Prognostic Factors in the Treatment of Gastric Mucosal Atypical Hyperplasia by Endoscopic Submucosal Dissection
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Background: Endoscopic submucosal dissection (ESD) is becoming increasingly popular as a treatment for precancerous lesions and early cancers of the stomach. However, there have been few studies on the factors associated with the recurrence of precancerous lesions after ESD.
Methods: To investigate the prognostic factors of gastric intraepithelial neoplasia, we retrospectively analyzed 115 patients who were treated with ESD between February 2018 and January 2020. Chi-square test and Fisher's extract test were used to select factors for further investigation, and prognostic analysis was carried out with the Kaplan-Meier method and a Cox regression model.
Results: Platelet counts (P = 0.027) and albumin levels (P = 0.011) were both lower in patients with recurrence than in patients without recurrence of gastric mucosal atypical hyperplasia after ESD.
Conclusions: This study reveals that low platelet counts and albumin levels were probably unfavorable prognostic factors in mucosal atypical hyperplasia of the stomach.
Yu X, Song X, Xie Y, Zhang S, Guo J Int J Mol Sci. 2023; 24(1).
PMID: 36613767 PMC: 9820402. DOI: 10.3390/ijms24010322.