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Updated: Nov 22, 2025
Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
Published on: August 9, 2016
Association Between Waiting Time from Diagnosis to Endoscopic Submucosal Dissection and Non-curative Resection in
Gil Ho Lee1, Jin Woong Park1, Jin Roh2
1Department of Gastroenterology, Ajou University School of Medicine, Suwon, Republic of Korea.
Background/Aim:
Currently, there are no standard guidelines for the waiting time from the diagnosis of gastric neoplasms to endoscopic submucosal dissection (ESD).
Patients And Methods:
A total of 1,605 patients who had undergone ESD for early gastric cancer (EGC) or high-grade dysplasia (HGD) were enrolled. Waiting time for ESD was defined as the time from the first diagnosis to ESD. Multivariable logistic regression analysis was conducted.
Results:
The curative resection rate was 86.8% and the mean waiting time was 36.8 days. In the multivariable model, longer waiting time did not significantly affect non-curative resection, whereas age >70 years, submucosal fibrosis, and initial cancer diagnosis were significantly associated with non-curative resection. Waiting time was still not identified as a risk factor for non-curative resection in EGC and HGD groups.
Conclusion:
A longer waiting time from diagnosis to ESD was not associated with non-curative resection.
