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Dergiler / Turkish Journal of Gastroenterology / 2018 / Cilt: 29 - Sayı: 4

Clinical outcomes of colorectal endoscopic submucosal dissection and risk factors associated with piecemeal resection

Myeongsook SEO
Dong-Hoon YANG
Jihun KIM
Eun Mi SONG
Gwang Un KIM
Sung Wook HWANG
Sang Hyoung PARK
Kyung-Jo KIM
Byong Duk YE
Jeong-Sik BYEON
Seung-Jae MYUNG
Suk-Kyun YANG
Sayfa
473–480
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Piecemeal ESD cases recurred more frequently than en bloc ESD cases.

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Amaç & Hipotez:Background/Aims: We aimed to investigate the factors associated with piecemeal resection of colorectal neoplasia (CRN), in spite of endoscopic submucosal dissection (ESD).
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Temel Bulgular & Veri:Materials and Methods: We analyzed the retrospective data for colorectal ESD cases from January 2005 to April 2014.
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Sonuç & Katkı:Piecemeal ESD cases recurred more frequently than en bloc ESD cases.
🔬Tür:Literatür & Derleme Çalışması
📍Kapsam:2005 Verileri
⚙️Değişkenler:Alan Parametreleri

Özet

Background/Aims: We aimed to investigate the factors associated with piecemeal resection of colorectal neoplasia (CRN), in spite of endoscopic submucosal dissection (ESD). Materials and Methods: We analyzed the retrospective data for colorectal ESD cases from January 2005 to April 2014. We also reviewed the piecemeal endoscopic mucosal resection (EMR) for CRNs ≥20 mm, performed over the same period.Results: En bloc resection was possible in 648 (85.7%) of 756 lesions in 740 patients. Multivariate analysis showed that hybrid ESD (odds ratio (OR), 29.07; 95% confidence interval (CI), 15.46-54.65; p<0.01) and mild or severe submucosal fibrosis (OR, 3.62; 95% CI, 1.94-6.76; p<0.01) were independently associated with piecemeal ESD. The en bloc ESD group showed higher histologic complete resec-tion rate than the piecemeal ESD group (80.4% vs. 56.5%; p<0.01), and the piecemeal ESD group showed higher recurrence rate than in the en bloc ESD group (5.6% [4/72] vs. 0.7% [3/450]; p<0.01). Overall recurrence rate was 1.3% (7/522). Conclusion: Hybrid ESD and submucosal fibrosis are independently associated with piecemeal ESD. Piecemeal ESD cases recurred more frequently than en bloc ESD cases.

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Bu Makaleye Atıf Yap

SEO, M., YANG, D., KIM, J., SONG, E. M., KIM, G. U., HWANG, S. W., PARK, S. H., KIM, K., YE, B. D., BYEON, J., MYUNG, S., YANG, S. (2018). Clinical outcomes of colorectal endoscopic submucosal dissection and risk factors associated with piecemeal resection. Turkish Journal of Gastroenterology, Cilt: 29 - Sayı: 4, 473–480. https://ajindex.com/articles/410133

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Kaynakça (11)

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