Kim HG, Cho JY, Bok GH, Cho WY, Kim WJ, Hong SJ, Ko BM, Kim JO, Lee JS, Lee MS, Shim CS. A novel device for endoscopic submucosal dissection, the Fork knife. World J Gastroenterol 2008; 14(43): 6726-6732 [PMID: 19034979 DOI: 10.3748/wjg.14.6726]
Corresponding Author of This Article
Joo Young Cho, MD, PhD, Professor, Institute for Digestive Research, Digestive Disease Center, Department of Internal Medicine, College of Medicine, SoonChunHyang University, 657 Hannam-Dong, Yongsan-Gu, Seoul 140-743, South Korea. cjy6695@dreamwiz.com
Article-Type of This Article
Rapid Communication
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Table 2 Clinical aspects of gastric cancer in the two groups n (%)
Clinical aspect
Group A (n = 210)
Group B (n = 53)
Tumor depth
Mucosal layer
175 (83.3)
43 (81.1)
Submucosal layer
35 (16.7)
10 (18.9)
Endoscopic appearance
Protruded/Elevated
77 (36.7)
21 (39.6)
Flat
17 (8.1)
4 (7.5)
Depressed
59 (28.1)
19 (35.8)
Mixed
57 (27.1)
9 (17.1)
Tumor location
Cardia, Fundus
11 (5.2)
4 (7.5)
Body
54 (25.7)
15 (28.3)
Angle
29 (13.8)
12 (22.6)
Antrum, Pylorus
115 (54.8)
21 (39.6)
Subtotal gastrectomy state
1 (0.5)
1 (1.9)
Table 3 Comparison of procedure time and lesions in the two groups n (%)
Group A (n = 265)
Group B (n = 72)
P
Procedure time (min)
59.63 ± 56.12
76.65 ± 70.75
0.043
Fibrosis
NS
Yes
42 (15.8)
11 (15.3)
No
223 (84.2)
61 (84.7)
Specimen size
NS
< 3 cm
26 (9.8)
7 (9.7)
3 to < 5 cm
177 (66.8)
42 (65.3)
≥ 5 cm
62 (23.4)
18 (25)
Ulcer lesion
0.041
Yes
36 (13.6)
5 (6.9)
No
229 (86.4)
67 (93.1)
Table 4 Resection type and complication rates in the two groups n (%)
Group A (n = 265)
Group B (n = 72)
Resection
En bloc
254 (95.8)
67 (93.1)
Piecemeal
11 (4.2)
5 (6.9)
Complication
None
250 (94.3)
70 (97.2)
Bleeding
13 (4.9)
1 (1.4)
Perforation
2 (0.8)
1 (1.4)
Table 5 Comparison of ESD in the two groups n (%)
ESD
Group A (n = 265)
Group B (n = 72)
Complete
215 (81.1)
53 (73.6)
Incomplete
47 (17.7)
18 (25)
Could not be evaluated
3 (1.1)
1 (1.4)
Citation: Kim HG, Cho JY, Bok GH, Cho WY, Kim WJ, Hong SJ, Ko BM, Kim JO, Lee JS, Lee MS, Shim CS. A novel device for endoscopic submucosal dissection, the Fork knife. World J Gastroenterol 2008; 14(43): 6726-6732