2020 Volume 4 Issue 1 Pages 25-30
【Background and Aims】The number of elderly Japanese patients with gastric cancers treated with endoscopic submucosal dissection (ESD) is increasing. This study aimed to investigate the safety and efficacy of gastric ESD in patients aged ≥85 years. 【Methods】We included 149 patients with 165 gastric cancer treated with ESD at our hospital between April 2012 and December 2019, and they were categorized into two groups: the super-old (SO) group comprising patients aged ≥85 years and the non-super-old (NSO) group comprising patients aged ≤84 years. The clinical outcomes and follow-up after ESD and prognosis were evaluated. 【Results】The clinical outcomes between the two groups had no remarkable differences. However, the SO group had a significantly higher rate of patients who self-interrupted their follow-up checkup within 3 years (p=0.01) than the NSO group. Meanwhile, the 3-year overall survival rates were not significantly different between the two groups. 【Conclusions】Gastric ESD can be safely and effectively achieved even for elderly patients aged ≥85 years, with the possibility of preventing death from gastric cancer. However, elderly patients aged ≥85 years tend to self-interrupt their follow-up checkup.
