How Is Endoscopic Submucosal Dissection for Gastrointestinal Lesions Being Implemented?: Results from an International Survey
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452020000100001 |
Resumo: | Background and Study Aim: Superficial gastrointestinal (GI) neoplasms can be treated with endoscopic mucosal resec-tion (EMR) and/or endoscopic submucosal dissection (ESD). These techniques are widely used in Eastern countries; how-ever, its use in the West is limited. The aim of this study was to evaluate the current implementation of ESD in Western countries. Methods: Western endoscopists (n = 279) who published papers related to EMR/ESD between 2005 and 2017 were asked to complete an online survey from Decem-ber 2017 to February 2018. Results: A total of 58 endosco-pists (21%) completed the survey. Thirty performed ESD in the esophagus (52%), 45 in the stomach (78%), 36 in the co lorectum (62%), and 6 in the duodenum (10%). The median total number of lesions ever treated per endoscopist was 190, with a median number per endoscopist in 2016 of 41 (7 [IQR 1-21], 6 [IQR 4-16], and 28 [5-63] in the esophagus, in the stomach, and in the colon and rectum, respectively). En bloc resection rates were 97% in the esophagus, 95% in the stomach, and 84% in the colorectum. Complete resection (R0) was achieved in 88, 91, and 81%, respectively. Curative rates were 69, 70, and 67%, respectively. Major complica-tions (perforation or delayed bleeding) occurred more often in colorectal ESD (12 vs. 6% in the esophagus and 7% in the stomach). In the upper GI tract, the majority of resected le-sions were intramucosal adenocarcinoma (59% in the esoph-agus; 47% in the stomach), while in the colorectum the ma-jority were adenomas (59%). Conclusion: ESD seems to be performed by a large number of centers and endoscopists. Our results suggest that ESD is being successfully imple-mented in Western countries, achieving a good rate of effi-cacy and safety according to European guidelines. |
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How Is Endoscopic Submucosal Dissection for Gastrointestinal Lesions Being Implemented?: Results from an International SurveyEndoscopic submucosal dissectionSurveyGastrointestinal superficial lesionsBackground and Study Aim: Superficial gastrointestinal (GI) neoplasms can be treated with endoscopic mucosal resec-tion (EMR) and/or endoscopic submucosal dissection (ESD). These techniques are widely used in Eastern countries; how-ever, its use in the West is limited. The aim of this study was to evaluate the current implementation of ESD in Western countries. Methods: Western endoscopists (n = 279) who published papers related to EMR/ESD between 2005 and 2017 were asked to complete an online survey from Decem-ber 2017 to February 2018. Results: A total of 58 endosco-pists (21%) completed the survey. Thirty performed ESD in the esophagus (52%), 45 in the stomach (78%), 36 in the co lorectum (62%), and 6 in the duodenum (10%). The median total number of lesions ever treated per endoscopist was 190, with a median number per endoscopist in 2016 of 41 (7 [IQR 1-21], 6 [IQR 4-16], and 28 [5-63] in the esophagus, in the stomach, and in the colon and rectum, respectively). En bloc resection rates were 97% in the esophagus, 95% in the stomach, and 84% in the colorectum. Complete resection (R0) was achieved in 88, 91, and 81%, respectively. Curative rates were 69, 70, and 67%, respectively. Major complica-tions (perforation or delayed bleeding) occurred more often in colorectal ESD (12 vs. 6% in the esophagus and 7% in the stomach). In the upper GI tract, the majority of resected le-sions were intramucosal adenocarcinoma (59% in the esoph-agus; 47% in the stomach), while in the colorectum the ma-jority were adenomas (59%). Conclusion: ESD seems to be performed by a large number of centers and endoscopists. Our results suggest that ESD is being successfully imple-mented in Western countries, achieving a good rate of effi-cacy and safety according to European guidelines.Sociedade Portuguesa de Gastrenterologia2020-02-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452020000100001GE-Portuguese Journal of Gastroenterology v.27 n.1 2020reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452020000100001Araújo-Martins,MiguelPimentel-Nunes,PedroLibânio,DiogoBorges-Canha,MartaDinis-Ribeiro,Márioinfo:eu-repo/semantics/openAccess2024-02-06T17:34:01Zoai:scielo:S2341-45452020000100001Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:36:09.936225Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
How Is Endoscopic Submucosal Dissection for Gastrointestinal Lesions Being Implemented?: Results from an International Survey |
title |
How Is Endoscopic Submucosal Dissection for Gastrointestinal Lesions Being Implemented?: Results from an International Survey |
spellingShingle |
How Is Endoscopic Submucosal Dissection for Gastrointestinal Lesions Being Implemented?: Results from an International Survey Araújo-Martins,Miguel Endoscopic submucosal dissection Survey Gastrointestinal superficial lesions |
title_short |
How Is Endoscopic Submucosal Dissection for Gastrointestinal Lesions Being Implemented?: Results from an International Survey |
title_full |
How Is Endoscopic Submucosal Dissection for Gastrointestinal Lesions Being Implemented?: Results from an International Survey |
title_fullStr |
How Is Endoscopic Submucosal Dissection for Gastrointestinal Lesions Being Implemented?: Results from an International Survey |
title_full_unstemmed |
How Is Endoscopic Submucosal Dissection for Gastrointestinal Lesions Being Implemented?: Results from an International Survey |
title_sort |
How Is Endoscopic Submucosal Dissection for Gastrointestinal Lesions Being Implemented?: Results from an International Survey |
author |
Araújo-Martins,Miguel |
author_facet |
Araújo-Martins,Miguel Pimentel-Nunes,Pedro Libânio,Diogo Borges-Canha,Marta Dinis-Ribeiro,Mário |
author_role |
author |
author2 |
Pimentel-Nunes,Pedro Libânio,Diogo Borges-Canha,Marta Dinis-Ribeiro,Mário |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Araújo-Martins,Miguel Pimentel-Nunes,Pedro Libânio,Diogo Borges-Canha,Marta Dinis-Ribeiro,Mário |
dc.subject.por.fl_str_mv |
Endoscopic submucosal dissection Survey Gastrointestinal superficial lesions |
topic |
Endoscopic submucosal dissection Survey Gastrointestinal superficial lesions |
description |
Background and Study Aim: Superficial gastrointestinal (GI) neoplasms can be treated with endoscopic mucosal resec-tion (EMR) and/or endoscopic submucosal dissection (ESD). These techniques are widely used in Eastern countries; how-ever, its use in the West is limited. The aim of this study was to evaluate the current implementation of ESD in Western countries. Methods: Western endoscopists (n = 279) who published papers related to EMR/ESD between 2005 and 2017 were asked to complete an online survey from Decem-ber 2017 to February 2018. Results: A total of 58 endosco-pists (21%) completed the survey. Thirty performed ESD in the esophagus (52%), 45 in the stomach (78%), 36 in the co lorectum (62%), and 6 in the duodenum (10%). The median total number of lesions ever treated per endoscopist was 190, with a median number per endoscopist in 2016 of 41 (7 [IQR 1-21], 6 [IQR 4-16], and 28 [5-63] in the esophagus, in the stomach, and in the colon and rectum, respectively). En bloc resection rates were 97% in the esophagus, 95% in the stomach, and 84% in the colorectum. Complete resection (R0) was achieved in 88, 91, and 81%, respectively. Curative rates were 69, 70, and 67%, respectively. Major complica-tions (perforation or delayed bleeding) occurred more often in colorectal ESD (12 vs. 6% in the esophagus and 7% in the stomach). In the upper GI tract, the majority of resected le-sions were intramucosal adenocarcinoma (59% in the esoph-agus; 47% in the stomach), while in the colorectum the ma-jority were adenomas (59%). Conclusion: ESD seems to be performed by a large number of centers and endoscopists. Our results suggest that ESD is being successfully imple-mented in Western countries, achieving a good rate of effi-cacy and safety according to European guidelines. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-02-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452020000100001 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452020000100001 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452020000100001 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
dc.source.none.fl_str_mv |
GE-Portuguese Journal of Gastroenterology v.27 n.1 2020 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799137413663031296 |