Disección submucosa endoscópica como tratamiento de cáncer gástrico temprano: experiencia en 2 centros de Lima, Perú

Vega, Juan Antonio Chirinos; Vargas, Gloria; Figueroa, Christian; Zapata, Juan Celis

doi:10.1016/j.rgmx.2017.10.001

Cited by 4 publications

(1 citation statement)

References 8 publications

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“…No further studies were identified among the 2610 citations available on Google Scholar. Therefore, data of 22 studies were eventually available [6–27]. In detail, there were 15 studies performed in Europe, six in Latina America, and one in Canada, with a total of 1152 patients (males: 52%; mean age: 68.5 years) and 1210 lesions, including 697 EGC, 484 dysplasia, 13 neuroendocrine tumor, and 16 with other lesions.…”

Section: Resultsmentioning

confidence: 99%

Endoscopic submucosal dissection of gastric neoplastic lesions in Western countries: systematic review and meta-analysis

Zullo

Manta²,

Francesco

et al. 2020

European Journal of Gastroenterology &Amp; Hepatology

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Endoscopic submucosal dissection (ESD) for gastric neoplastic lesions removal is largely performed in Asian countries. Unfortunately, ESD diffusion, particularly for gastric lesion removal, is still limited in Western countries. We performed a systematic review of available data coming from Western centers. The en bloc and the R0 resection rates for all neoplastic lesions, including early gastric cancer (EGC) and dysplasia, were calculated, as well as the curative rate for EGC. Complications and the 1-month mortality rates were computed. A total of 22 studies from Europe (N = 15), Latina America (N = 6), and Canada (N = 1) were retrieved, with 1152 patients and 1210 lesions. The en bloc resection was successful in 96% [95% confidence interval (CI) 93–98] with a significant heterogeneity (I 2 = 63.5%; P < 0.0001). The R0 was achieved in 84% (95% CI 79–89; I 2 = 79.9%; P < 0.001). The resection rate was curative in 72% out of 340 patients with EGC (95% CI 65–79, I 2 = 8%; P = 0.36). Overall, complications occurred in 9.5% of patients, including bleeding (5.8%), perforation (3.4%), and stenosis (0.35%). A total of three (0.26%) patients deceased within 1 month, but none was directly related to the procedure. Lesion recurrence was observed in 38 (3.5%; 95% CI 2.3–4.4) cases, including 21 EGC and 17 dysplasia. In Western countries, the en bloc and the R0 resections were successful in the large majority of cases, whilst the resection was curative in 72% of patients with EGC. The complications rate was acceptably low.

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Section: Resultsmentioning

confidence: 99%

Endoscopic submucosal dissection of gastric neoplastic lesions in Western countries: systematic review and meta-analysis

Zullo

Manta²,

Francesco

et al. 2020

European Journal of Gastroenterology &Amp; Hepatology

View full text Add to dashboard Cite

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Disección endoscópica de submucosa para neoplasias gástricas superficiales en dos hospitales de referencia en Brasil: ¿se pueden igualar los resultados de Japón y Corea del Sur?

Arantes

Ramos

Pedrosa

2021

Revista de Gastroenterología de México

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Endoscopic submucosal dissection for superficial gastric neoplasias in two referral hospitals in Brazil: Can the Japanese and South Korean results be equaled?

Arantes

Ramos

Pedrosa

2021

Revista de Gastroenterología de México (English Edition)

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Disección submucosa endoscópica como tratamiento de cáncer gástrico temprano: experiencia en 2 centros de Lima, Perú

Abstract: The feasibility and efficacy of ESD for the treatment of early gastric cancer was demonstrated at two healthcare centers in Lima, Peru. The complication rate was similar to that reported in the international medical literature.

Cited by 4 publications

References 8 publications

Endoscopic submucosal dissection of gastric neoplastic lesions in Western countries: systematic review and meta-analysis

Endoscopic submucosal dissection of gastric neoplastic lesions in Western countries: systematic review and meta-analysis

Disección endoscópica de submucosa para neoplasias gástricas superficiales en dos hospitales de referencia en Brasil: ¿se pueden igualar los resultados de Japón y Corea del Sur?

Endoscopic submucosal dissection for superficial gastric neoplasias in two referral hospitals in Brazil: Can the Japanese and South Korean results be equaled?

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