Is Survival Better with Endoscopic Resection or Surgery in Early Gastric Cancer?

Overall and disease-specific survival rates were noninferior with endoscopic resection, though recurrence-free and disease-free survival rates were lower compared with surgery.

Endoscopic resection (ER) is a common curative treatment approach for early gastric cancer in high-incidence regions. To compare long-term outcomes in patients undergoing ER versus surgery with curative intent for early gastric cancer, investigators at a large referral hospital in Korea conducted follow-up endoscopy and computed tomography in 1290 ER recipients and 1273 surgery recipients. A propensity-score–matching analysis identified 611 matched patients in each group.

In a logistic regression analysis of matched-patient data controlling for clinical covariates, the 10-year overall and disease-specific survival (DSS) rates were noninferior in the ER versus surgery group (80.1% vs. 80.8%, and 98.0% vs. 96.9%, respectively). Recurrence-free…

Reviewing Author

David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)

Disclosures

Nothing to disclose

David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)

Disclosures

Nothing to disclose

Is Survival Better with Endoscopic Resection or Surgery in Early Gastric Cancer?

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Reviewing Author