Feasibility of Planned Endoscopic Submucosal Dissection with Snaring for Gastric Adenoma Compared with Standard Endoscopic Submucosal Dissection

Jang, Gook Hwan; Kim, Hyung Hun; Ahn, Seong Yeon

doi:10.7704/kjhugr.2014.14.3.174

Cited by 8 publications

(2 citation statements)

References 17 publications

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“…Knife-assisted resection, a precut technique analogous to hybrid ESD, was found to be predictive of recurrence and piecemeal resection in this study, and this finding is consistent with results of earlier Japanese and Korean studies 8 9 10 11 . Despite the shorter procedure time and learning curve, the current evidence suggests that hybrid ESD should be avoided in gastric lesions.…”

supporting

confidence: 92%

Endoscopic submucosal dissection in early gastric cancer: has the West caught up?

Chua

Draganov

2023

Endoscopy

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supporting

confidence: 92%

Endoscopic submucosal dissection in early gastric cancer: has the West caught up?

Chua

Draganov

2023

Endoscopy

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“…In comparison with conventional EMR, ESD requires a long treatment time and advanced operator skills, and has disadvantages associated with complications such as perforation. However, the advantages of ESD are the en bloc resection of large lesions, high complete resection rate, and low local recurrence rate [9,[22][23][24][25][26].…”

Section: Discussionmentioning

confidence: 99%

Analysis of factors associated with local recurrence after endoscopic resection of gastric epithelial dysplasia: a retrospective study

et al. 2020

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Background Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) are widely used techniques for the treatment of gastric epithelial dysplasia. Previous studies have compared the clinical outcome of endoscopic resection for early gastric cancer, but few studies have focused on gastric dysplasia alone. This study aimed to evaluate the long-term prognosis following endoscopic procedures for gastric epithelial dysplasia, investigate differences in local recurrence rates according to the treatment modality, and identify risk factors associated with local recurrence. Methods In this retrospective study, local recurrence rates and risk factors associated with local recurrence were compared between 599 patients who underwent EMR and 306 who underwent ESD for gastric epithelial dysplasia from January 2011 to December 2015. Results The en bloc resection rate (32.2% vs. 100%, p < 0.001) and complete resection rate (94.8% vs. 99.0%, p = 0.003) were significantly lower in the EMR group than in the ESD group. The local recurrence rate was significantly lower in the ESD group (1.3%) than in the EMR group (4.2%; p = 0.026). There was a significantly increased risk of local recurrence, regardless of lesion location or histologic grade, in patients with lesions > 2 cm (p = 0.002) or red in color (p = 0.03). The ESD group had a significantly lower local recurrence rate, with a higher complete resection rate, than that in the EMR group (p < 0.05). In the case of recurrence after endoscopic resection, most of the recurred lesions were removed through additional endoscopic procedures; there was no difference between the two groups (p = 0.153). Conclusions The complete resection rate was significantly higher, and the local recurrence rate was significantly lower, in patients with gastric epithelial dysplasia treated with ESD. Therefore, ESD should be considered the preferred treatment in patients with lesions > 2 cm or showing redness due to an increased risk of local recurrence and EMR may be possible for low-grade dysplasia that is less than 2 cm without surface changes such as redness, depression and nodularity.

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Hybrid versus conventional endoscopic submucosal dissection for treatment of gastric lesions: a comparative systematic review and meta-analysis

McCarty

Bazarbashi

Senter-Zapata

et al. 2023

iGIE

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Feasibility of Planned Endoscopic Submucosal Dissection with Snaring for Gastric Adenoma Compared with Standard Endoscopic Submucosal Dissection

Cited by 8 publications

References 17 publications

Endoscopic submucosal dissection in early gastric cancer: has the West caught up?

Endoscopic submucosal dissection in early gastric cancer: has the West caught up?

Analysis of factors associated with local recurrence after endoscopic resection of gastric epithelial dysplasia: a retrospective study

Hybrid versus conventional endoscopic submucosal dissection for treatment of gastric lesions: a comparative systematic review and meta-analysis

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