Comparison of endoscopic mucosal resection and endoscopic submucosal dissection in the treatment of flat neoplastic lesions in the rectum

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F18%3AN0000024" target="_blank" >RIV/00098892:_____/18:N0000024 - isvavai.cz</a>

Alternative codes found

RIV/61989592:15110/18:73587662

Result on the web

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DOI - Digital Object Identifier

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Result language

angličtina

Original language name

Comparison of endoscopic mucosal resection and endoscopic submucosal dissection in the treatment of flat neoplastic lesions in the rectum

Original language description

Endoscopic submucosal dissection (ESD) is used for en bloc removal of colorectal lesions > 20 mm. As shown by studies mostly from Japan, ESD is more effective than endoscopic mucosal resection (EMR) in achieving en bloc and R0 resection. Nevertheless, the associated high risk of perforation still prevents the wider use of ESD in the West, including in the Czech Republic. The aim of this study was to compare EMR and ESD for the treatment of rectal superficial neoplastic lesions. Main study outcomes were proportion of en bloc, R0 and curative resections, occurrence of complications, and occurrence of local residual neoplasia. A total of 27 and 30 patients were included in ESD and EMR groups, resp. There were no significant differences in gender, lesion size, and presence of invasive carcinoma between the two groups. En bloc resection was achieved in 21 (78%) vs. 2 (7%; p < 0.005) while perforation not requiring surgery occurred in 3 (11%) vs. 0 (p = 0.099) and local residual neoplasia in 2 (9%) vs. 9 (41%) cases (p = 0,017). No procedure was related to lethality in either group. ESD is a promising method for the treatment of rectal neoplastic lesions.

Czech name

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Czech description

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Type

J_SC - Article in a specialist periodical, which is included in the SCOPUS database

CEP classification

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OECD FORD branch

30219 - Gastroenterology and hepatology

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Gastroenterologie a hepatologie

ISSN

1804-7874

e-ISSN

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Volume of the periodical

72

Issue of the periodical within the volume

3

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

6

Pages from-to

193-198

UT code for WoS article

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EID of the result in the Scopus database

2-s2.0-85050070925