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a hepatologie

Gastroenterology and Hepatology

Gastroent Hepatol 2015; 69(1): 65–69. doi:doi: 10.14735/amgh201565.

Short-term outcomes of endoscopic submucosal dissection (ESD) for gastric superficial neoplastic lesions

Ondřej Urban1,2, Petr Fojtík3, Přemysl Falt4, Martin Kliment5, Ota Mikolajek6, Miloslav Mazur7, Aleš Foltys7, Pavol Holéczy8,9, Romana Andělová10, Martin Baník11, Ivo Kasperčík11, Petr Barabáš12, Jaromír Richter12

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The paper presents a prospectively evaluated group of 25 patients treated by gastric endoscopic submucosal dissection (G-ESD). The aim of the study was to evaluate short-term treatment results. Methods: All patients treated by G-ESD during the study period 11/2011–10/2014 were included in the study. Lesions were indicated for G-ESD according to expanded criteria. En bloc resection, R0 resection, curative resection and complications were considered as indicators of short-term treatment results. Results: A total of 20 (80%) of lesions were neoplastic according to the final histological evaluation. Among them, en bloc, R0 and curative resection could be achieved in 17 (85%), 17 (85%) and 16 (80%) respectively. Perforation was observed in two (8%) of all cases and had to be treated surgically in one (4%) case. The 30-day mortality was 0. Conclusions: The paper presents the treatment results of a series of the first group of G-ESD patients from a Czech gastroenterology center. Our results are similar to those reported from Eastern-Asia centers. Nevertheless, the validity of the results is limited by a selection bias.


Ro resection, gastric cancer, endsocopic submucosal dissection

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