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©2011 Baishideng Publishing Group Co.
World J Gastroenterol. Apr 7, 2011; 17(13): 1701-1709
Published online Apr 7, 2011. doi: 10.3748/wjg.v17.i13.1701
Published online Apr 7, 2011. doi: 10.3748/wjg.v17.i13.1701
Table 1 Paris classification according to the endoscopic imaging of lesions
Table 2 En bloc, piecemeal, complete, incomplete resection rates, median follow up and recurrence rates
En bloc res. rate | Piecemeal res. rate | Complete res. rate | Incomplete res. rate | Median follow-up (mo) | Local recurrence | |
Esophagus | 7/7 (100%) | 0 | 7/7 (100%) | 0 | 15 | 0 |
Stomach | 22/24 (91.7%) | 2/24 (8.3%) | 23/24 (95.8%) | 1/24 (4.1%) | 11.8 | 1 |
Small intestine and colon | 26/29 (89.7%) | 3/29 (10.3%) | 28/29 (96.5%) | 1/29 (3.4%) | 12.5 | 0 |
Total | 55/60 (91.6%) | 5/60 (8.3%) | 58/60 (96.6%) | 2/60 (3.3%) | 12.51 | 1/58 (1.7%)1 |
Table 3 Esophageal endoscopic submucosal dissection cases
Location | Number | Histology (n) |
Proximal esophagus | 1 | Granular cell tumor (1) |
Middle esophagus | 2 | Granular cell tumor (2) |
Distal esophagus | 4 | GIST (1) |
HGD-A (2) | ||
Leiomyoma (1) | ||
Specimen size (median) | 2.34 cm² (1.5-3 cm2) | |
Procedure time (median) | 50.5 min (21.8 min/cm²) |
Table 4 Gastric endoscopic submucosal dissection cases
Location | Number | Histology (n) |
Cardia | 1 | HGD (TVA) (1) |
Corpus | 3 | NET (3) |
Antrum | 20 | HGD-A (11) |
LGD-A (4) | ||
NET (1) | ||
EGC (2) | ||
GIST (1) | ||
Leiomyoma (1) | ||
Specimen size (median) | 3.25 cm² (1.5-12 cm²) | |
Procedure time (median) | 90.4 min (27.8 min/cm²) |
Table 5 Colonic and intestinal endoscopic submucosal dissection cases
Location | Number | Histology (n) |
Duodenal bulb | 3 | HGD (TVA) (2) |
NET (1) | ||
Terminal ileum | 1 | NET (1) |
Cecum | 1 | HGD (TVA) (1) |
Transverse colon | 3 | HGD (TVA) (2) |
ECC (1) | ||
Sigmoid colon | 4 | HGD (TVA) (3) |
LGD-TA (1) | ||
Rectum | 17 | ECC (4) |
HGD (9 TVA, 2 TA) | ||
LGD-TA (1) | ||
NET (1) | ||
Specimen size (median) | 8.61 cm2 (1.5-25 cm²) | |
Procedure time (median) | 158 min (18.3 min/cm²) |
Table 6 Complications with regard to location and diagnosis
n | Diagnosis | Minor bleeding | Major bleeding | Perforation | |
Esophagus | 7 | 3 granular cell tumor | |||
1 GIST | |||||
2 Premalignant lesions | |||||
1 Leiomyoma | |||||
Stomach | 24 | 4 NETs | 4 | 2 | 1 |
2 EGC | 2 | ||||
18 Premalignant lesions | |||||
Small intestine | 4 | 2 Premalignant lesions | |||
2 NETs | |||||
Colon | 25 | 5 ECCs | 3 | 1 | 1 |
19 Premalignant lesions | 4 | 3 | |||
1 NETs | |||||
Total | 60 | 13 (21.7%) | 3 (5%) | 5 (8.3%) |
- Citation: Hulagu S, Senturk O, Aygun C, Kocaman O, Celebi A, Konduk T, Koc D, Sirin G, Korkmaz U, Duman AE, Bozkurt N, Dindar G, Attila T, Gurbuz Y, Tarcin O, Kalayci C. Endoscopic submucosal dissection for premalignant lesions and noninvasive early gastrointestinal cancers. World J Gastroenterol 2011; 17(13): 1701-1709
- URL: https://www.wjgnet.com/1007-9327/full/v17/i13/1701.htm
- DOI: https://dx.doi.org/10.3748/wjg.v17.i13.1701