Efficacy and Safety of Endoscopic Submucosal Dissection for Superficial Gastric Neoplasms: A Latin American Cohort Study

• DOI: 10.5946/ce.2021.192
• Publication Date: 2021-11-12T05:24:01Z
• Authors: Fernando Palacios...; Harold Benites-Goñi; Luis Marin-Calderón; Paulo Bardalez-Cruz; Jorge Vásquez-Qui...; Edgar Alva-Alva; Bryan Medina-Morales; Jairo Asencios-Cu...
• Keywords: Endoscopic submucosal dissection; Perforation; Endoscopic mucosal resection

Endoscopic submucosal dissection (ESD) is the preferred technique for treating early gastric cancer (EGC). However, very few studies have been conducted in South America. This study aimed to assess efficacy and safety of ESD EGC.We analyzed data from a prospective cohort 2013 2020. A total 152 superficial neoplasms that fulfilled absolute or expanded criteria were included. Outcomes en bloc, R0, curative resection rates, incidence adverse events, length procedure.The age enrolled patients was 68.4±11.3 years. The number included based on indications 150 2, respectively. En resections achieved 98.0%, 96.1%, 89.5% cases, Bleeding perforation reported 5.9% 6.6% Histopathological examination revealed lowgrade dysplasia, high-grade well-differentiated adenocarcinoma, poorly differentiated adenocarcinoma 13, 20, 117, 2 respectively.Our shows performed by properly trained endoscopists reference centers safe effective, with comparable therapeutic outcomes those Eastern series.