Transnasal and standard transoral endoscopies in the screening of gastric mucosal neoplasias

doi:10.4253/wjge.v3.i8.162

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Endosc. Aug 16, 2011; 3(8): 162-170
Published online Aug 16, 2011. doi: 10.4253/wjge.v3.i8.162

Table 3 Screening performance of the two esophagogastroduodenoscopies in subjects with or without chronic atrophic gastritis (mean ± SD) n (%)

	Total subjects	CAG
		Positive	Negative
Screened by transnasal EGD
Screened subjects	1382	560	822
Age (yr)	53.4 ± 15.4	60.3 ± 11.8^c	47.0 ± 14.5
Males	684 (49.4)^a	316 (56.4)^a	368 (44.8)^a
Smokers	267 (19.3)	121 (21.6)	146 (17.8)
Subjects with gastric neoplasia/DR	23/0.0166	22/0.0286^c	1/0.00122^a
Location of neoplasia (U/M/L)	8/7/8	8/6/8	0/1/0
Adenoma cases/DR	3/0.0022	3/0.00536	0/0
Size of adenoma (mm)	9.7 ± 4.0	9.7 ± 4.0	0
Cancer cases/DR	20/0.0145	19/0.0315^c	1/0.00122
Size of cancer (mm)	32.6 ± 19.5^a	34.1 ± 18.8^a	5 ± 0
Morphological cancer type (I-IIa/IIb/IIc-III/Ad)	6/1/5/8	6/1/4/8	0/0/1/0
With intestinal-type cancer	18 (90.0)	18 (94.7)	0 (0)
Depth of invasion (m/sm/pm-)	5/7/8	4/7/8	1/0/0
With early cancer	12 (60.0)	11 (57.9)^a	1 (100)
Screened by transoral EGD
Screened subjects	1942	800	1142
Age (yr)	53.5 ± 15.6	62.3 ± 11.4^c	47.3 ± 14.2
Males	758 (39.0)	363 (45.3)	395 (34.6)
Smokers	411 (21.2)	165 (20.6)	246 (21.6)
Subjects with gastric neoplasia/DR	32/0.0164	24/0.0300^c	8/0.0070
Location of neoplasia (U/M/L)	12/8/12	8/7/9	4/1/3
Adenoma cases/DR	9/0.0046	7/0.00875^c	2/0.00175
Size of adenoma (mm)	10.8 ± 7.9	11.7 ± 8.8	7.5 ± 3.5
Cancer cases/DR	23/0.0118	17/0.0213^c	6/0.00525
Size of cancer (mm)	22.3 ± 12.8	19.4 ± 11.7	31.4 ± 12.1
Morphological cancer type (I-IIa/IIb/IIc-III/Ad)	6/0/12/5	6/0/9/2	0/0/3/3
With intestinal-type cancer	15 (65.2)	12 (70.6)^c	2 (33.3)
Depth of invasion (m/sm/pm-)	15/3/5	13/2/2	2/1/3
With early cancer	8 (78.3)	15 (88.2)	3 (50.0)

^aP < 0.05 vs transoral;

^cP < 0.05 vs CAG-negative. CAG: Chronic atrophic gastritis; DR: Detection rate; U: Upper third of the stomach; M: Middle third of the stomach; L: Lower third of the stomach; EGD: Esophagogastroduodenoscopy.

Citation: Nakata H, Enomoto S, Maekita T, Inoue I, Ueda K, Deguchi H, Shingaki N, Moribata K, Maeda Y, Mori Y, Iguchi M, Tamai H, Yamamichi N, Fujishiro M, Kato J, Ichinose M. Transnasal and standard transoral endoscopies in the screening of gastric mucosal neoplasias. World J Gastrointest Endosc 2011; 3(8): 162-170
URL: https://www.wjgnet.com/1948-5190/full/v3/i8/162.htm
DOI: https://dx.doi.org/10.4253/wjge.v3.i8.162