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Choi, Seong-Hee,Lee, Hyeong-Geun,Choi, Min-Gew,Noh, Jae-Hyung,Sohn, Tae-Sung,Bae, Jae-Moon,Kim, Sung 대한위암학회 2010 Journal of gastric cancer Vol.10 No.3
Purpose: The purpose of this study was to analyze the clinical courses of patients with gastric cancer and positive resection margins after a gastrectomy for gastric cancer who did not undergo subsequent surgery. Materials and Methods: Among 4,452 patients who underwent surgery for gastric cancer from January 2001 to December 2007, 20 patients with positive resection margins after gastrectomy for gastric cancer who did not undergo subsequent surgery were included. The recurrence patterns were confirmed by postoperative computed tomography and gastroscopy, which were performed on a planned schedule. All recurrence patterns after gastrectomy were classified as loco-regional, peritoneal, or distant metastases. Results: The patients with confirmed recurrence all had advanced stage cancer (III-IV), and the recurrence sites were variable. However, peritoneal and distant recurrences were more common than loco-regional recurrences. The patients with loco-regional recurrence also had peritoneal and/or distant recurrence. Conclusions: Patients with gastric cancer and a positive resection margin showed more frequent peritoneal and distant metastases than loco-regional recurrence. In addition, patients with loco-regional recurrence also had peritoneal and distant recurrence. A positive resection margin of gastric cancer was related with poor histological differentiation, diffuse type, and advanced stage (III-IV).
Risk Factors and Tumor Recurrence in pT1N0M0 Gastric Cancer after Surgical Treatment
Choi, Hee Jun,Kim, Su Mi,An, Ji Yeong,Choi, Min-Gew,Lee, Jun Ho,Sohn, Tae Sung,Bae, Jae Moon,Kim, Sung The Korean Gastric Cancer Association 2016 Journal of gastric cancer Vol.16 No.4
Purpose: This study aimed to evaluate the rate, patterns, and risk factors associated with tumor recurrence in patients with T1N0 gastric cancer. Materials and Methods: The medical records of 8,753 patients with pathological T1N0M0 gastric cancer who underwent gastrectomy between 1994 and 2014 at Sungkyunkwan University School of Medicine were examined. Results: Among the 8,753 patients, 95 patients (1.1%) experienced tumor recurrence; this included 31 remnant, 27 hematogenous, 9 lymph nodal, 5 peritoneal, and 23 multiple-site recurrences. When patients were divided into two groups according to the presence of tumor recurrence, the following characteristics were higher in the recurrence group than in the non-recurrence group: older age (${\geq}65years$), male gender, undifferentiated histology, submucosal invasion, and venous invasion. In multivariate analysis, older age, male gender, tumor depth (sm2 and sm3 invasion), and venous invasion were independent risk factors for tumor recurrence. The recurrence rates were 0.7% in patients with less than two risk factors, 1.7% in those with two risk factors, 3.0% in those with three risk factors, and 6.3% in those with four risk factors (P<0.001). Conclusions: Although tumor recurrence is rare in pT1N0M0 gastric cancer, some patients with certain risk factors demonstrate an increased rate of tumor recurrence. Careful follow-up is required for patients with three or four risk factors.
Choi, Min‐,Gew,Jeong, Ji Yun,Kim, Kyoung‐,Mee,Bae, Jae Moon,Noh, Jae Hyung,Sohn, Tae Sung,Kim, Sung Wiley Subscription Services, Inc., A Wiley Company 2012 Cancer Vol.118 No.21
<P><B>Abstract</B></P><P><B>BACKGROUND:</B></P><P>Gastritis cystica profunda (GCP) is a relatively rare disorder characterized by hyperplastic and cystic down growth of gastric glands into the submucosa. In the current study, the authors attempted to clarify the clinical and pathologic features of GCP in patients with gastric cancer.</P><P><B>METHODS:</B></P><P>The records of 10,728 patients with gastric cancer who underwent gastric cancer surgery were reviewed. The clinicopathologic features of patients who had GCP (n = 161) were compared with the features of patients without GCP (n = 10,567). In situ hybridization to determine Epstein‐Barr virus (EBV) positivity was performed in cancer tissues from patients with (n = 119) and without (n = 503) GCP.</P><P><B>RESULTS:</B></P><P>GCP was associated significantly with older age, male gender, proximal tumor location, differentiated histology and Lauren intestinal type compared with non‐GCP. GCP also was present more frequently in remnant and multiple gastric cancers. Patients who had GCP presented with earlier tumor stages in terms of depth of invasion and lymph node metastasis, and they had less lymphatic and perineural invasion than patients without GCP; however, the presence of GCP was not an independent prognostic factor. The EBV‐positive rate was significantly higher in the GCP group (31.1%) than in the non‐GCP group (5.8%).</P><P><B>CONCLUSIONS:</B></P><P>Patients with gastric cancer who had GCP had clinicopathologic features that differed from the features observed in patients without GCP. GCP was associated significantly with EBV‐positive gastric cancers, and its possible role as a premalignant lesion needs to be clarified. Cancer 2012. © 2012 American Cancer Society.</P>
( Chi Min Park ),( Jeong Meen Seo ),( Min Gew Choi ),( Dae Sang Lee ),( Dong Kyung Chang ),( Kyeong Man Jeon ),( Mi Yong Rha ),( Hyun Jeong Kim ),( Seon Hye Lee ),( Un Mee Kim ),( Young Yun Cho ) 한국정맥경장영양학회 2012 한국정맥경장영양학회 학술대회집 Vol.2012 No.-
Background: Optimal delivery of enteral nutrition (EN) may improve clinical outcomes of critically ill patients and enteral feeding protocols help to improve EN practice. The purpose of this study was to evaluate the impact of implementation of enteral feeding protocol on the improvement in EN practice and on the clinical outcomes of adult critically ill patients. Methods: This was a retrospective cohort study with prospectively collected data. Multidisciplinary working group, including dietitian, nurse, and intensivist, developed the evidence-based protocol by extensive literatures and guideline review. We included the consecutive patients admitted to the medical and surgical ICU and received EN more than 24 hours. The EN practices and clinical outcomes were compared between before and after implementation of enteral feeding protocol. Results: A total of 270 patients were included in this study; 134 patients before implementation, 136 after implementation. Basic clinical characteristics were not different between two phases. Enteral feeding was initiated earlier (35.8 vs 87.1 hours, p=0.001) and more patients received EN within 24 hours (59.6% vs 41.0%, p=0.002) after implementation of protocol. Interval between starting and reaching caloric goal was not different, however more patients reached caloric goal after implementation (52.2% vs 38.3%, p=0.037). Post-implementation group used more prokinetics (53.7% vs 34.3%. p=0.001) and less parenteral nutrition. Diarrhea and gastrointestinal bleeding were significantly decreased after implementation. There was no difference in clinical outcomes including ICU death, ICU free day, and hospital day. Conclusion: The implementation of enteral feeding protocol significantly improved the practices of EN and decrease complications in critically ill patients. The clinical outcomes were not different before and after implementation.
위 절제술 후 절제연 양성군의 임상병리학적 특성과 재발
최성희,Hyeong Geun Lee,Min Gew Choi,Jae Hyung Noh,Tae Sung Sohn,배재문,Sung Kim 대한위암학회 2010 Journal of gastric cancer Vol.10 No.3
Purpose: The purpose of this study was to analyze the clinical courses of patients with gastric cancer and positive resection margins after a gastrectomy for gastric cancer who did not undergo subsequent surgery. Materials and Methods: Among 4,452 patients who underwent surgery for gastric cancer from January 2001 to December 2007, 20patients with positive resection margins after gastrectomy for gastric cancer who did not undergo subsequent surgery were included. The recurrence patterns were confirmed by postoperative computed tomography and gastroscopy, which were performed on a planned schedule. All recurrence patterns after gastrectomy were classified as loco-regional, peritoneal, or distant metastases. Results: The patients with confirmed recurrence all had advanced stage cancer (III–IV), and the recurrence sites were variable. However,peritoneal and distant recurrences were more common than loco-regional recurrences. The patients with loco-regional recurrence also had peritoneal and/or distant recurrence. Conclusions: Patients with gastric cancer and a positive resection margin showed more frequent peritoneal and distant metastases than loco-regional recurrence. In addition, patients with loco-regional recurrence also had peritoneal and distant recurrence. A positive resection margin of gastric cancer was related with poor histological differentiation, diffuse type, and advanced stage (III–IV).