Endoscopic submucosal dissection for superficial rectal tumors: prospective evaluation in France

• DOI: 10.1055/s-0034-1365810
• Publication Date: 2014-07-01T11:37:27Z
• Authors: Gabriel Rahmi; Bilal Hotayt; Stanislas Chaussade; Vincent Lepilliez; Marc Giovannini; Dimitri Coumaros; Antoine Charachon; Franck Cholet; Arthur Laquière; Elia Samaha; Frédéric Prat; Thierry Ponchon; Erwan Bories; Michel Robaszkiewicz; Christian Boustière; Christophe Cellier
• Keywords: Perforation; Endoscopic submucosal dissection; Endoscopic mucosal resection

<b>Background and study aims:</b> Endoscopic submucosal dissection (ESD) provides a high en bloc resection rate for superficial colorectal tumors. The aims of this were to assess the feasibility ESD in France evaluate complete at 1 year. <b>Patients methods:</b> Patients with rectal tumors ≥ 10 mm size prospectively included nine French expert centers between February 2010 June 2012. was stopped temporarily because complication rate. Study recruitment resumed following remedial action. <b>Results:</b> A total 45 patients (mean age 67 years; 24 males). immediate perforation 18 % (n = 8), salvage surgery not required. Six (13 %) had late bleeding, which treated endoscopically five surgically one patient who required blood transfusion. mortality zero. 64 (29/45), curative R0 53 (24/45). Three (7 an invasive tumor (two sm1, T2). At 1-year follow-up, endoscopic examinations showed 38 /43 (88 %). end study, after action, increased from 52 82 %, decreased significantly 34 0 %. <b>Conclusions:</b> reflects initial prospective experience France, suggests that rates should increase decrease corrective actions.