Kim YD, Lee J, Cho JY, Kim SW, Kim SH, Cho YK, Jang JS, Han JS, Cho JY. Efficacy and safety of 0.4 percent sodium hyaluronate for endoscopic submucosal dissection of gastric neoplasms. World J Gastroenterol 2013; 19(20): 3069-3076 [PMID: 23716986 DOI: 10.3748/wjg.v19.i20.3069]
Corresponding Author of This Article
Joo Young Cho, MD, PhD, Department of Internal Medicine, Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, 22, Daesagwn-gil, Yongsangu, Seoul 140-743, South Korea. cjy6695@dreamwiz.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Brief Article
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. May 28, 2013; 19(20): 3069-3076 Published online May 28, 2013. doi: 10.3748/wjg.v19.i20.3069
Table 1 Measurement of usefulness and satisfaction
Completeen blocresection
Additional injection
Usefulness
Satisfaction
Complete
0
Usefulness
Excellent
Complete
1
Usefulness
Good
Complete
≥ 2
Useless
Moderate
Incomplete or not evaluated
-
Useless
Poor
Table 2 Demographic characteristics of the patients at base line
Sodium hyaluronate
Control
P-value
Age
62.59 ± 9.23
62.44 ± 9.93
0.943
Sex (male/female)
25/12
26/13
0.933
Diagnosis, n (%)
Adenocarcinoma
5 (13.51)
7 (17.95)
0.869
Adenoma
31 (83.78)
31 (79.49)
Atypia
1 (2.7)
1 (2.56)
Size (mm)
14.2 ± 5.47
13.5 ± 4.35
0.293
Location, n (%)
Antrum
23 (62.16)
29 (74.35)
0.465
Angle
3 (8.10)
3 (7.69)
Body
11 (29.72)
7 (17.94)
Table 3 Summary of results n (%)
Sodium hyaluronate
Control
P-value
ITT
Usefulness rate
30/33 (90.91)
22/36 (61.11)
0.004
Volume of injection
0.03 ± 0.02
0.06 ± 0.03
0.000
Procedural time
23.42 ± 16.76
21.64 ± 16.52
0.658
Steepness
0.228
Steep
26 (78.79)
27 (75.00)
Mild
6 (18.18)
4 (11.11)
Non lifted
1 (3.03)
5 (13.89)
Absence of bleeding
32/33 (96.97)
32/36 (88.89)
0.359
Satisfaction
30/33 (90.91)
22/36 (61.11)
0.002
PP
Usefulness rate
27/29 (93.10)
21/34 (61.76)
0.004
Volume of injection
0.03 ± 0.02
0.06 ± 0.03
0.000
Procedural time
23.79 ± 17.51
19.71 ± 12.65
0.288
Steepness
0.474
Steep
24 (82.76)
26 (76.47)
Mild
4 (13.79)
4 (11.76)
Non lifted
1 (3.45)
4 (11.76)
Absence of bleeding
29/29 (100.00)
30/34 (88.24)
0.118
n (%)
27/29 (93.11)
21/34 (61.77)
0.002
Table 4 Summary of results on location
Sodium hyaluronate
Control
P-value
ITT
Usefulness rate
Antrum
18/20 (90.00%)
18/27 (66.67%)
0.086
Body/angle
12/13 (92.30%)
6/9 (66.67%)
0.007
Volume of injection
Antrum
0.03 ± 0.02
0.06 ± 0.04
0.003
Body/angle
0.03 ± 0.02
0.05 ± 0.02
0.047
Procedural time
Antrum
19.40 ± 7.46
18.41 ± 11.67
0.741
Body/angle
28.08 ± 25.47
31.33 ± 24.68
0.768
PP
Usefulness rate (%)
Antrum
15/16 (93.75%)
17/26 (65.38%)
0.036
Body/angle
12/13 (92.30%)
3/8 (37.50%)
0.007
Volume of injection
Antrum
0.03 ± 0.02
0.06 ± 0.04
0.011
Body/angle
0.03 ± 0.02
0.05 ± 0.03
0.039
Procedural time
Antrum
19.06 ± 6.78
18.23 ± 11.88
0.800
Body/angle
28.08 ± 25.47
24.50 ± 14.70
0.723
Citation: Kim YD, Lee J, Cho JY, Kim SW, Kim SH, Cho YK, Jang JS, Han JS, Cho JY. Efficacy and safety of 0.4 percent sodium hyaluronate for endoscopic submucosal dissection of gastric neoplasms. World J Gastroenterol 2013; 19(20): 3069-3076