Clinical value of endoscopic submucosal dissection for early cancer and precancerous lesions in the pylorus (with video)
10.3760/cma.j.cn321463-20200804-00067
- VernacularTitle:内镜黏膜下剥离术治疗幽门管早期癌及癌前病变的临床价值研究(含视频)
- Author:
Jiangping YU
;
Rongwei RUAN
;
Yongjun LIU
;
Yali TAO
;
Zhao CUI
;
Shuwen ZHU
;
Danping ZHOU
;
Yandong LI
;
Shi WANG
- From:
Chinese Journal of Digestive Endoscopy
2021;38(3):231-234
- CountryChina
- Language:Chinese
-
Abstract:
Clinicopathological data of 15 patients with pyloric early cancer and precancerous lesions, who received endoscopic submucosal dissection (ESD) in Zhejiang Cancer Hospital from March 2011 to January 2020 were retrospectively analyzed. Postoperative pathology showed 7 cases of low-grade intraepithelial neoplasia, 3 cases of high-grade intraepithelial neoplasia, and 5 cases of early gastric cancer. R0 complete resection was achieved in all patients. The mean operation time was 55.2 min (35-78 min). One patient had delayed postoperative bleeding, and no other complications such as bleeding, perforation or abdominal pain occurred in other 14 patients. No recurrence, metastasis or pyloric stenosis was found during the follow-up of 31.3 months (1-106 months). ESD is safe and effective for early cancer and precancerous lesions in the pylorus.