Self-help inflatable balloon versus autologous skin-grafting surgery for preventing esophageal stricture after complete circular endoscopic submucosal dissection: a propensity score matching analysis

被引：3

作者：

Li, Longsong ^{[1
]}

Wang, Zixin ^{[1
]}

Wang, Nanjun ^{[1
]}

Zhang, Bo ^{[1
]}

Zou, Jiale ^{[1
]}

Xiang, Jingyuan ^{[1
]}

Du, Chen ^{[1
]}

Xu, Ning ^{[1
]}

Wang, Pengju ^{[1
]}

Wang, Xiangyao ^{[1
]}

Feng, Jiancong ^{[1
]}

Linghu, Enqiang ^{[1
]}

Chai, Ningli ^{[1
]}

机构：

[1] Peoples Liberat Army Gen Hosp, Med Ctr Chinese 1, Dept Gastroenterol, 28 Fuxing Rd, Beijing 100853, Peoples R China

来源：

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2023年 / 37卷 / 05期

基金：

中国国家自然科学基金;

关键词：

Self-help inflatable balloon; Autologous skin-grafting surgery; Circular endoscopic submucosal dissection; Esophageal stricture; RESECTION;

D O I：

10.1007/s00464-022-09789-4

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BackgroundThe self-help inflatable balloon (SHIB) and autologous skin-grafting surgery (ASGS) were used to prevent stricture after esophageal complete circular endoscopic submucosal dissection (cESD) with promising clinical results. We aim to evaluate which method is more suitable for patients who underwent esophageal cESD.MethodsFrom October 2017 to July 2021, patients whose mucosal defect length were between 30 and 100 mm after esophageal cESD were retrospectively reviewed from two prospective studies. They were enrolled once SHIB or ASGS was used as preventive methods to prevent stricture. Propensity score matching (PSM) was used to balance the baseline characteristics between the two groups. Comparisons were made between the two groups, including operation time, the longitudinal length of ulceration, fasting time, hospitalization days, and the incidence of stricture.ResultsA total of 41 patients who met the inclusion criteria were enrolled in the study. The numbers of patients in SHIB group and ASGS group were 25 and 16, respectively. Fifteen patients in each group were selected after performing PSM. The basic baseline characteristics were comparable between the two groups. The stricture rates were 20% (3/15) in SHIB group and 40% (6/15) in ASGS group, while the difference was not statistically significant (p = 0.427). The SHIB group showed significantly shorter operation time, shorter hospitalization days, lower cost, and longer removing balloon/stent time compared with ASGS group (p < 0.001). Comparison of relevant stricture factors between the stricture group and non-stricture group revealed that longer longitudinal length of ulceration (> 60 mm) accounted for a higher proportion in stricture groups (p = 0.035).ConclusionBoth the SHIB and ASGS had high efficacy and safety in preventing strictures in patients with mucosal defects no longer than 100 mm in length after esophageal cESD. The longitudinal length of ulceration > 60 mm was the independent factor for predicting stricture.

引用

页码：3710 / 3719

页数：10

共 25 条

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