Comparison of Endoscopic Submucosal Dissection Application on Mucosal Tumor and Subepithelial Tumor in stomach
| Autor: | Yao-Kuang Wang, Jaw-Yuan Wang, Fang-Jung Yu, Wen-Hung Hsu, Tzung-Shiun Wu, Jeng-Yih Wu, Huang-Ming Hu, Chao-Hung Kuo, Yu-Min Kung, Deng-Chyang Wu, Meng-Shu Hsieh, Yu-Chung Su |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry Stomach Perforation (oil well) Retrospective cohort study Endoscopic submucosal dissection medicine.disease Endoscopic Procedure Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure endoscopic submucosal dissection (ESD) Oncology gastric subepithelial tumor (SET) 030220 oncology & carcinogenesis Medicine Neoplasm 030211 gastroenterology & hepatology Gastric tumor business Complication Research Paper |
| Zdroj: | Journal of Cancer |
| ISSN: | 1837-9664 |
| Popis: | Background: Endoscopic submucosal dissection is minimal invasive endoscopic procedure to deal with gastric tumor. Initially, it was developed to resect mucosal neoplasm since 2000 and extended its application to submucosal tumor in the following years. Although the basic ESD skills are similar in gastric mucosal tumor and subepithelial tumor, the success rate, complication may be different between the two types of gastric tumor resection. This retrospective study is conducted to analyze the ESD procedure in gastric mucosal tumor and subepithelial tumor. Methods: From 2007 to 2016, we reviewed all patients who underwent endoscopic submucosal dissection for gastric mucosal tumor and subepithelial tumor in Kaohsiung Medical University Hospital. Results: Totally, 35 patients with gastric subepithelial tumor and 41 patients with gastric mucosal tumor received endoscopic submucosal dissection are enrolled. Among 35 patients with subepithelial tumor, 32 (91.4%) patients achieved curative treatment. 1 patient received emergent operation and 2 patients received salvage operation to complete tumor resection. 8 patients (22.9%) occurred perforation and no delay bleeding was found. Among 41 patients with mucosal neoplasm, 30 (71.4%) patients achieved curative treatment. 2 patients received emergent operation and 9 patients received salvage operation to complete tumor resection. 9 patients (21.9%) occurred complication, 6 patients occurred delay bleeding and 3 patients had perforation. Conclusions: Comparing ESD between gastric mucosal tumor and subepithelial tumor, ESD had similar efficiency in curative treatment. However, ESD in subepethelial tumor encountered higher perforation and lesser delay bleeding. |
| Databáze: | OpenAIRE |
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