NDLI: Efficacy of endoscopic submucosal dissection for residual or recurrent superficial colorectal tumors after endoscopic mucosal resection.

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Efficacy of endoscopic submucosal dissection for residual or recurrent superficial colorectal tumors after endoscopic mucosal resection.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Rahmi, Gabriel Tanaka, Shinwa Ohara, Yoshiko Ishida, Tsukasa Yoshizaki, Tetsuya Morita, Yoshinori Toyonaga, Takashi Azuma, Takeshi
Description	Country affiliation: France Author Affiliation: Rahmi G ( Department of Hepatogastroenterology and Digestive Endoscopy, Université Paris Descartes, Georges Pompidou European Hospital, Paris, France.)
Abstract	OBJECTIVE: Superficial colorectal tumors can be treated effectively by endoscopic submucosal dissection (ESD). Few data are available on using ESD for residual or recurrent tumors after the first endoscopic resection. This study aimed to evaluate the efficacy of ESD for these lesions. METHODS: In all, 28 patients with residual or recurrent superficial colorectal tumors were referred to the Kobe University Hospital for ESD. The therapeutic outcomes and the possible factors predictive of procedure difficulties for ESD were analyzed. RESULTS: In total, 27 (96.4%) patients were successfully treated using ESD. There was no related immediate complication. One patient had a delayed perforation which was then treated surgically. En bloc R0 resection was possible in all the patients and curative resection in 26 patients (92.9%). One invasive cancer was treated surgically. More than one previous endoscopic resection was the only significant predictive factor for the difficulty in performing ESD. None of the patients experienced recurrence during a follow-up of 22 months (range 3-41 months). CONCLUSIONS: The use of ESD allowed a high rate of en bloc resection for residual or locally recurrent colorectal tumors. Furthermore, these lesions should be treated by ESD as a first-line treatment.
File Format	HTM / HTML
ISSN	17512972
Issue Number	1
Volume Number	16
e-ISSN	17512980
Journal	Journal of Digestive Diseases
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2015-01-01
Publisher Place	Australia
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Gastroenterology Colorectal Neoplasms Surgery Dissection Methods Endoscopy, Gastrointestinal Intestinal Mucosa Neoplasm Recurrence, Local Aged Pathology Female Humans Male Middle Aged Neoplasm, Residual Reoperation Retrospective Studies Treatment Outcome Journal Article
Content Type	Text
Resource Type	Article
Subject	Gastroenterology

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