Current status of colorectal endoscopic submucosal dissection in Japan and other Asian countries: progressing towards technical standardization

Autor: Yutaka, Saito, Hiroshi, Kawano, Yoji, Takeuchi, Ken, Ohata, Shiro, Oka, Kinichi, Hotta, Koichi, Okamoto, Kiyoaki, Homma, Toshio, Uraoka, Takashi, Hisabe, Dong Kyung, Chang, Ping-Hong, Zhou
Rok vydání: 2012
Předmět:
Zdroj: Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society. 24
ISSN: 1443-1661
Popis: The primary purpose of this questionnaire survey study was to determine the current status of colorectal endoscopic submucosal dissection (ESD) in specialized Japanese referral centers before and after introduction of a government-approved advanced medical treatment system; and, secondly, to determine the current status of colorectal ESD in other Asian specialized referral centers.A total of 1321 colorectal ESDs were performed in 11 institutions including two Asian centers outside Japan.Overall en-bloc resection, curative resection, R0 resection, perforation, delayed bleeding and emergency surgery rates were 95.4%, 89.1%, 87.2%, 2.9%, 2.5% and 0.2%, respectively. Similar clinical results were reported in the two Asian centers.There were no significant differences with regards to clinical results between the two periods although the perforation rate decreased from 3.3% to 2.4%. In addition, colorectal ESD has become increasingly standardized technically at specialized referral centers not only in Japan, but several other Asian referral institutions as well.
Databáze: OpenAIRE