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Disección endoscópica submucosa para el tratamiento de neoplasias incipientes del tubo digestivo: experiencia en un centro universitario de alto volumen / Experience with endoscopic submucosal dissection for the treatment of early neoplasms of the digestive tract
Mejía, Ricardo; Sáez, Josefina; Briones, Pamela; Norero, Enrique; Ceroni, Marco; Díaz, Alfonso; Sharp, Allan.
  • Mejía, Ricardo; Pontificia Universidad Católica de Chile. Facultad de Medicina. División de Cirugía. Santiago. CL
  • Sáez, Josefina; Pontificia Universidad Católica de Chile. Facultad de Medicina. Escuela de Medicina. Santiago. CL
  • Briones, Pamela; Complejo Asistencial Dr. Sótero del Río. Unidad Docente Asociada. Santiago. CL
  • Norero, Enrique; Complejo Asistencial Dr. Sótero del Río. Unidad Docente Asociada. Santiago. CL
  • Ceroni, Marco; Complejo Asistencial Dr. Sótero del Río. Unidad Docente Asociada. Santiago. CL
  • Díaz, Alfonso; Complejo Asistencial Dr. Sótero del Río. Unidad Docente Asociada. Santiago. CL
  • Sharp, Allan; Pontificia Universidad Católica de Chile. Facultad de Medicina. División de Cirugía. Santiago. CL
Rev. méd. Chile ; 149(4): 501-507, abr. 2021. ilus, graf, tab
Article in Spanish | LILACS | ID: biblio-1389474
ABSTRACT

Background:

Endoscopic submucosal dissection (ESD) allows en-bloc resection of early gastro-intestinal neoplasms (EGIN) with healing potential.

Aim:

To describe the results of patients treated with ESD for EGIN by our team. Patients and

Methods:

Descriptive study of patients with EGIN who underwent ESD with curative intention between January 2008 and March 2020.

Results:

One hundred thirty-two ESD were performed in 127 patients. 77% were gastric lesions, 14% colorectal, 8% esophageal and 1% duodenal. En-bloc resection was achieved in 98.4% of ESDs. Eighty eight percent of patients met curative standards. Overall, cancer-specific, and recurrence-free survival were 95%, 100% and 98% respectively.

Conclusions:

ESD allows en-bloc resections with curative potential in selected patients, but with a significant reduction in morbidity and mortality and less impact on quality of life. Our results suggest the feasibility to perform ESD in our country with results comparable to those reported in the literature.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Stomach Neoplasms / Endoscopic Mucosal Resection Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2021 Type: Article Affiliation country: Chile Institution/Affiliation country: Complejo Asistencial Dr. Sótero del Río/CL / Pontificia Universidad Católica de Chile/CL

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Full text: Available Index: LILACS (Americas) Main subject: Stomach Neoplasms / Endoscopic Mucosal Resection Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2021 Type: Article Affiliation country: Chile Institution/Affiliation country: Complejo Asistencial Dr. Sótero del Río/CL / Pontificia Universidad Católica de Chile/CL