Endoscopic diagnosis and treatment of early gastric cardia neoplasms: Efficacy and management of non-curative resection

doi:10.3748/wjg.120660

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World Journal of Gastroenterology

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1007-9327

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World J Gastroenterol. Nov 21, 2026; 32(43): 120660
Published online Nov 21, 2026. doi: 10.3748/wjg.120660

Table 3 Differences in white light endoscopy features, n (%)

Item	Low-grade intraepithelial neoplasia (n = 34)	High-grade intraepithelial neoplasia (n = 40)	Intramucosal carcinoma (n = 74)	Submucosal carcinoma (n = 15)	P value
Lesion location (%)					0.892
Greater curvature	5 (17.2)	3 (8.8)	12 (16.4)	1 (6.7)
Lesser curvature	10 (34.5)	9 (26.5)	19 (26.0)	4 (26.7)
Anterior wall	3 (10.3)	2 (5.9)	7 (9.6)	1 (6.7)
Posterior wall	11 (14.4)	20 (58.8)	35 (47.9)	9 (60.0)
Paris classification (%)					0.001
Elevated	13 (38.2)^a	3 (7.5)^a	7 (9.5)^a	1 (6.7)^a
Flat	20 (58.8)^a	28 (70.0)^a	56 (75.7)^a	9 (60.0)^a
Depressed	1 (2.9)^a	2 (5.0)^a	2 (2.7)^a	1 (6.7)^a
Mixed	0^a	7 (17.5)^a	9 (12.2)^a	4 (26.7)^a
Roughness (%)	18 (52.9)	23 (57.5)	49 (66.2)	10 (66.7)	0.536
Redness (%)	20 (58.8)	31 (77.5)	55 (74.3)	7 (46.7)	0.057
Whitening (%)	5 (14.7)	0	1 (1.4)	0	0.005
Ulceration or erosion (%)	6 (17.6)	7 (17.5)	15 (20.3)	4 (26.7)	0.876
White fur/coating (%)	4 (11.8)	4 (10.0)	16 (21.6)	4 (26.7)	0.248
Spontaneous bleeding (%)	0	2 (5.0)	4 (5.4)	0	0.573
Fold abnormality (%)	0	0	0	0
Poor peristalsis (%)	0	0	5 (6.8)	1 (6.7)	0.214

^aP < 0.05.

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Citation: Zhu N, Chen MY, Li KQ, Li FL, Qin B, Jiang J, Wang SH, Wu J, Xi WT, Liu SY, Li YH, Zou BC. Endoscopic diagnosis and treatment of early gastric cardia neoplasms: Efficacy and management of non-curative resection. World J Gastroenterol 2026; 32(43): 120660
URL: https://www.wjgnet.com/1007-9327/full/v32/i43/120660.htm
DOI: https://dx.doi.org/10.3748/wjg.120660

Zhu N, Chen MY, Li KQ, Li FL, Qin B, Jiang J, Wang SH, Wu J, Xi WT, Liu SY, Li YH, Zou BC. Endoscopic diagnosis and treatment of early gastric cardia neoplasms: Efficacy and management of non-curative resection. World J Gastroenterol 2026; 32(43): 120660 [DOI: 10.3748/wjg.120660]

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