Suzuki T, Kitagawa Y, Nankinzan R, Yamaguchi T. Early gastric cancer diagnostic ability of ultrathin endoscope loaded with laser light source. World J Gastroenterol 2019; 25(11): 1378-1386 [PMID: 30918430 DOI: 10.3748/wjg.v25.i11.1378]
Corresponding Author of This Article
Takuto Suzuki, MD, PhD, Doctor, Department of Endoscopy, Chiba Cancer Center, 666-2 Nitonachou, Chuo-ku, Chiba 260-8717, Japan. taksuzuki@chiba-cc.jp
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Mar 21, 2019; 25(11): 1378-1386 Published online Mar 21, 2019. doi: 10.3748/wjg.v25.i11.1378
Table 1 Clinical background, gastric cancer detection rates, and the details of the two groups before matching
Ultrathin endoscope
Conventional endoscope
P value
Number of screened subjects
140
235
Transnasal
41 (29.3%)
0 (0%)
-
Sedation
16 (11.4%)
74 (31.5%)
< 0.001
Age in yr, median (range)
74 (43-89)
73 (43-93)
0.49
Gender, male
99 (70.7%)
187 (79.6%)
0.05
Helicobacter pylori positive
6 (4.3%)
9 (3.8%)
0.83
Atrophy, open type
108 (77.1%)
197 (83.8%)
0.11
Operator (expert/nonexpert)
99/41
178/57
0.28
Number of gastric cancer
12
20
Number of subjects with gastric cancer/detection rate
12 (8.6%)
18 (7.7%)
0.75
Location (U/M, L)
4/4, 4
3/11, 6
0.22
Size in mm, median (range)
5 (3-30)
6.5 (3-18)
0.37
Morphological type (I, IIa/IIb, IIc)
0, 6/0, 6
2, 6/0, 12
0.09
Depth of invasion (m/sm)
10/2
20/0
0.06
Table 2 Confirmation of propensity score matching results and balances
Full cohort
Propensity score-matched cohort
Conventional
Ultrathin
ASD, %
Conventional
Ultrathin
ASD, %
n
235
140
129
129
Age in yr
73.1 ± 7.6
73.2 ± 7.6
1.9
73.2 ± 7.6
73.4 ± 7.1
2.7
Male
187, 79.6
99, 70.7
20.6
98, 76.0
97, 75.2
1.8
Specialist
178, 75.7
99, 70.7
11.4
95, 73.6
92, 71.3
5.2
Atrophy
198, 84.3
108, 77.1
18.1
103, 79.8
107, 82.9
8.0
Table 3 Clinical background of the two groups after matching
Ultrathin endoscope
Conventional endoscope
P value
Number of screened subjects
129
129
Age in yr, median (range)
74 (52-89)
74 (47-87)
0.46
Gender, males
108 (77.1%)
99 (76.7%)
0.16
Helicobacter pylori positive
5 (3.9%)
4 (3.1%)
0.73
Atrophy, open type
107 (82.9%)
103 (79.8%)
0.52
Operator, expert/nonexpert
92/37
95/34
0.68
Table 4 Gastric cancer detection rates and details of detected gastric cancers in the two groups after matching
Ultrathin endoscope
Conventional endoscope
P value
Number of gastric cancer
10
9
Number of subjects with gastric cancer/detection rate
10 (7.8%)
9 (7.0%)
0.81
Location (U/M + L)
4/4 + 2
2/6 + 1
0.41
Size in mm, median (range)
7.5 (3-30)
6.0 (3-15)
0.42
Morphological type (I, IIa/IIb, IIc)
0, 6/0, 4
0, 2/0, 7
0.10
Depth of invasion (m/sm)
8/2
9/0
0.16
Table 5 Comparison of intragastric observation time, biopsy implementation rate, and biopsy prediction rate between the two groups
Ultrathin endoscope
Conventional endoscope
P value
Observation time of stomach in min
4.1 ± 1.7
4.1 ± 1.9
0.96
Biopsy implementation rate
31.8% (41/129) (95%CI 23.8-39.8)
41.1% (53/129) (95%CI 32.6-49.6)
0.12
Biopsy prediction rate
17.9% (10/56) (95%CI 7.9-27.9)
13.2% (9/68) (95%CI 5.2-21.2)
0.48
Citation: Suzuki T, Kitagawa Y, Nankinzan R, Yamaguchi T. Early gastric cancer diagnostic ability of ultrathin endoscope loaded with laser light source. World J Gastroenterol 2019; 25(11): 1378-1386