Characteristic of endoscopic submucosal dissection in elderly patients aged more than or equal to 80 years

VernacularTitle:80岁以上老年患者内镜黏膜下剥离术特点
Author: Wang JI-HENG ¹ ; Zhang JING-YI ; Su HUI ; Sheng JIAN-QIU
Author Information

1. 陆军总医院消化内科
Keywords: endoscopic submucosal dissection; elderly; pathology; complication
From: China Journal of Endoscopy 2017;23(12):103-105
CountryChina
Language:Chinese
Abstract: Objective To analyze the characteristic of endoscopic submucosal dissection (ESD) in elderly patients aged more than or equal to 80 years. Methods We retrospectively reviewed 41 patients aged more than or equal to 80 years with 47 lesions treated by ESD from September 2010 to January 2017. The diseased region, pathology and complications were evaluated. Results Of the 47 lesions, there have 3 esophageal lesions, 21 gastric lesions, 10 colonic lesions and 13 rectal lesions. For the pathology, there have 34 early cancer or precancerous lesion, 2 GIST, 1 neuroendocrine tumor and 10 other types of pathology. 1 cardia1 early cancer underwent additional laparoscopic lymphadenectomy. There have 7 complications, 4 post-ESD bleeding, 2 delirium and 1 pneumonia. Conclusion ESD for colorectal lesion is more frequently in elderly patients aged more than or equal to 80 years. Post-ESD bleeding is the main complication.