Retrospective Study
Copyright ©The Author(s) 2019.
World J Gastroenterol. Mar 21, 2019; 25(11): 1378-1386
Published online Mar 21, 2019. doi: 10.3748/wjg.v25.i11.1378
Table 1 Clinical background, gastric cancer detection rates, and the details of the two groups before matching
Ultrathin endoscopeConventional endoscopeP value
Number of screened subjects140235
Transnasal41 (29.3%)0 (0%)-
Sedation16 (11.4%)74 (31.5%)< 0.001
Age in yr, median (range)74 (43-89)73 (43-93)0.49
Gender, male99 (70.7%)187 (79.6%)0.05
Helicobacter pylori positive6 (4.3%)9 (3.8%)0.83
Atrophy, open type108 (77.1%)197 (83.8%)0.11
Operator (expert/nonexpert)99/41178/570.28
Number of gastric cancer1220
Number of subjects with gastric cancer/detection rate12 (8.6%)18 (7.7%)0.75
Location (U/M, L)4/4, 43/11, 60.22
Size in mm, median (range)5 (3-30)6.5 (3-18)0.37
Morphological type (I, IIa/IIb, IIc)0, 6/0, 62, 6/0, 120.09
Depth of invasion (m/sm)10/220/00.06
Table 2 Confirmation of propensity score matching results and balances
Full cohort
Propensity score-matched cohort
ConventionalUltrathinASD, %ConventionalUltrathinASD, %
n235140129129
Age in yr73.1 ± 7.673.2 ± 7.61.973.2 ± 7.673.4 ± 7.12.7
Male187, 79.699, 70.720.698, 76.097, 75.21.8
Specialist178, 75.799, 70.711.495, 73.692, 71.35.2
Atrophy198, 84.3108, 77.118.1103, 79.8107, 82.98.0
Table 3 Clinical background of the two groups after matching
Ultrathin endoscopeConventional endoscopeP value
Number of screened subjects129129
Age in yr, median (range)74 (52-89)74 (47-87)0.46
Gender, males108 (77.1%)99 (76.7%)0.16
Helicobacter pylori positive5 (3.9%)4 (3.1%)0.73
Atrophy, open type107 (82.9%)103 (79.8%)0.52
Operator, expert/nonexpert92/3795/340.68
Table 4 Gastric cancer detection rates and details of detected gastric cancers in the two groups after matching
Ultrathin endoscopeConventional endoscopeP value
Number of gastric cancer109
Number of subjects with gastric cancer/detection rate10 (7.8%)9 (7.0%)0.81
Location (U/M + L)4/4 + 22/6 + 10.41
Size in mm, median (range)7.5 (3-30)6.0 (3-15)0.42
Morphological type (I, IIa/IIb, IIc)0, 6/0, 40, 2/0, 70.10
Depth of invasion (m/sm)8/29/00.16
Table 5 Comparison of intragastric observation time, biopsy implementation rate, and biopsy prediction rate between the two groups
Ultrathin endoscopeConventional endoscopeP value
Observation time of stomach in min4.1 ± 1.74.1 ± 1.90.96
Biopsy implementation rate31.8% (41/129) (95%CI 23.8-39.8)41.1% (53/129) (95%CI 32.6-49.6)0.12
Biopsy prediction rate17.9% (10/56) (95%CI 7.9-27.9)13.2% (9/68) (95%CI 5.2-21.2)0.48