Endoscopic Submucosal Tunnel Dissection for Large Gastric Neoplastic Lesions: A Case-Matched Controlled Study
Joint Authors
Lu, Zhongsheng
Linghu, Enqiang
Chai, Ningli
Feng, Xiuxue
Wang, Xiangdong
Tang, Ping
Meng, Jiangyun
Du, Hong
Wang, Hongbin
Source
Gastroenterology Research and Practice
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-03-06
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Aim.
To evaluate the efficacy and safety of endoscopic submucosal tunnel dissection (ESTD) for resection of large superficial gastric lesions (SGLs).
Methods.
The clinicopathological records of patients performed with ESTD or endoscopic submucosal dissection (ESD) for SGLs between January 2012 and January 2014 were retrospectively reviewed.
7 cases undergoing ESTD were enrolled to form the ESTD group.
The cases were individually matched at a 1 : 1 ratio to other patients performed with ESD according to lesion location, ulcer or scar findings, resected specimen area, operation time and operators, and the matched cases constituting the ESD group.
The treatment outcomes were compared between the two groups.
Results.
The mean specimen size was 46 mm.
10 lesions were located in the cardia and 4 lesions in the lesser curvature of the lower gastric body.
En bloc resection was achieved for all lesions.
The mean ESTD resection time was 69 minutes as against 87.7 minutes for the ESD (P=0.01).
The mean resection speed was faster for ESTD than for ESD (18.86 mm2/min versus 13.76 mm2/min, P=0.03).
There were no significant differences regarding the safety and curability during the endoscopic follow-up (mean 27 months).
Conclusions.
ESTD is effective and safe for the removal of SGLs and appears to be an optimal option for patients with large SGLs at suitable sites.
American Psychological Association (APA)
Feng, Xiuxue& Linghu, Enqiang& Chai, Ningli& Lu, Zhongsheng& Wang, Xiangdong& Tang, Ping…[et al.]. 2018. Endoscopic Submucosal Tunnel Dissection for Large Gastric Neoplastic Lesions: A Case-Matched Controlled Study. Gastroenterology Research and Practice،Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1159237
Modern Language Association (MLA)
Feng, Xiuxue…[et al.]. Endoscopic Submucosal Tunnel Dissection for Large Gastric Neoplastic Lesions: A Case-Matched Controlled Study. Gastroenterology Research and Practice No. 2018 (2018), pp.1-9.
https://search.emarefa.net/detail/BIM-1159237
American Medical Association (AMA)
Feng, Xiuxue& Linghu, Enqiang& Chai, Ningli& Lu, Zhongsheng& Wang, Xiangdong& Tang, Ping…[et al.]. Endoscopic Submucosal Tunnel Dissection for Large Gastric Neoplastic Lesions: A Case-Matched Controlled Study. Gastroenterology Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1159237
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1159237