Long‐term clinical outcomes of endoscopic submucosal dissection for colorectal neoplasia with or without the hybrid technique
| العنوان: | Long‐term clinical outcomes of endoscopic submucosal dissection for colorectal neoplasia with or without the hybrid technique |
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| المؤلفون: | Kyung-Jo Kim, Sung Wook Hwang, Jeong-Sik Byeon, Jae Cheol Park, Seung-Jae Myung, Byong Duk Ye, Dong-Uk Kang, Suk-Kyun Yang, Sang Hyoung Park, Dong-Hoon Yang |
| المصدر: | Colorectal Disease. 22:2008-2017 |
| بيانات النشر: | Wiley, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, Multivariate analysis, Endoscopic Mucosal Resection, business.industry, Large tumour, Dissection, Medical record, Perforation (oil well), Hazard ratio, Gastroenterology, Endoscopic submucosal dissection, Surgery, 03 medical and health sciences, Treatment Outcome, 0302 clinical medicine, 030220 oncology & carcinogenesis, Humans, Medicine, 030211 gastroenterology & hepatology, Neoplasm Recurrence, Local, Stage (cooking), Colorectal Neoplasms, business, Adverse effect, Retrospective Studies |
| الوصف: | AIM The main aim of this study was to compare the long-term outcome of a conventional colorectal endoscopic submucosal dissection (ESD) in which submucosal dissection was continued throughout until the completion of resection (ESD-T) to hybrid endoscopic submucosal dissection (ESD-H) in the colorectum. METHOD Medical records of 836 colorectal neoplasia patients treated by ESD-T or ESD-H were reviewed. ESD-H was defined as colorectal ESD with additional snaring in the final stage of the procedure. Primary outcomes were the overall and metastatic recurrence rates. Secondary outcomes were short-term outcomes such as the en bloc resection rate, procedure time and adverse events. RESULTS The overall recurrence rate was higher in the ESD-H than in the ESD-T group (5.7% vs 0.7%, P = 0.001). The metastatic recurrence rate showed no significant difference between these groups (1.4% vs 1.4%, P = 1.000). Multivariate analysis revealed that a failed en bloc resection (hazard ratio 24.097; 95% CI 5.446-106.237; P |
| تدمد: | 1463-1318 1462-8910 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d0c9186242c4432905750d3c438206b6Test https://doi.org/10.1111/codi.15339Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....d0c9186242c4432905750d3c438206b6 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14631318 14628910 |
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