The Safety and Efficacy of the Endoscopic Submucosal Dissection for Early Gastric Cancers, Compared with Conventional Endoscopic Mucosal Resection

Hoteya, Shu; Iizuka, Toshiro; Hashimoto, Mituru; Mizuno, Hideo; Otsuka, Takahumi; Noguchi, Tadaaki; Kikuchi, Daisuke; Hirayama, Yutaka; Kawano, Kouichirou; Yahagi, Naohisa

doi:10.1016/j.gie.2007.03.924

Cited by 4 publications

(3 citation statements)

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“…Eight studies 2,[15][16][17][18][20][21][22] reported the recurrence rate. The meta-analysis showed a lower recurrence rate in the ESD group than in the EMR group (11/1438 vs 126/1973) (OR 0.10; 95% CI, 0.06-0.18), and there was no heterogeneity among the studies (P ϭ .16; I 2 ϭ 37.0%) (Fig.…”

Section: Recurrence Ratementioning

confidence: 99%

“…Data for procedure-related perforation were reported in 8 studies. 2,[15][16][17][18][20][21][22] There was no heterogeneity (P ϭ .14; I 2 ϭ 36%) among the studies, so a fixed-effect model was applied. The perforation rate was higher in the ESD group (62/1438) than in the EMR group (17/1973) (OR 4.67; 95% CI, 2.77-7.87) (Fig.…”

Section: Comparison Of Complicationsmentioning

confidence: 99%

“…Five studies 2,[15][16]18,20 reported on operation-related bleeding. There was significant heterogeneity (P ϭ .007; I 2 ϭ 71.7%) among the studies, so a random-effect model was applied.…”

Section: Bleedingmentioning

confidence: 99%

See 2 more Smart Citations

A meta-analysis of endoscopic submucosal dissection and EMR for early gastric cancer

Lian¹,

Chen²,

Zhang³

et al. 2012

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Section: Recurrence Ratementioning

confidence: 99%

Section: Comparison Of Complicationsmentioning

confidence: 99%

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A meta-analysis of endoscopic submucosal dissection and EMR for early gastric cancer

Lian¹,

Chen²,

Zhang³

et al. 2012

Gastrointestinal Endoscopy

274

179

View full text Add to dashboard Cite

Leitlinienreport zur S3-Leitlinie Magenkarzinom – „Diagnostik und Therapie der Adenokarzinome des Magens und ösophagogastralen Übergangs“

Moehler¹,

Langer²,

Bender³

et al. 2019

Z Gastroenterol

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Long-Term Clinical Efficacy and Perioperative Safety of Endoscopic Submucosal Dissection versus Endoscopic Mucosal Resection for Early Gastric Cancer: An Updated Meta-Analysis

Zhao

Wang

2018

BioMed Research International

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Background To systematically evaluate the safety and efficacy of endoscopic submucosal dissection (ESD) versus endoscopic mucosal resection (EMR) for early gastric cancer (EGC). Methods We searched the databases of PubMed, Web of Science, EMBASE, and the Cochrane Library from January 2000 to April 2017 and included studies that compared the outcomes of ESD with EMR for EGC. These eligible studies that met the inclusion criteria were screened out and were assessed by two independent investigators. Result In total, 18 retrospective cohort studies were eligible for analysis. Our results indicated that ESD is more beneficial than EMR in increasing the complete resection rate and en bloc resection rate and decreasing the local recurrence rate. However, ESD prolonged operative time and increased incidence of gastric perforation than EMR. No differences were found in postoperative bleeding rate between the two approaches. Conclusion Compared with EMR, ESD offers higher complete resection rate, higher en bloc resection rate, and lower local recurrence rate but has prolonged operative time and increased incidence of gastric perfusion. There is no statistical difference in the rate of postoperative bleeding between the two groups. However, the above conclusion needs further verification by well-designed, randomized trials with larger samples and long follow-up periods.

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The Safety and Efficacy of the Endoscopic Submucosal Dissection for Early Gastric Cancers, Compared with Conventional Endoscopic Mucosal Resection

Cited by 4 publications

References 0 publications

A meta-analysis of endoscopic submucosal dissection and EMR for early gastric cancer

A meta-analysis of endoscopic submucosal dissection and EMR for early gastric cancer

Leitlinienreport zur S3-Leitlinie Magenkarzinom – „Diagnostik und Therapie der Adenokarzinome des Magens und ösophagogastralen Übergangs“

Long-Term Clinical Efficacy and Perioperative Safety of Endoscopic Submucosal Dissection versus Endoscopic Mucosal Resection for Early Gastric Cancer: An Updated Meta-Analysis

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