jejunal strangulation
- Amyloid Colitis : Successful Treatment with Colchicine Therapy
- A Case of Melanosis Duodeni Alleviated by the Discontinuation of Ferrous Sulfite
- Mixed connective tissue disease associated with idiopathic portal hypertension and chronic thyroiditis
- Transient appearance of perisinusoidal chondroitin sulfate proteoglycans associated with enhanced expression of biglycan gene during D-galactosamine-induced acute liver injury in rats
- Two Cases of Renal Hypouricemia with Nephrolithiasis
- Immunohistochemical study of proteoglycans in D-galactosamice-induced acute liver injury in rats
- A Family with Hereditary Serum Cholinesterase Deficiency
- Pneumocystis carinii pneumonia in patients with ulcerative colitis
- A monoclonal antibody to rat asialoglycoprotein receptor that recognizes an epitope specific to its major subunit
- CONCURRENT GASTRIC AND COLONIC LOW-GRADE MUCOSA-ASSOCIATED LYMPHOID TISSUE LYMPHOMATA IN A PATIENT WITHOUT HELICOBACTER PYLORI INFECTION
- Gianotti-Crosti Syndrome Caused by Acute Hepatitis B Virus Genotype D Infection
- Neuropsychiatric dysfunction in patients with chronic hepatitis and liver cirrhosis
- Protective role of interleukin-10-producing regulatory dendritic cells against murine autoimmune gastritis
- Human leukocyte antigen DR status and clinical features in Japanese patients with type 1 autoimmune hepatitis
- Possible Association of Atrophic Gastritis and Arterial Stiffness in Healthy Middle-Aged Japanese
- Increase in Connective Tissue Growth Factor (CTGF) Expression Precedes Extrracellular Matrix (ECM) Gene Expressions in Pressure-overload Heart in Rats (Hypertension, Basic 5 (H), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Dietary Intake, Neutrophil Fatty Acid Profile, Serum Antioxidant Vitamins and Oxygen Radical Absorbance Capacity in Patients with Ulcerative Colitis
- PELIOSIS HEPATIS : IMPROVEMENT OF ESOPHAGEAL VARICES AFTER THE SURGICAL TREATMENT OF PLACENTAL SITE TROPHOBLASTIC TUMOR OF THE UTERUS
- Plasma level of basic fibroblast growth factor increases with progression of chronic liver disease
- Therapeutic effect of infliximab on Japanese patients with Crohn's disease
- Diabetes mellitus reduces the therapeutic effectiveness of interferon-α2b plus ribavirin therapy in patients with chronic hepatitis C
- Atrophic gastritis, but not antibody to Helicobacter pylori, is associated with body mass index in a Japanese population
- Mutational Inactivation of Mitotic Checkpoint Genes, hsMAD2 and hBUB1, Is Rare in Sporadic Digestive Tract Cancers
- A model for estimating cirrhosis in patients with type 1 autoimmune hepatitis
- Fibrosis progression rates between chronic hepatitis B and C patients with elevated alanine aminotransferase levels
- Clinical features of Japanese type 1 autoimmune hepatitis patients with zone III necrosis
- Early detection and quantification of lamivudine-resistant hepatitis B virus mutants by fluorescent biprobe hybridization assay in lamivudine-treated patients
- Development of an automatic Doppler flow signal detection system : variability of pulmonary and aortic peak flow velocity
- Diagnosis of drug-induced liver injury in Japanese patients by criteria of Consensus Meetings in Europe
- Helicobacter pylori status and esophagogastroduodenal mucosal lesions in patients with end-stage renal failure on maintenance hemodialysis
- Amino acid imbalance in patients with chronic liver diseases
- Seronegative Alpha-Fetoprotein-Producing Early Gastric Cancer Treated with Endoscopic Mucosal Resection and Additional Surgery
- MUCOSA-ASSOCIATED LYMPHOID TISSUE LYMPHOMA OCCURRING IN THE TRANSVERSE COLON
- Identification of genes associated with sensitivity to 5-fluorouracil and cisplatin in hepatoma cells
- Ileal Perforation in Diffuse Intestinal Behcet Disease : Report of a Case
- Extragonadal Retroperitoneal Embryonal Carcinoma Successfully Treated with Chemotherapy
- Development of Hepatocellular Carcinoma in a Woman with HBV- and HCV-negative Autoimmune Hepatitis with Unsatisfactory Response to Corticosteroid
- Gastric Cancer Concomitant with Inflammatory Fibroid Polyp Treated with Endoscopic Mucosal Resection Using an Insulation-tip Diathermic Knife
- Treatment of Elderly Patients with Early Gastric Cancer by Endoscopic Submucosal Dissection Using an Insulated-tip Diathermic Knife
- Unusual Metastasis of Hepatocellular Carcinoma to the Esophagus
- Different clinicopathological features of hepatocellular carcinoma in relation to causative agents
- Acute Pancreatitis Occurring in Gastric Aberrant Pancreas Treated with Surgery and Proved by Histological Examination
- Gastritis Cystica Polyposa Concomitant with Gastric Inflammatory Fibroid Polyp Occurring in an Unoperated Stomach
- Multiple synchronous early gastric carcinoma with seven lesions
- Pancreatic acinar cell carcinoma in familial adenomatous polyposis
- Unresectable Alpha Fetoprotein-producing Gastric Cancer Successfully Treated with Irinotecan and Mitomycin C after S-1 Failure
- PEDUNCULATED INVERTED HYPERPLASTIC POLYP OF THE SLGMOID COLON TREATED WITH ENDOSCOPIC POLYPECTOMY
- Present situation of pTNM classification in Japan : Questionnaire survey of the pathologists of Gan-shinryo-renkei-kyoten Byoin (local core cancer hospitals) on pTNM classification
- Potent in vitro and in vivo antitumor effects of MDM2 inhibitor nutlin-3 in gastric cancer cells
- Present status of autoimmune hepatitis in Japan : a nationwide survey