Short term results of endoscopic submucosal dissection in superficial esophageal squamous cell neoplasms

被引:24
作者
Nonaka, Kouichi [1 ]
Arai, Shin [1 ]
Ishikawa, Keiko [1 ]
Nakao, Masamitsu [1 ]
Nakai, Yousuke [1 ]
Togawa, Osamu [1 ]
Nagata, Koji [2 ]
Shimizu, Michio [2 ]
Sasaki, Yutaka [3 ]
Kita, Hiroto [1 ]
机构
[1] Saitama Med Univ, Dept Gastroenterol, Int Med Ctr, 1397-1 Yamane, Hidaka, Saitama 3501298, Japan
[2] Saitama Med Univ, Int Med Ctr, Dept Pathol, Saitama 3501298, Japan
[3] Kumamoto Univ, Dept Gastroenterol, Fac Med, Kumamoto 8600856, Japan
关键词
Endoscopic submucosal dissection; Esophageal cancer; Squamous cell; Neoplasm; Endoscopy;
D O I
10.4253/wjge.v2.i2.69
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
AIM: To evaluate the efficacy of endoscopic submucosal dissection for superficial esophageal squamous cell neoplasms. METHODS: Between July 2007 and March 2009, 27 consecutive superficial esophageal squamous cell neoplasms in 25 enrolled patients were treated by endoscopic submucosal dissection. The therapeutic efficacy, complications, and follow-up results were assessed. RESULTS: The mean size of the lesions was 21 +/- 13 mm (range 2-55 mm); the mean size of the resection specimens was 32 +/- 12 mm (range 10-70 mm). The en block resection rate was 100% (27/27), and en block resection with tumor-free lateral/basal margins was 88.9% (24/27). Perforation occurred in 1 patient who was managed by conservative medical treatments. None of the patients developed local recurrence or distant metastasis in the follow-up period. CONCLUSION: Endoscopic submucosal dissection is applicable to superficial esophageal squamous cell neoplasms with promising results. (C) 2010 Baishideng. All rights reserved.
引用
收藏
页码:69 / 74
页数:6
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