The impact of submucosal fatty tissue during colon endoscopic submucosal dissection in a western center
| Autor: | Adolfo Parra-Blanco, José Miguel Cárdenas Rebollo, Felipe Ramos-Zabala, Jesus Rodriguez-Pascual, Sabina Beg, Luis Moreno-Almazán, Rocío Cardozo-Rocabado |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
education.field_of_study
medicine.medical_specialty Endoscopic Mucosal Resection Hepatology Colon business.industry Perforation (oil well) Population Gastroenterology Adipose tissue Odds ratio Endoscopic submucosal dissection medicine.disease Obesity Confidence interval Treatment Outcome Adipose Tissue Internal medicine Humans Medicine In patient business education Retrospective Studies |
| Zdroj: | European Journal of Gastroenterology & Hepatology. 33:1063-1070 |
| ISSN: | 0954-691X |
| Popis: | OBJECTIVES Obesity is associated with submucosal fatty tissue. The main aim of this study was to assess the impact of submucosal fatty tissue on the success of colonic endoscopic submucosal dissection (C-ESD) in a western population. METHODS This was a retrospective analysis of 125 consecutive C-ESDs performed between October 2015 and July 2017. Fatty tissue sign was defined as positive when the submucosal layer was covered with fatty tissue. The complexity of performing an ESD was assessed by the performing endoscopist, defined by the occurrence of intraprocedural perforation, inability to complete an en-bloc resection or a procedure time exceeding 180 min. RESULTS Fatty tissue sign positive was present in 44.8% of the procedures. There were 28 (22.4%) c-ESD defined as complex. Factors associated with complex ESD included; fatty tissue sign [odds ratio (OR) 12.5; 95% confidence interval (CI), 1.9-81.9; P = 0.008], severe fibrosis (OR 148.6; 95% CI, 6.6-3358.0; P = 0.002), poor maneuverability (OR 267.4; 95% CI, 11.5-6212.5; P |
| Databáze: | OpenAIRE |
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