Laparoscopic antrectomy: A safe and definitive treatment in managing type 1 gastric carcinoids

Hillary E. Jenny, Paul A. Ogando, Kenji Fujitani, Richard R.P. Warner, Celia M. Divino

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Background Treatment for type 1 gastric carcinoid (T1GC) includes esophagogastroduodenoscopy (EGD), polypectomy, and antrectomy, but few studies compare outcomes. This study assessed risk-benefit ratio to determine the most effective treatment for T1GC. Methods A retrospective review of 52 T1GC patients (ages 30 to 88 years; 77% female) presenting to Mount Sinai Medical Center between 2004 and 2012 was conducted. Patient demographics, procedures, and outcomes were reviewed, and patient satisfaction was assessed using a phone-administered validated questionnaire. Data were analyzed using SPSS version 20 software. Results Average EGDs needed per follow-up year was significantly lower for antrectomy than polypectomy or EGD surveillance (.395 vs 1.038 vs 1.380, P =.002). Antrectomy patients exhibited decreased recurrence risk than polypectomy patients (11% vs 44%, P =.049), despite longer follow-up time (6.10 vs 4.39 years, P =.023). Conclusions Antrectomy treats T1GC with lower recurrence risk and less postintervention monitoring, whereas allowing patients to avoid the discomfort of repeated EGD surveillance and anxiety over a lingering condition.

Original languageEnglish
Pages (from-to)778-782
Number of pages5
JournalAmerican Journal of Surgery
Volume211
Issue number4
DOIs
StatePublished - 1 Apr 2016

Keywords

  • Antrectomy
  • Esophagogastroduodenoscopy
  • Gastric carcinoid

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