Comparison of Endoscopic Submucosal Dissection Using Sodium Hyaluronate and Needle-Knife Versus Endoscopic Mucosal Resection for Colonic Laterally Spreading Tumors

Nonaka, Kouichi; Nishimura, Makoto; Yoshinaga, Shuya; Kitada, Hideki; Sakaguchi, Masahumi; Okuda, Ayako; Takekuma, Yoshi; Kawaguchi, Tetsu; Hifumi, Michio; Kita, Hiroto; Yamamoto, Hironori

doi:10.1016/j.gie.2008.03.799

Cited by 2 publications

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“…A total of 4791 lesions were recorded in the studies included in the meta-analysis, comprising 1804 lesions in the ESD group and 2987 in the EMR group. The exact number of lesions was not provided in two studies [17,20], and the number of patients was considered to equal the number of lesions in these studies. The key characteristics of the studies are listed in• " Table 1.…”

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confidence: 99%

Meta-analysis of endoscopic submucosal dissection versus endoscopic mucosal resection for tumors of the gastrointestinal tract

et al. 2009

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confidence: 99%

Meta-analysis of endoscopic submucosal dissection versus endoscopic mucosal resection for tumors of the gastrointestinal tract

et al. 2009

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“…ESD overcomes the limitation that when a lesion is larger than 20 mm, EMR could hardly enable en bloc resection, while compared with EMR it increases the operation time and the risk of complications such as bleeding and perforation [ 5 ]. In order to facilitate easier and safe performance of the two procedures, a submucosal injection solution is always required to lift the lesion from muscular layer.…”

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confidence: 99%

Submucosal Injection Solution for Endoscopic Resection in Gastrointestinal Tract: A Traditional and Network Meta-Analysis

Huai

Wei

Jiang

et al. 2015

Gastroenterology Research and Practice

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Objective. To explore and define the current optimal submucosal injection solution used in ESD and EMR for gastrointestinal tract neoplasms in terms of clinical outcomes and other aspects. Methods. PubMed, Cochrane Library, Embase, and clinical trials register center were searched with terms of “endoscopic resection” and “submucosal injection solution” to identify relevant randomized controlled trials (RCTs). Both direct comparison using traditional meta-analysis method and indirect comparison using network meta-analysis method were performed. Results. A total of 11 RCTs with 1152 patients were included. Meta-analysis showed that, compared with normal saline, other submucosal injection solutions induced a significant increase in terms of en bloc resection rate (I 2 = 0%, OR = 2.11, 95% CI (1.36, 3.26), and P = 0.008) and complete resection rate (I 2 = 0%, OR = 2.14, 95% CI (1.41, 3.24), and P = 0.0003); and there was no significant difference in the incidence of total complications (I 2 = 0%, OR = 0.87, 95% CI (0.59, 1.29), and P = 0.49). Conclusions. Other newly developed submucosal injection solutions significantly increased en bloc resection rate and complete resection rate and decreased bleeding rate and finical cost of endoscopic resection in gastrointestinal tract, while current evidence did not find the difference between them, which need to be explored by further studies.

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Comparison of Endoscopic Submucosal Dissection Using Sodium Hyaluronate and Needle-Knife Versus Endoscopic Mucosal Resection for Colonic Laterally Spreading Tumors

Cited by 2 publications

References 0 publications

Meta-analysis of endoscopic submucosal dissection versus endoscopic mucosal resection for tumors of the gastrointestinal tract

Meta-analysis of endoscopic submucosal dissection versus endoscopic mucosal resection for tumors of the gastrointestinal tract

Submucosal Injection Solution for Endoscopic Resection in Gastrointestinal Tract: A Traditional and Network Meta-Analysis

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