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发表一篇学和医学成像类SCI论文
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Abstract:
BACKGROUND: Gastric hyperplastic polyps (GHPs) have a risk of neoplastic transformation reaching 5 %. Current endoscopic resection techniques appear suboptimal with a high risk of local recurrence. This study assessed the outcomes of endoscopic resection for GHPs and identified risk factors for recurrence and neoplastic transformation. METHODS: This retrospective, multicenter, European study included adult patients with at least one GHP ≥ 10 mm who underwent endoscopic resection and at least one follow-up endoscopy. Patients with recurrent GHPs or hereditary gastric polyposis were excluded. All data were retrieved from the endoscopy, pathology, and hospitalization reports. RESULTS: From June 2007 to August 2018, 145 GHPs in 108 patients were included. Recurrence after endoscopic resection was 51.0 % (74 /145) in 55 patients. R0 resection or en bloc resection did not impact the risk of polyp recurrence. In multivariate analysis, cirrhosis was the only risk factor for recurrence (odds ratio [OR] 4.82, 95 % confidence interval [CI] 1.33 - 17.46; P = 0.02). Overall, 15 GHPs (10.4 %) showed neoplastic transformation, with size > 25 mm (OR 10.24, 95 %CI 2.71 - 38.69; P < 0.001) and presence of intestinal metaplasia (OR 5.93, 95 %CI 1.56 - 22.47; P = 0.01) being associated with an increased risk of neoplastic transformation in multivariate analysis. CONCLUSIONS: Results confirmed the risk of recurrence and neoplastic transformation of large GHPs. The risk of neoplastic change was significantly increased for lesions > 25 mm, with a risk of high grade dysplasia appearing in polyps ≥ 50 mm. The risk of recurrence was high, particularly in cirrhosis patients, and long-term follow-up is recommended in such patients.
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最新影响因子:9.776 | 期刊ISSN:0013-726X | CiteScore:1.49 |
出版周期:Monthly | 是否OA:YES | 出版年份:1969 |
期刊官方网址:http://endoscopy.thieme.com/
自引率:9.50% | 研究方向:医学-外科 |
出版地区:GERMANY |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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这是关于胃肠内窥镜检查国际发展的首要期刊,对于帮助临床医生了解全球进展至关重要。 从最高质量的评论文章和原始贡献——到最重要的国家和国际会议的快速,深入的报道——到有价值的诊断和治疗进展调查,内窥镜检查每年涵盖了九个信息包装问题的领域。 此外,内镜检查每两年发布一次对前两年期内发表的诊断和治疗内窥镜检查文献的完整评论,这是一个独特的特性,值得订阅!
大类(学科) | 小类(学科) | 学科排名 |
医学 |
SURGERY (外科) 2区 GASTROENTEROLOGY & HEPATOLOGY (胃肠肝病学) 1区 |
11/80 5/200 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
107 | 104 | 3 |
引文计数(2018)
文献(2015-2017)
2584次引用
1730篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Gastroenterology
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#68/128
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研究方向:临床内镜
审稿时间: 2个月内 接受率: 比较困难(25%命中)
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研究方向:医药科学 消化系统 消化系统发育异常
审稿时间: 1个月内
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研究方向:内镜
影响因子:2.762
ISSN:1869-0327
研究方向:MEDICAL INFORMATICS-
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研究方向:医学-医学:信息
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研究方向:医学-卫生保健
影响因子:4.947
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研究方向:-
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ISSN:1460-4582
研究方向:HEALTH CARE SCIENCES & SERVICES-MEDICAL INFORMATIC
影响因子:4.92
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影响因子:7.076
ISSN:1438-8871
研究方向:医学-卫生保健
影响因子:8
ISSN:1532-0464
研究方向:医学-计算机:跨学科应用
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