← Issue №15/ week of Oct 11, 2026/Endoscopy

Additional Gastrectomy Versus Surveillance After Non-curative Endoscopic Resection in Patients Aged 75 Years or Older: A Nationwide Multicenter Cohort Study.

From GI Signals issue №15: what this paper found, what it changes, and where it sits against the current standard of care, reviewed by Simon Mathews, MD.

Endoscopy retrospective · n=1,038 · Oct 6, 2026 · Endoscopy · IF 11.8

Additional Gastrectomy Versus Surveillance After Non-curative Endoscopic Resection in Patients Aged 75 Years or Older: A Nationwide Multicenter Cohort Study.

New evidence
What it foundAt 5 years, overall survival was 76.5% with surveillance versus 83.0% after additional gastrectomy (HR 1.37, 95% CI 1.08-1.74) in patients aged ≥75 years with non-curative endoscopic resection for early gastric cancer. Gastric cancer-specific death was rare (1.3% vs. 1.1%), but recurrence was more frequent with surveillance (9.9% vs. 1.8%).
ContextChallenges the assumption that additional gastrectomy is universally beneficial in elderly patients with non-curative endoscopic resection, highlighting the dominance of competing mortality over cancer-specific outcomes and the higher recurrence rate with surveillance.
No standard claimed for this paper

Every paper is compared to the standard governing its question. This one is not: either no standard in the corpus matches it, or the comparison did not hold up on review and was withdrawn rather than published unverified. Both are logged.

Lee BE … Jung HY · Endoscopy · IF 11.8 · PubMed ↗Permalink
← Read the whole of issue №15 Every paper GI Signals surfaces gets a page like this one. All issues