Short-term results of the treatment of superficial neoplastic lesions of the stomach using endoscopic submucosal dissection

Czech version

Authors: O. Urban ^1,2; P. Fojtík ¹; Přemysl Falt ^1,2; M. Kliment ^1,2; O. Mikolájek ¹; M. Mazur ¹; A. Foltýs ¹; P. Holéczy ^1,2; R. Andělová ³; M. Baník ³; I. Kasperčík ³; P. Barabáš ⁴; J. Richter ⁴
Authors‘ workplace: Vzdělávací a výzkumný institut AGEL, o. p. s., pobočka Ostrava-Vítkovice, Vítkovická nemocnice a. s., Centrum péče o zažívací trakt ¹; LF OU v Ostravě ²; Patologie, Laboratoře AGEL a. s., Nový Jičín ³; Komplexní onkologické centrum, Nový Jičín ⁴
Published in: Gastroent Hepatol 2015; 69(1): 65-69
Category: Digestive Endoscopy: Original Article
doi: https://doi.org/10.14735/amgh201565

Overview

The paper presents a prospectively evaluated group of 25 patients treated by gastric endoscopic submucosal dissection (G-ESD). The aim of the study was to evaluate short-term treatment results.

Methods:
All patients treated by G-ESD during the study period 11/2011–10/2014 were included in the study. Lesions were indicated for G-ESD according to expanded criteria. En bloc resection, R0 resection, curative resection and complications were considered as indicators of short-term treatment results.

Results:
A total of 20 (80%) of lesions were neoplastic according to the final histological evaluation. Among them, en bloc, R0 and curative resection could be achieved in 17 (85%), 17 (85%) and 16 (80%) respectively. Perforation was observed in two (8%) of all cases and had to be treated surgically in one (4%) case. The 30-day mortality was 0.

Conclusions:
The paper presents the treatment results of a series of the first group of G-ESD patients from a Czech gastroenterology center. Our results are similar to those reported from Eastern-Asia centers. Nevertheless, the validity of the results is limited by a selection bias.

Key words:
gastric cancer – endsocopic submucosal dissection – R0 resection

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Submitted:
24. 12. 2014

Accepted:
27. 1. 2015

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