(Jang Gook-Hwan) - Kosin University College of Medicine Department of Internal Medicine
±èÇüÈÆ(Kim Hyung-Hun) - Kosin University College of Medicine Department of Internal Medicine
(Ahn Seong-Yoen) - Catholic University College of Nursing
Abstract
Background/Aims: Planned endoscopic submucosal dissection with snaring (ESD-S) is thought to shorten operating time spent on submucosal dissection, but may lead to uncertainty of en bloc resection or to a possible increase in tumor-positive margins. The pur-pose of the present study is to investigate the feasibility of ESD-S as a planned procedure for gastric adenoma.
Materials and Methods: The medical records of 99 patients who underwent ESD-S or ESD for gastric adenoma between May 2011 and May 2012 were retrospectively reviewed. We analyzed the differences between the ESD-S and the ESD groups, focusing on rates of en bloc resection and pathologic complete resection, mean operation time, and complications.
Results: The mean operation time was significantly lower in the ESD-S group than in the ESD group (19.9¡¾11.2 vs. 33.8¡¾19.9,P=0.012). Cases with an operation time under 30 minutes were more frequent in the ESD-S group (88.9% vs. 48.1%, OR=8.615, 95% CI=2.949¡25.168). There were no significant differences in en bloc resection, histologic complete resection, or complication rates between the two groups.
Conclusions: ESD-S has a time advantage over ESD with a comparable compete resection rate. ESD-S can be considered a planned method for available early gastric adenoma.
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Endoscopy, Treatment, Time
KMID :
0931320140140030174
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ESD-S has a time advantage over ESD with a comparable compete resection rate. ESD-S can be considered a planned method for available early gastric adenoma.