Endoscopic Submucosal Dissection in the Treatment of Gastrointestinal Tumors Short - term Efficacy Evaluation of Endoscopic Mucosal Resection and
He Qiong
Li Guozhen
Abstract：Objective To investigate short - term efficacy of endoscopic mucosal resection(EMR)and endoscop-ic submucosal dissection(ESD)in the treatment of gastrointestinal tumors. Methods 80 patients with gastrointestinal tumor were randomly divided into ESD group and EMR group with 40 cases in each group. The complete resection rate,whole block resection rate,intraoperative bleeding rate,intraoperative perforation rate,postoperative morbidity rate and 1 year survival rate were compared between the two groups. Results The whole block resection rate(97. 5% ) and complete resection rate(92. 5% )in ESD group were significantly higher than those in EMR group(77. 5% and 70. 0% )(P < 0. 01). The intraoperative bleeding rate in control group was 2. 5% ,which was significantly lower than that in ESD group(7. 5% )(P < 0. 05). The rate of perforation was 2. 5% in EMR group versus 0 in ESD group. There was no significant difference between the two groups(P ﹥ 0. 05). There was no significant difference in postoperative recovery between the two groups(P ﹥ 0. 05). There were 1 case of wound infection in ESD group,while no obvious ad-verse reaction occurred in EMR group. There was no significant difference between the two groups(P ﹥ 0. 05). 1 year recurrence rate in ESD group was 2. 5% versus 7. 5% in control group. There was significant difference between the two groups(P < 0. 05). Conclusion Endoscopic submucosal dissection is more effective in the treatment of gastroin-testinal tumor.
Keywords：Esophageal cancerGastric cancerColorectal cancerEndoscopic mucosal resectionEndoscopic submucosal dissection
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 190-192 )