[The role of gastroscopy for preoperative reliability of diagnosis and operability in gastric cancer. Retrospective analysis at a county hospital (author's transl)].
The evaluation of 535 patients with gastric cancer observed in two 5-years periods with low (3%) and high (84%) preoperative endoscopic frequence demonstrated: 1. Change of the diagnostic procedure, mainly on the basis of out-patients examination, 2. a diminished role of preoperative X-ray examination for decisions about the further proceeding. 3. no more unnecessary probatory laparotomies without a lesion requiring surgery, 4. improved preoperative exclusion from surgery of patients supposed to be not operable, resulting in a reduction of explorative laparotomies and a relative increase of gastrectomies, and finally 5. a significant increase in early gastric cancer with a concomitant decrease of stage 2 and 3. The percentage of the largest group of gastric cancer in stage 4 remained constant, however.
D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D005773:Gastroscopy / Q000379:methods*; D006764:Hospitals, Community; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000601:surgery*
Bedeutung der Gastroskopie für die präoperative diagnostische Sicherheit und die Operabilität beim Magenkarzinom. Retrospektive Analyse an einem kommunalen Krankenhaus.