ISSN: 1859 - 2872
Effectiveness and safety of endoscopic submucosal dissection in the treatment of early gastric cancer and precancerous lesions
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Abstract
Objective: To evaluate the effectiveness and safety of endoscopic submucosal dissection (ESD) managing early gastric cancer and precancerous lesions at the 108 Military Central Hospital. Subject and method: A descriptive study incorporating Clinical Intervention was conducted. Thirty-five patients with suspected early gastric cancer or precancerous lesions, identified through standard endoscopy at the 108 Central Military Hospital from January 2018 to January 2023, were enrolled. ESD procedures were performed according to standardized protocols. Outcomes and the safety profile of the ESD technique were assessed. Result: En-bloc resection and technical success rate were 100% (35/35). Mean procedure duration was 63.1 minutes (range: 20-220 minutes). The complete resection rate was 94.3% (33/35 patients). Mean hospital stay was 5.4 ± 1.5 days. Most patients experienced post-procedure pain (65.7%). Intraoperative bleeding rate occurred in 5.7% (2/35) of cases. A 100% complete scar-healing rate was observed during the second follow-up endoscopy. Conclusion: ESD demonstrated high success rates and a favorable safety profile in the diagnosis and treatment of early-stage gastric cancer at our institution.
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References
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