Clinical Practice of Endoscopic Submucosal Dissection for Early Colorectal Neoplasms by a Colonoscopist with Limited Gastric Experience
Objectives. Endoscopic submucosal dissection (ESD) for early colorectal neoplasms is regarded as a difficult technique and should commence after receiving the experiences of ESD in the stomach. The implementation of colorectal ESD in countries where early gastric cancer is uncommon might therefore b...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2013/262171 |
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| author | Wen-Hsin Hsu Meng-Shun Sun Hoi-Wan Lo Ching-Yang Tsai Yu-Jou Tsai |
| author_facet | Wen-Hsin Hsu Meng-Shun Sun Hoi-Wan Lo Ching-Yang Tsai Yu-Jou Tsai |
| author_sort | Wen-Hsin Hsu |
| collection | DOAJ |
| description | Objectives. Endoscopic submucosal dissection (ESD) for early colorectal neoplasms is regarded as a difficult technique and should commence after receiving the experiences of ESD in the stomach. The implementation of colorectal ESD in countries where early gastric cancer is uncommon might therefore be difficult. The aim is to delineate the feasibility and the learning curve of colorectal ESD performed by a colonoscopist with limited experience of gastric ESD. Methods. The first fifty cases of colorectal ESD, which were performed by a single colonoscopist between July 2010 and April 2013, were enrolled. Results. The mean of age was 64 (±9.204) years with mean size of neoplasm at 33 (±12.63) mm. The mean of procedure time was 70.5 (±48.9) min. The rates of en bloc resection, R0 resection, and curative resection were 86%, 86%, and 82%, respectively. Three patients had immediate perforation, but no patient developed delayed perforation or delayed bleeding. Conclusion. Our result disclosed that it is feasible for colorectal ESD to be performed by a colonoscopist with little experience of gastric ESD through satisfactory training and adequate case selection. |
| format | Article |
| id | doaj-art-782895d0034741848e810dfe91092b63 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-782895d0034741848e810dfe91092b632025-02-03T06:01:11ZengWileyGastroenterology Research and Practice1687-61211687-630X2013-01-01201310.1155/2013/262171262171Clinical Practice of Endoscopic Submucosal Dissection for Early Colorectal Neoplasms by a Colonoscopist with Limited Gastric ExperienceWen-Hsin Hsu0Meng-Shun Sun1Hoi-Wan Lo2Ching-Yang Tsai3Yu-Jou Tsai4Division of Gastroenterology, Department of Internal Medicine, Yuan’s General Hospital, No. 162 Cheng-gong 1st Road, Lyngya District, Kaohsiung City 802, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Yuan’s General Hospital, No. 162 Cheng-gong 1st Road, Lyngya District, Kaohsiung City 802, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Yuan’s General Hospital, No. 162 Cheng-gong 1st Road, Lyngya District, Kaohsiung City 802, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Yuan’s General Hospital, No. 162 Cheng-gong 1st Road, Lyngya District, Kaohsiung City 802, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Yuan’s General Hospital, No. 162 Cheng-gong 1st Road, Lyngya District, Kaohsiung City 802, TaiwanObjectives. Endoscopic submucosal dissection (ESD) for early colorectal neoplasms is regarded as a difficult technique and should commence after receiving the experiences of ESD in the stomach. The implementation of colorectal ESD in countries where early gastric cancer is uncommon might therefore be difficult. The aim is to delineate the feasibility and the learning curve of colorectal ESD performed by a colonoscopist with limited experience of gastric ESD. Methods. The first fifty cases of colorectal ESD, which were performed by a single colonoscopist between July 2010 and April 2013, were enrolled. Results. The mean of age was 64 (±9.204) years with mean size of neoplasm at 33 (±12.63) mm. The mean of procedure time was 70.5 (±48.9) min. The rates of en bloc resection, R0 resection, and curative resection were 86%, 86%, and 82%, respectively. Three patients had immediate perforation, but no patient developed delayed perforation or delayed bleeding. Conclusion. Our result disclosed that it is feasible for colorectal ESD to be performed by a colonoscopist with little experience of gastric ESD through satisfactory training and adequate case selection.http://dx.doi.org/10.1155/2013/262171 |
| spellingShingle | Wen-Hsin Hsu Meng-Shun Sun Hoi-Wan Lo Ching-Yang Tsai Yu-Jou Tsai Clinical Practice of Endoscopic Submucosal Dissection for Early Colorectal Neoplasms by a Colonoscopist with Limited Gastric Experience Gastroenterology Research and Practice |
| title | Clinical Practice of Endoscopic Submucosal Dissection for Early Colorectal Neoplasms by a Colonoscopist with Limited Gastric Experience |
| title_full | Clinical Practice of Endoscopic Submucosal Dissection for Early Colorectal Neoplasms by a Colonoscopist with Limited Gastric Experience |
| title_fullStr | Clinical Practice of Endoscopic Submucosal Dissection for Early Colorectal Neoplasms by a Colonoscopist with Limited Gastric Experience |
| title_full_unstemmed | Clinical Practice of Endoscopic Submucosal Dissection for Early Colorectal Neoplasms by a Colonoscopist with Limited Gastric Experience |
| title_short | Clinical Practice of Endoscopic Submucosal Dissection for Early Colorectal Neoplasms by a Colonoscopist with Limited Gastric Experience |
| title_sort | clinical practice of endoscopic submucosal dissection for early colorectal neoplasms by a colonoscopist with limited gastric experience |
| url | http://dx.doi.org/10.1155/2013/262171 |
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