Improved outcomes of endoscopic treatment for delayed perforation following endoscopic submucosal dissection for gastric epithelial neoplasms Article Swipe
Daiki Kitagawa
,
Noriya Uedo
,
Noboru Hanaoka
,
Takashi Kanesaka
,
Yasuhiro Tani
,
Yuki Okubo
,
Yuya Asada
,
Tomoya Ueda
,
Atsuko Kizawa
,
Takehiro Ninomiya
,
Yoshiaki Ando
,
Gentaro Tanabe
,
Yuta Fujimoto
,
Hitoshi Mori
,
Minoru Kato
,
Shunsuke Yoshii
,
Satoki Shichijo
,
Sachiko Yamamoto
,
Koji Higashino
,
Tomoki Michida
,
Ryu Ishihara
,
Yasuhiro Fujiwara
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1055/a-2451-7835
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1055/a-2451-7835
Emergency surgery is usually required for patients with delayed perforation after gastric endoscopic submucosal dissection (ESD); however, cases of successful endoscopic treatment recently have been reported. Here, we elucidated the usefulness of endoscopic intervention for patients with delayed perforation. Patients who underwent gastric ESD from 2005 to 2022 were assessed for eligibility. Delayed perforation was defined as no intraprocedural perforation after the ESD but subsequent development of peritoneal irritation and free air on computed tomography scan. Participants were divided into early- and late-period groups based on time (October 2015) of implementation of the polyglycolic acid (PGA) sheet and the over-the-scope clip (OTSC) in clinical practice. We evaluated changes in incidence of required surgery. Among the 5,048 patients who underwent gastric ESD, delayed perforation occurred in 28 patients (0.6%, 95% confidence interval [CI] 0.4%-0.8%). Incidence of delayed perforation did not differ significantly between the early- and late-period groups (0.5% vs. 0.6%). The proportion of patients who underwent surgery was significantly smaller in the late-period group than in the early-period group (54% vs. 13%, odds ratio [OR] 0.14, 95% CI 0.02–0.83; P = 0.042); this was confirmed by multivariate analysis (adjusted OR 0.04, 95% CI 0.002–0.9; P = 0.043) after adjustment for age, sex, Charlson’s comorbidity index, tumor location, and size. Endoscopic intervention using PGA sheets and OTSC was associated with a low incidence of required surgery for delayed perforation after gastric ESD and is recommended.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1055/a-2451-7835
- http://www.thieme-connect.de/products/ejournals/pdf/10.1055/a-2451-7835.pdf
- OA Status
- gold
- References
- 23
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4405252132
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4405252132Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1055/a-2451-7835Digital Object Identifier
- Title
-
Improved outcomes of endoscopic treatment for delayed perforation following endoscopic submucosal dissection for gastric epithelial neoplasmsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-12-11Full publication date if available
- Authors
-
Daiki Kitagawa, Noriya Uedo, Noboru Hanaoka, Takashi Kanesaka, Yasuhiro Tani, Yuki Okubo, Yuya Asada, Tomoya Ueda, Atsuko Kizawa, Takehiro Ninomiya, Yoshiaki Ando, Gentaro Tanabe, Yuta Fujimoto, Hitoshi Mori, Minoru Kato, Shunsuke Yoshii, Satoki Shichijo, Sachiko Yamamoto, Koji Higashino, Tomoki Michida, Ryu Ishihara, Yasuhiro FujiwaraList of authors in order
- Landing page
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https://doi.org/10.1055/a-2451-7835Publisher landing page
- PDF URL
-
https://www.thieme-connect.de/products/ejournals/pdf/10.1055/a-2451-7835.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.thieme-connect.de/products/ejournals/pdf/10.1055/a-2451-7835.pdfDirect OA link when available
- Concepts
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Endoscopic submucosal dissection, Medicine, Perforation, Endoscopic mucosal resection, Dissection (medical), Surgery, Endoscopy, General surgery, Metallurgy, Materials science, PunchingTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- References (count)
-
23Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.2022 | 48 |
| abstract_inverted_index.ESD, | 121 |
| abstract_inverted_index.OTSC | 216 |
| abstract_inverted_index.[CI] | 132 |
| abstract_inverted_index.[OR] | 175 |
| abstract_inverted_index.acid | 95 |
| abstract_inverted_index.age, | 201 |
| abstract_inverted_index.been | 25 |
| abstract_inverted_index.clip | 101 |
| abstract_inverted_index.free | 71 |
| abstract_inverted_index.from | 45 |
| abstract_inverted_index.have | 24 |
| abstract_inverted_index.into | 80 |
| abstract_inverted_index.odds | 173 |
| abstract_inverted_index.sex, | 202 |
| abstract_inverted_index.than | 165 |
| abstract_inverted_index.this | 183 |
| abstract_inverted_index.time | 87 |
| abstract_inverted_index.were | 49, 78 |
| abstract_inverted_index.with | 8, 37, 219 |
| abstract_inverted_index.(0.5% | 148 |
| abstract_inverted_index.(PGA) | 96 |
| abstract_inverted_index.0.04, | 191 |
| abstract_inverted_index.0.14, | 176 |
| abstract_inverted_index.2015) | 89 |
| abstract_inverted_index.5,048 | 116 |
| abstract_inverted_index.Among | 114 |
| abstract_inverted_index.Here, | 27 |
| abstract_inverted_index.after | 11, 61, 198, 229 |
| abstract_inverted_index.based | 85 |
| abstract_inverted_index.cases | 18 |
| abstract_inverted_index.group | 164, 169 |
| abstract_inverted_index.ratio | 174 |
| abstract_inverted_index.scan. | 76 |
| abstract_inverted_index.sheet | 97 |
| abstract_inverted_index.size. | 209 |
| abstract_inverted_index.tumor | 206 |
| abstract_inverted_index.using | 212 |
| abstract_inverted_index.(0.6%, | 128 |
| abstract_inverted_index.(ESD); | 16 |
| abstract_inverted_index.(OTSC) | 102 |
| abstract_inverted_index.0.043) | 197 |
| abstract_inverted_index.0.6%). | 150 |
| abstract_inverted_index.differ | 140 |
| abstract_inverted_index.early- | 81, 144 |
| abstract_inverted_index.groups | 84, 147 |
| abstract_inverted_index.index, | 205 |
| abstract_inverted_index.sheets | 214 |
| abstract_inverted_index.0.042); | 182 |
| abstract_inverted_index.Delayed | 53 |
| abstract_inverted_index.between | 142 |
| abstract_inverted_index.changes | 108 |
| abstract_inverted_index.defined | 56 |
| abstract_inverted_index.delayed | 9, 38, 122, 136, 227 |
| abstract_inverted_index.divided | 79 |
| abstract_inverted_index.gastric | 12, 43, 120, 230 |
| abstract_inverted_index.smaller | 160 |
| abstract_inverted_index.surgery | 2, 157, 225 |
| abstract_inverted_index.usually | 4 |
| abstract_inverted_index.(October | 88 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Patients | 40 |
| abstract_inverted_index.analysis | 188 |
| abstract_inverted_index.assessed | 50 |
| abstract_inverted_index.clinical | 104 |
| abstract_inverted_index.computed | 74 |
| abstract_inverted_index.however, | 17 |
| abstract_inverted_index.interval | 131 |
| abstract_inverted_index.occurred | 124 |
| abstract_inverted_index.patients | 7, 36, 117, 127, 154 |
| abstract_inverted_index.recently | 23 |
| abstract_inverted_index.required | 5, 112, 224 |
| abstract_inverted_index.surgery. | 113 |
| abstract_inverted_index.(adjusted | 189 |
| abstract_inverted_index.Emergency | 1 |
| abstract_inverted_index.Incidence | 134 |
| abstract_inverted_index.confirmed | 185 |
| abstract_inverted_index.evaluated | 107 |
| abstract_inverted_index.incidence | 110, 222 |
| abstract_inverted_index.location, | 207 |
| abstract_inverted_index.practice. | 105 |
| abstract_inverted_index.reported. | 26 |
| abstract_inverted_index.treatment | 22 |
| abstract_inverted_index.underwent | 42, 119, 156 |
| abstract_inverted_index.Endoscopic | 210 |
| abstract_inverted_index.adjustment | 199 |
| abstract_inverted_index.associated | 218 |
| abstract_inverted_index.confidence | 130 |
| abstract_inverted_index.dissection | 15 |
| abstract_inverted_index.elucidated | 29 |
| abstract_inverted_index.endoscopic | 13, 21, 33 |
| abstract_inverted_index.irritation | 69 |
| abstract_inverted_index.peritoneal | 68 |
| abstract_inverted_index.proportion | 152 |
| abstract_inverted_index.submucosal | 14 |
| abstract_inverted_index.subsequent | 65 |
| abstract_inverted_index.successful | 20 |
| abstract_inverted_index.tomography | 75 |
| abstract_inverted_index.usefulness | 31 |
| abstract_inverted_index.0.4%-0.8%). | 133 |
| abstract_inverted_index.comorbidity | 204 |
| abstract_inverted_index.development | 66 |
| abstract_inverted_index.late-period | 83, 146, 163 |
| abstract_inverted_index.perforation | 10, 54, 60, 123, 137, 228 |
| abstract_inverted_index.0.002–0.9; | 194 |
| abstract_inverted_index.0.02–0.83; | 179 |
| abstract_inverted_index.Charlson’s | 203 |
| abstract_inverted_index.Participants | 77 |
| abstract_inverted_index.early-period | 168 |
| abstract_inverted_index.eligibility. | 52 |
| abstract_inverted_index.intervention | 34, 211 |
| abstract_inverted_index.multivariate | 187 |
| abstract_inverted_index.perforation. | 39 |
| abstract_inverted_index.polyglycolic | 94 |
| abstract_inverted_index.recommended. | 234 |
| abstract_inverted_index.significantly | 141, 159 |
| abstract_inverted_index.implementation | 91 |
| abstract_inverted_index.over-the-scope | 100 |
| abstract_inverted_index.intraprocedural | 59 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 22 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8399999737739563 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.46412044 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |