Endoscopic submucosal dissection for superficial rectal tumors: prospective evaluation in France

Abstract

The study reflects the initial prospective experience of ESD in France, and suggests that curative R0 resection rates should increase and complication rates should decrease with experience and corrective actions.

Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines

“…A large multicentre prospective Japanese register confirmed this low rate of post colorectal ESD bleeding with only 18/816 events (2.2%). 116 A higher bleeding rate was reported by a small prospective European study (6/45, 13%), 117 though this included only rectal lesions, which present a higher risk of delayed bleeding. 118 119 …”

Wide-field endoscopic mucosal resection versus endoscopic submucosal dissection for laterally spreading colorectal lesions: a cost-effectiveness analysis

“…A case series of 82 rectosigmoid ESDs from Germany showed en bloc and R0 resection rates of 82% and 70%, respectively 36. In another study from France involving 45 patients with rectal lesions, the R0 resection rate was 53% with an immediate perforation rate of 18% 37. As expected, lowering the R0 resection rate to 71% based on a recent meta-analysis31 resulted in fewer surgeries prevented by ESD and increased the incremental cost per surgery avoided of U-ESD to $379 204 compared with S-ESD.…”

Endoscopic mucosal resection and endoscopic submucosal dissection for colorectal lesions: A systematic review

“…Moreover, lesions that would be very difficult to resect by conventional EMR from the technical viewpoint are also considered as an indication for ESD, including the lesions showing poor-or non-lifting after submucosal injection, local recurrent lesions following previous treatment, and relatively large protruded type lesions (Saito et al, 2010a;Toyonaga et al, 2010;Tajika et al, 2011;Lee et al, 2012;Kobayashi et al, 2012;Terasaki et al, 2012;Kim et al, 2013;Oka et al, 2015;Fujishiro et al, 2007;Saito et al, 2013;Matsuda et al, 2010;Yamamoto et al, 2002;Saito et al, 2001Saito et al, , 2007Tanaka et al, 2007;Tamegai et al, 2007;Hurlstone et al, 2007;Isomoto et al, 2009;Niimi et al, 2010;Saito et al, 2010b;Takeuchi et al, 2010;Uraoka et al, 2011;Probst et al, 2012;Iacopini et al, 2012;Lee et al, 2013;Xu et al, 2013;Repici et al, 2013;Rahmi et al, 2014;Białek et al, 2014;Agapov and Dvoinikova, 2014;Spychalski and Dziki, 2015).…”