Mahawongkajit Prasit
Department of Surgery, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.
Gastroenterol Res Pract. 2020 Jan 30;2020:6873071. doi: 10.1155/2020/6873071. eCollection 2020.
Endoscopic submucosal dissection (ESD) was also considered a "high risk" at the starting point with skillful endoscopic techniques and terrible complications. Still, it remains challenging yet has become widespread among institutes in many parts of the world. This study is aimed at further investigating the feasibility, efficacy, and safety of ESD of gastric lesions and at evaluating clinical outcomes in early experience. The patient characteristics, postoperative outcomes, and results of histopathological examinations were reviewed retrospectively between January 2017 and May 2019. Thirteen patients' gastric ESD were included with all of en bloc resections without recurrence. The long duration was related to the large lesion, the upper part of the stomach, and previous treatment. In this study, the ESD procedure of the stomach is a feasible and safe minimally invasive treatment option with organ preservation. It requires training and experience with a learning approach where skill may be improved to prevent unwanted complications.
内镜黏膜下剥离术（ESD）在起步阶段，由于内镜技术要求高且并发症严重，也曾被视为“高风险”手术。尽管如此，它仍然具有挑战性，但已在世界许多地区的机构中广泛开展。本研究旨在进一步探讨胃病变ESD的可行性、有效性和安全性，并评估早期经验中的临床结果。回顾性分析了2017年1月至2019年5月期间患者的特征、术后结果以及组织病理学检查结果。纳入了13例接受胃ESD的患者，所有患者均实现整块切除且无复发。手术时间长与病变大、胃上部病变以及既往治疗有关。在本研究中，胃ESD手术是一种可行且安全的微创治疗选择，可实现器官保留。它需要通过学习方法进行培训并积累经验，以提高技术水平，预防不良并发症的发生。
