The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002.Įndoscopic submucosal dissection for early gastric cancer: a large-scale feasibility study. Ribeiro-Mourao F, Pimentel-Nunes P, Dinis-Ribeiro M.Įndoscopic submucosal dissection for gastric lesions: results of a European inquiry.Įndoscopic submucosal dissection in the era of proton pump inhibitors.
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Therapeutic outcomes in 1000 cases of endoscopic submucosal dissection for early gastric neoplasms: Korean ESD Study Group multicenter study.Įndoscopic treatment of large superficial colorectal tumors: a case series of 200 endoscopic submucosal dissections (with video).ĭeprez P H, Bergman J J, Meisner S et al.Ĭurrent practice with endoscopic submucosal dissection in Europe: position statement from a panel of experts. ReferencesĮndoscopic resection of early-stage esophageal cancer.Ī modified technique for endoscopic mucosal resection of small early gastric carcinomas.Įndoscopic mucosal resection in the stomach using the insulated-tip needle-knife.Īdvantage of endoscopic submucosal dissection compared with EMR for early gastric cancer.Įndoscopic mucosal resection for treatment of early gastric cancer. The short term morbidity was 29.2 % including 34 cases of perforation (18.1 %), and 21 hemorrhages (11.2 %) during the 24 hours following ESD, 89 % of which were managed conservatively or endoscopically.Ĭonclusion: In this early experience, the feasibility of ESD appeared to be good but R0 resection and complication rates did not match those reported by Japanese authors and must be improved by an extended practice. The median duration of ESD was 105 minutes (range 20 – 450 minutes). Histopathology results showed high grade dysplasia or superficial cancer in 71.2 %. En bloc resection was achieved in 77.1 % of cases, with complete R0 resection in 72.9 %. The median size of the lesions was 26 mm (range 2 – 150 mm). The lesion sites treated by ESD were the stomach (n = 75), esophagus (n = 27), duodenum (n = 1), cecum (n = 2), right colon (n = 3), transverse colon (n = 5), sigmoid (n = 3), and rectum (n = 72).
The median case mix per center was 6 patients (range 1 – 43). Results: A total of 188 consecutive case reports were collected from 16 centers. Case reports were completed prospectively by each investigator before pooled analysis. Demographic, clinical, and technical data, and the results of immediate complications were collected.
Patients and methods: Members of the Société Française d'Endoscopie Digestive (SFED) who declared performing ESD reported their cases prospectively on a voluntary basis. We wanted to assess the development of ESD in France, with special attention to short term outcomes. In France, experience with this technique is still limited. Background and study aims: Endoscopic submucosal dissection (ESD) is a technique for “en bloc” resection of superficial tumors of the gastrointestinal tract.
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