INTESTINE Vol.23 No.3(3-1)

Theme Metastatic recurrence and prognosis after endoscopic treatment for early colorectal carcinoma
Title The effect of preceding endoscopic resection on prognosis for patients with T1 colorectal carcinoma who underwent additional surgery
Publish Date 2019/06
Author Ken Yamashita Department of Endoscopy, Hiroshima University Hospital
Author Shiro Oka Department of Gastroenterology and Metabolism, Hiroshima University Hospital
Author Shinji Tanaka Department of Endoscopy, Hiroshima University Hospital
Author Katsuaki Inagaki Department of Gastroenterology and Metabolism, Hiroshima University Hospital
Author Kazuki Boda Department of Gastroenterology and Metabolism, Hiroshima University Hospital
Author Kyoku Sumimoto Department of Endoscopy, Hiroshima University Hospital
Author Yuki Ninomiya Department of Endoscopy, Hiroshima University Hospital
Author Kazuaki Chayama Department of Gastroenterology and Metabolism, Hiroshima University Hospital
Author Koji Arihiro Department of Anatomical Pathology, Hiroshima University Hospital
Author Yasuhiko Kitadai Department of Health Sciences, Prefectural University of Hiroshima
[ Summary ] Malignant oncologic behavior of a preceding endoscopic resection (ER) prior to additional surgery for T1 colorectal carcinoma (CRC) has been controversial. We analyzed the influence of preceding ER based on the prognosis of patients with T1 CRC after additional surgery using propensity scorematching in our institution. Our data suggested that preceding ER for patients with T1 CRC did not affect their prognosis adversely after additional surgery. It is expected that ER as an excisional biopsy for T1 CRC will expand in the future, however this application is under clinical research and currently it should be done with caution.
back