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

Cao, Yukun; Liao, Chao‐Sheng; Tan, Aihua; Gao, Yu-Hang; Mo, Zu; Gao, Fuqiang

doi:10.1055/s-0029-1215053

Cited by 367 publications

(257 citation statements)

References 18 publications

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“…108 This is mostly a problem in the stomach; the mean rate of post procedural bleeding across five recent large studies (>6000 patients in total) of gastric ESD was 5.8% (range 3.6-6.9%). 30 109-113 Nevertheless, severe consequences were rare (1 death, 3 angiographic interventions, and no surgery).…”

Section: Endoscopic Submucosal Dissectionmentioning

confidence: 99%

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

Vanbiervliet²,

et al. 2017

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Section: Endoscopic Submucosal Dissectionmentioning

confidence: 99%

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

Vanbiervliet²,

et al. 2017

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“…Endoscopic submucosal dissection (ESD) was developed for early gastric cancer to obtain en bloc material while causing less local recurrent disease (12,13). Despite the technical difficulties (14), ESD enables the operator to achieve an en bloc resection regardless of the tumor size for esophageal and colorectal neoplasia (15).…”

Section: Introductionmentioning

confidence: 99%

Reasonable decision of anesthesia methods in patients who underwent endoscopic submucosal dissection for superficial esophageal carcinoma: A retrospective analysis in a single Japanese institution

Kuwata¹,

Gotoda²,

Suzuki³

et al. 2016

Turk J Gastroenterol

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“…Because the lesions indicated for ESD are larger than those indicated for endoscopic mucosal resection (EMR), the surgical duration is often longer [21,22] and the artificial ulcers that form after ESD tend to be larger [12]. Therefore, the effect of thermocoagulation is expected to be greater than that of EMR.…”

Section: Discussionmentioning

confidence: 99%

Influence of endoscopic submucosal dissection on additional gastric resections

et al. 2014

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Background Widespread application of endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) results in noncurative resection in some patients. The influence of preceding ESD on additional gastric resections has not been completely evaluated. Methods Endoscopic, surgical, and pathological records of 255 patients who underwent additional gastrectomy after noncurative ESD at a single prefectural cancer center from September 2002 to December 2010 were reviewed. The estimated gastric resection based on endoscopic images before ESD was compared with the actual gastric resection performed after ESD. Results Altered gastric resection was performed in 4 (1.6 %) of the 255 patients. In 3 patients, total gastrectomy was performed instead of distal gastrectomy; in 1 patient, distal gastrectomy was performed instead of pylorus-preserving gastrectomy because of an insufficient distance from the cardia or pylorus caused by contraction of the ESD scar. Standard gastrectomy including total or distal gastrectomy with D2 lymph node dissection was performed in 33 patients because of deep submucosal invasion with positive/indefinite vertical margins. The final pathology revealed pT2 or deeper in 10 patients. Conclusions In conclusion, 98.4 % patients underwent the scheduled gastric resection before ESD, and the preceding gastric ESD had almost no influence on changing the gastric resection of the additional surgery. Although rare, the preceding ESD may necessitate alterations in gastric resection to widen the surgical area because of contraction of ESD scar for lesions near the cardia or pylorus. Mini abstract A retrospective study of additional gastrectomy after noncurative ESD showed that the preceding ESD had almost no influence on changing the gastric resection of the additional surgery.

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

Cited by 367 publications

References 18 publications

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

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

Reasonable decision of anesthesia methods in patients who underwent endoscopic submucosal dissection for superficial esophageal carcinoma: A retrospective analysis in a single Japanese institution

Influence of endoscopic submucosal dissection on additional gastric resections

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