Comparison of scissor-type knife to non-scissor-type knife for endoscopic submucosal dissection: a systematic review and meta-analysis
Background/Aims: Scissor-type endoscopic submucosal dissection (ST-ESD) knives can reduce the adverse events associated with ESDs. This study aimed to compare ST-ESD and non-scissor-type (NST)-ESD knives. Methods: We identified ten studies that compared the performance characteristics and safety pro...
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| Veröffentlicht in: | Clinical endoscopy 2024-01, Vol.57 (1), p.36-47 |
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| creator | Harishankar Gopakumar Ishaan Vohra Srinivas Reddy Puli Neil R Sharma |
| description | Background/Aims: Scissor-type endoscopic submucosal dissection (ST-ESD) knives can reduce the adverse events associated with ESDs. This study aimed to compare ST-ESD and non-scissor-type (NST)-ESD knives.
Methods: We identified ten studies that compared the performance characteristics and safety profiles of ST-ESD and NST-ESD knives. Fixed- and random-effects models were used to calculate the pooled proportions. Heterogeneity was assessed using the I 2 test.
Results: On comparing ST-ESD knives to NST-ESD knives, the weighted odds of en bloc resection was 1.61 (95% confidence interval [CI], 0.90-2.90; p=0.14), R0 resection was 1.10 (95% CI, 0.71-1.71; p=0.73), delayed bleeding was 0.40 (95% CI, 0.17-0.90; p=0.03), perforation was 0.35 (95% CI, 0.18-0.70; p |
| format | Article |
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Methods: We identified ten studies that compared the performance characteristics and safety profiles of ST-ESD and NST-ESD knives. Fixed- and random-effects models were used to calculate the pooled proportions. Heterogeneity was assessed using the I 2 test.
Results: On comparing ST-ESD knives to NST-ESD knives, the weighted odds of en bloc resection was 1.61 (95% confidence interval [CI], 0.90-2.90; p=0.14), R0 resection was 1.10 (95% CI, 0.71-1.71; p=0.73), delayed bleeding was 0.40 (95% CI, 0.17-0.90; p=0.03), perforation was 0.35 (95% CI, 0.18-0.70; p<0.01) and ESD self-completion by non-experts was 1.89 (95% CI, 1.20-2.95; p<0.01). There was no heterogeneity, with an I 2 score of 0% (95% CI, 0%-54.40%).
Conclusions: The findings of reduced odds of perforation, a trend toward reduced delayed bleeding, and an improvement in the rates of en bloc and R0 resection with ST-ESD knives compared to NST-ESD knives support the use of ST-ESD knives when non-experts perform ESDs or as an adjunct tool for challenging ESD procedures.</description><identifier>ISSN: 2234-2400</identifier><identifier>EISSN: 2234-2443</identifier><language>kor</language><publisher>대한소화기내시경학회</publisher><subject>ClutchCutter knife ; Endoscopic submucosal dissection ; Scissor-type knife ; Stag-beetle knife</subject><ispartof>Clinical endoscopy, 2024-01, Vol.57 (1), p.36-47</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,781,785,886</link.rule.ids></links><search><creatorcontrib>Harishankar Gopakumar</creatorcontrib><creatorcontrib>Ishaan Vohra</creatorcontrib><creatorcontrib>Srinivas Reddy Puli</creatorcontrib><creatorcontrib>Neil R Sharma</creatorcontrib><title>Comparison of scissor-type knife to non-scissor-type knife for endoscopic submucosal dissection: a systematic review and meta-analysis</title><title>Clinical endoscopy</title><addtitle>Clinical Endoscopy</addtitle><description>Background/Aims: Scissor-type endoscopic submucosal dissection (ST-ESD) knives can reduce the adverse events associated with ESDs. This study aimed to compare ST-ESD and non-scissor-type (NST)-ESD knives.
Methods: We identified ten studies that compared the performance characteristics and safety profiles of ST-ESD and NST-ESD knives. Fixed- and random-effects models were used to calculate the pooled proportions. Heterogeneity was assessed using the I 2 test.
Results: On comparing ST-ESD knives to NST-ESD knives, the weighted odds of en bloc resection was 1.61 (95% confidence interval [CI], 0.90-2.90; p=0.14), R0 resection was 1.10 (95% CI, 0.71-1.71; p=0.73), delayed bleeding was 0.40 (95% CI, 0.17-0.90; p=0.03), perforation was 0.35 (95% CI, 0.18-0.70; p<0.01) and ESD self-completion by non-experts was 1.89 (95% CI, 1.20-2.95; p<0.01). There was no heterogeneity, with an I 2 score of 0% (95% CI, 0%-54.40%).
Conclusions: The findings of reduced odds of perforation, a trend toward reduced delayed bleeding, and an improvement in the rates of en bloc and R0 resection with ST-ESD knives compared to NST-ESD knives support the use of ST-ESD knives when non-experts perform ESDs or as an adjunct tool for challenging ESD procedures.</description><subject>ClutchCutter knife</subject><subject>Endoscopic submucosal dissection</subject><subject>Scissor-type knife</subject><subject>Stag-beetle knife</subject><issn>2234-2400</issn><issn>2234-2443</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>JDI</sourceid><recordid>eNptzL1qwzAUBWBTWmhI8wRdtHQUyLqyVXcLoX9pIEt2I0vXIGxLxldp8Qv0uWtoydTpHDgf5ypbSQmKS6Xg-tKFuM02RL4RSmmAvBSr7HsXh9FMnmJgsWVkPVGceJpHZF3wLbIUWYiB_7O0cWIYXCQbR28ZnZvhbCOZnrnFok0-hidmGM2UcDBpMRN-evxiJjg2YDLcBNPP5Okuu2lNT7j5y3V2enk-7d744fj6vtseeFcIzdEVRkrbCGiwdOhw6aW1j7lpKqdLWbmqskrJHHRrQYNQrdDOVcYpKwU6WGcPv7edp-Tr4Kiv99uPoxRSSSgVlBXIQi_u_uKoHic_mGmuldB5LgF-AMPOao4</recordid><startdate>20240130</startdate><enddate>20240130</enddate><creator>Harishankar Gopakumar</creator><creator>Ishaan Vohra</creator><creator>Srinivas Reddy Puli</creator><creator>Neil R Sharma</creator><general>대한소화기내시경학회</general><scope>HZB</scope><scope>Q5X</scope><scope>JDI</scope></search><sort><creationdate>20240130</creationdate><title>Comparison of scissor-type knife to non-scissor-type knife for endoscopic submucosal dissection: a systematic review and meta-analysis</title><author>Harishankar Gopakumar ; Ishaan Vohra ; Srinivas Reddy Puli ; Neil R Sharma</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-k507-ed5a22cb03be6dede2cb6cc81ab9d7629d99c442137fc37304f07dd9ad4c20ed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>kor</language><creationdate>2024</creationdate><topic>ClutchCutter knife</topic><topic>Endoscopic submucosal dissection</topic><topic>Scissor-type knife</topic><topic>Stag-beetle knife</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Harishankar Gopakumar</creatorcontrib><creatorcontrib>Ishaan Vohra</creatorcontrib><creatorcontrib>Srinivas Reddy Puli</creatorcontrib><creatorcontrib>Neil R Sharma</creatorcontrib><collection>Korean Studies Information Service System (KISS)</collection><collection>Korean Studies Information Service System (KISS) B-Type</collection><collection>KoreaScience</collection><jtitle>Clinical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Harishankar Gopakumar</au><au>Ishaan Vohra</au><au>Srinivas Reddy Puli</au><au>Neil R Sharma</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of scissor-type knife to non-scissor-type knife for endoscopic submucosal dissection: a systematic review and meta-analysis</atitle><jtitle>Clinical endoscopy</jtitle><addtitle>Clinical Endoscopy</addtitle><date>2024-01-30</date><risdate>2024</risdate><volume>57</volume><issue>1</issue><spage>36</spage><epage>47</epage><pages>36-47</pages><issn>2234-2400</issn><eissn>2234-2443</eissn><abstract>Background/Aims: Scissor-type endoscopic submucosal dissection (ST-ESD) knives can reduce the adverse events associated with ESDs. This study aimed to compare ST-ESD and non-scissor-type (NST)-ESD knives.
Methods: We identified ten studies that compared the performance characteristics and safety profiles of ST-ESD and NST-ESD knives. Fixed- and random-effects models were used to calculate the pooled proportions. Heterogeneity was assessed using the I 2 test.
Results: On comparing ST-ESD knives to NST-ESD knives, the weighted odds of en bloc resection was 1.61 (95% confidence interval [CI], 0.90-2.90; p=0.14), R0 resection was 1.10 (95% CI, 0.71-1.71; p=0.73), delayed bleeding was 0.40 (95% CI, 0.17-0.90; p=0.03), perforation was 0.35 (95% CI, 0.18-0.70; p<0.01) and ESD self-completion by non-experts was 1.89 (95% CI, 1.20-2.95; p<0.01). There was no heterogeneity, with an I 2 score of 0% (95% CI, 0%-54.40%).
Conclusions: The findings of reduced odds of perforation, a trend toward reduced delayed bleeding, and an improvement in the rates of en bloc and R0 resection with ST-ESD knives compared to NST-ESD knives support the use of ST-ESD knives when non-experts perform ESDs or as an adjunct tool for challenging ESD procedures.</abstract><pub>대한소화기내시경학회</pub><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2234-2400 |
| ispartof | Clinical endoscopy, 2024-01, Vol.57 (1), p.36-47 |
| issn | 2234-2400 2234-2443 |
| language | kor |
| recordid | cdi_kisti_ndsl_JAKO202423643693257 |
| source | KoreaMed Synapse; DOAJ Directory of Open Access Journals; PubMed Central Open Access; KoreaMed Open Access; PubMed Central |
| subjects | ClutchCutter knife Endoscopic submucosal dissection Scissor-type knife Stag-beetle knife |
| title | Comparison of scissor-type knife to non-scissor-type knife for endoscopic submucosal dissection: a systematic review and meta-analysis |
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