Endoscopic Submucosal Dissection for Gastric Tumors: Complete Resection Rate, Resection Time and Complications in Comparison with Endoscopic Mucosal Resection after Circumferential Mucosal Incision with a Needle Knife / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 326-332, 2006.
Article
en Ko
| WPRIM
| ID: wpr-56764
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND/AIMS:
Endoscopic submucosal dissection (ESD) is a novel technique for an en bloc resection of mucosal tumors over 2 cm in diameter. The aim of this study was to evaluate the efficacy, resection time and complications of ESD using a needle knife (needle-ESD) with a comparison those encountered using endoscopic mucosal resection (EMR) after a circumferential mucosal incision with a needle knife (needle-EMR).METHODS:
Thirty-three consecutive patients with early gastric cancer or gastric adenoma who underwent needle-ESD at the Asan Medical Center between December 2004 and March 2005 were retrospectively reviewed, and compared with the data from 33 consecutive patients who underwent needle-EMR between March 2001 and June 2001.RESULTS:
Both the enbloc resection and complete resection could be achieved by needle-ESD in all the patients, while the corresponding percentages were 76% (en bloc resection, 25/33) and 94% (complete resection, 31/33) in the needle-EMR group. The resection time was longer (22.7 vs. 11.6 min) in the needle-ESD group than in the needle-EMR group. However, there was no significant difference in the complication rate between the two groups.CONCLUSIONS:
Compared with the needle-EMR, needle-ESD has significant benefits, particularly regarding the en bloc and complete resection rate despite the technical difficulty and longer resection time.Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Neoplasias Gástricas
/
Adenoma
/
Estudios Retrospectivos
/
Agujas
Tipo de estudio:
Observational_studies
Límite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Gastrointestinal Endoscopy
Año:
2006
Tipo del documento:
Article