Endoscopic submucosal dissection in patients with early esophageal squamous cell carcinoma: results from a prospective Western series
Background Although endoscopic submucosal dissection (ESD) is becoming accepted as an established treatment for superficial esophageal squamous cell neoplasia, the majority of data on this endoscopic modality has been provided by Japanese series. Objective To assess the efficacy and safety of ESD fo...
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| creator | Repici, Alessandro, MD Hassan, Cesare, MD Carlino, Alessandra, MD Pagano, Nico, MD Zullo, Angelo, MD Rando, Giacomo, MD Strangio, Giuseppe, MD Romeo, Fabio, MD Nicita, Rinaldo, MD Rosati, Riccardo, MD Malesci, Alberto, MD |
| description | Background Although endoscopic submucosal dissection (ESD) is becoming accepted as an established treatment for superficial esophageal squamous cell neoplasia, the majority of data on this endoscopic modality has been provided by Japanese series. Objective To assess the efficacy and safety of ESD for esophageal squamous cell neoplasia in a consecutive series of patients treated in a Western setting. Design and Setting Single-center, prospective observational study. Patients and Intervention From January 2005 to July 2008, 20 patients with superficial esophageal squamous cell neoplasia were treated by ESD. Main Outcome Measurements Rates of en bloc resection, complete resection, and complications were evaluated as short-term outcomes. Overall survival, local or distant recurrence, and postoperative stricture rates were evaluated as long-term outcomes. Results ESD was performed in 20 patients (mean age 64 years, range 46-81 years; 16 men). The mean size of the lesion was 32 mm (range 15-60 mm); it was 30 mm or larger in 14 patients (70%). The mean time of ESD was 89 minutes (range 58-180 minutes). En bloc resection with resection-free margins was achieved in 18 patients (90%), whereas 2 patients presented with incomplete or indeterminate resection. Two cases (10%) of mediastinal emphysema without overt perforation and 1 case (5%) of post-ESD symptomatic stricture were reported. No local or distant post-ESD recurrence occurred in those with resection-free margins at a median follow-up of 18 months. Limitations Small number of patients and limited follow-up. Conclusion This Western series study confirms that ESD is a potentially curative treatment for superficial esophageal squamous cell neoplasia. Early and late complication rates were comparable to those of Japanese series. ESD should be probably considered as the treatment of choice in all large lesions amenable to endoscopic treatment. |
| doi_str_mv | 10.1016/j.gie.2009.11.020 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_733633333</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0016510709027448</els_id><sourcerecordid>733633333</sourcerecordid><originalsourceid>FETCH-LOGICAL-c437t-a37b73efa7b62d2fd9cd1392efec6d24e97991d7376374f3f8010eb0be11111b3</originalsourceid><addsrcrecordid>eNp9ksuO1DAQRS0EYpqGD2CDvEGsEvwIcRskJDQaHtJILACxtBy7MuMmsTOuZFB_AP-NQzcgsaA23pwqXx8XIY85qznj7fN9fRWgFozpmvOaCXaHbDjTqmqV0nfJhhWoesGZOiMPEPeMsZ2Q_D45E0y2suHNhvy4iD6hS1NwFJduXFxCO1AfEMHNIUUaIp3sHCDOSL-H-ZqCzcOBAqbp2l5BgfFmsWNakDoYBupsdiGm0b6kGXAZSluf00gtnXLCaZ16C_Qr4Aw5UoQcAB-Se70dEB6dzi358vbi8_n76vLjuw_nby4r10g1V1aqTknorepa4UXvtfNcagE9uNaLBrTSmnslVStV08t-xziDjnXA1-rkljw7zi1RbpYSwYwB19Q2QnmAUbJ4-VVbwo-kK6ExQ2-mHEabD4Yzs8o3e1Pkm1W-4dwU-aXnyWl6EQn-T8dv2wV4egIsOjv02UYX8C8nCqalKtyrIwfFxW2AbNCVD3DgQy7-jE_hvzFe_9PthhBDufAbHAD3acmxSDbcoDDMfFq3ZF0SpplQTbOTPwHNirm7</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>733633333</pqid></control><display><type>article</type><title>Endoscopic submucosal dissection in patients with early esophageal squamous cell carcinoma: results from a prospective Western series</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Repici, Alessandro, MD ; Hassan, Cesare, MD ; Carlino, Alessandra, MD ; Pagano, Nico, MD ; Zullo, Angelo, MD ; Rando, Giacomo, MD ; Strangio, Giuseppe, MD ; Romeo, Fabio, MD ; Nicita, Rinaldo, MD ; Rosati, Riccardo, MD ; Malesci, Alberto, MD</creator><creatorcontrib>Repici, Alessandro, MD ; Hassan, Cesare, MD ; Carlino, Alessandra, MD ; Pagano, Nico, MD ; Zullo, Angelo, MD ; Rando, Giacomo, MD ; Strangio, Giuseppe, MD ; Romeo, Fabio, MD ; Nicita, Rinaldo, MD ; Rosati, Riccardo, MD ; Malesci, Alberto, MD</creatorcontrib><description>Background Although endoscopic submucosal dissection (ESD) is becoming accepted as an established treatment for superficial esophageal squamous cell neoplasia, the majority of data on this endoscopic modality has been provided by Japanese series. Objective To assess the efficacy and safety of ESD for esophageal squamous cell neoplasia in a consecutive series of patients treated in a Western setting. Design and Setting Single-center, prospective observational study. Patients and Intervention From January 2005 to July 2008, 20 patients with superficial esophageal squamous cell neoplasia were treated by ESD. Main Outcome Measurements Rates of en bloc resection, complete resection, and complications were evaluated as short-term outcomes. Overall survival, local or distant recurrence, and postoperative stricture rates were evaluated as long-term outcomes. Results ESD was performed in 20 patients (mean age 64 years, range 46-81 years; 16 men). The mean size of the lesion was 32 mm (range 15-60 mm); it was 30 mm or larger in 14 patients (70%). The mean time of ESD was 89 minutes (range 58-180 minutes). En bloc resection with resection-free margins was achieved in 18 patients (90%), whereas 2 patients presented with incomplete or indeterminate resection. Two cases (10%) of mediastinal emphysema without overt perforation and 1 case (5%) of post-ESD symptomatic stricture were reported. No local or distant post-ESD recurrence occurred in those with resection-free margins at a median follow-up of 18 months. Limitations Small number of patients and limited follow-up. Conclusion This Western series study confirms that ESD is a potentially curative treatment for superficial esophageal squamous cell neoplasia. Early and late complication rates were comparable to those of Japanese series. ESD should be probably considered as the treatment of choice in all large lesions amenable to endoscopic treatment.</description><identifier>ISSN: 0016-5107</identifier><identifier>EISSN: 1097-6779</identifier><identifier>DOI: 10.1016/j.gie.2009.11.020</identifier><identifier>PMID: 20363414</identifier><identifier>CODEN: GAENBQ</identifier><language>eng</language><publisher>Maryland heights, MO: Mosby, Inc</publisher><subject>Aged ; Aged, 80 and over ; Animals ; Biological and medical sciences ; Carcinoma, Squamous Cell - mortality ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - surgery ; Disease-Free Survival ; Esophageal Neoplasms - mortality ; Esophageal Neoplasms - pathology ; Esophageal Neoplasms - surgery ; Esophagoscopy ; Esophagus ; Esophagus - pathology ; Esophagus - surgery ; Female ; Follow-Up Studies ; Gastroenterology and Hepatology ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Male ; Medical sciences ; Middle Aged ; Postoperative Complications - etiology ; Prospective Studies ; Tumors</subject><ispartof>Gastrointestinal endoscopy, 2010-04, Vol.71 (4), p.715-721</ispartof><rights>American Society for Gastrointestinal Endoscopy</rights><rights>2010 American Society for Gastrointestinal Endoscopy</rights><rights>2015 INIST-CNRS</rights><rights>Copyright 2010 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c437t-a37b73efa7b62d2fd9cd1392efec6d24e97991d7376374f3f8010eb0be11111b3</citedby><cites>FETCH-LOGICAL-c437t-a37b73efa7b62d2fd9cd1392efec6d24e97991d7376374f3f8010eb0be11111b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0016510709027448$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22634937$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20363414$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Repici, Alessandro, MD</creatorcontrib><creatorcontrib>Hassan, Cesare, MD</creatorcontrib><creatorcontrib>Carlino, Alessandra, MD</creatorcontrib><creatorcontrib>Pagano, Nico, MD</creatorcontrib><creatorcontrib>Zullo, Angelo, MD</creatorcontrib><creatorcontrib>Rando, Giacomo, MD</creatorcontrib><creatorcontrib>Strangio, Giuseppe, MD</creatorcontrib><creatorcontrib>Romeo, Fabio, MD</creatorcontrib><creatorcontrib>Nicita, Rinaldo, MD</creatorcontrib><creatorcontrib>Rosati, Riccardo, MD</creatorcontrib><creatorcontrib>Malesci, Alberto, MD</creatorcontrib><title>Endoscopic submucosal dissection in patients with early esophageal squamous cell carcinoma: results from a prospective Western series</title><title>Gastrointestinal endoscopy</title><addtitle>Gastrointest Endosc</addtitle><description>Background Although endoscopic submucosal dissection (ESD) is becoming accepted as an established treatment for superficial esophageal squamous cell neoplasia, the majority of data on this endoscopic modality has been provided by Japanese series. Objective To assess the efficacy and safety of ESD for esophageal squamous cell neoplasia in a consecutive series of patients treated in a Western setting. Design and Setting Single-center, prospective observational study. Patients and Intervention From January 2005 to July 2008, 20 patients with superficial esophageal squamous cell neoplasia were treated by ESD. Main Outcome Measurements Rates of en bloc resection, complete resection, and complications were evaluated as short-term outcomes. Overall survival, local or distant recurrence, and postoperative stricture rates were evaluated as long-term outcomes. Results ESD was performed in 20 patients (mean age 64 years, range 46-81 years; 16 men). The mean size of the lesion was 32 mm (range 15-60 mm); it was 30 mm or larger in 14 patients (70%). The mean time of ESD was 89 minutes (range 58-180 minutes). En bloc resection with resection-free margins was achieved in 18 patients (90%), whereas 2 patients presented with incomplete or indeterminate resection. Two cases (10%) of mediastinal emphysema without overt perforation and 1 case (5%) of post-ESD symptomatic stricture were reported. No local or distant post-ESD recurrence occurred in those with resection-free margins at a median follow-up of 18 months. Limitations Small number of patients and limited follow-up. Conclusion This Western series study confirms that ESD is a potentially curative treatment for superficial esophageal squamous cell neoplasia. Early and late complication rates were comparable to those of Japanese series. ESD should be probably considered as the treatment of choice in all large lesions amenable to endoscopic treatment.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Squamous Cell - mortality</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Disease-Free Survival</subject><subject>Esophageal Neoplasms - mortality</subject><subject>Esophageal Neoplasms - pathology</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Esophagoscopy</subject><subject>Esophagus</subject><subject>Esophagus - pathology</subject><subject>Esophagus - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastroenterology and Hepatology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Postoperative Complications - etiology</subject><subject>Prospective Studies</subject><subject>Tumors</subject><issn>0016-5107</issn><issn>1097-6779</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ksuO1DAQRS0EYpqGD2CDvEGsEvwIcRskJDQaHtJILACxtBy7MuMmsTOuZFB_AP-NQzcgsaA23pwqXx8XIY85qznj7fN9fRWgFozpmvOaCXaHbDjTqmqV0nfJhhWoesGZOiMPEPeMsZ2Q_D45E0y2suHNhvy4iD6hS1NwFJduXFxCO1AfEMHNIUUaIp3sHCDOSL-H-ZqCzcOBAqbp2l5BgfFmsWNakDoYBupsdiGm0b6kGXAZSluf00gtnXLCaZ16C_Qr4Aw5UoQcAB-Se70dEB6dzi358vbi8_n76vLjuw_nby4r10g1V1aqTknorepa4UXvtfNcagE9uNaLBrTSmnslVStV08t-xziDjnXA1-rkljw7zi1RbpYSwYwB19Q2QnmAUbJ4-VVbwo-kK6ExQ2-mHEabD4Yzs8o3e1Pkm1W-4dwU-aXnyWl6EQn-T8dv2wV4egIsOjv02UYX8C8nCqalKtyrIwfFxW2AbNCVD3DgQy7-jE_hvzFe_9PthhBDufAbHAD3acmxSDbcoDDMfFq3ZF0SpplQTbOTPwHNirm7</recordid><startdate>20100401</startdate><enddate>20100401</enddate><creator>Repici, Alessandro, MD</creator><creator>Hassan, Cesare, MD</creator><creator>Carlino, Alessandra, MD</creator><creator>Pagano, Nico, MD</creator><creator>Zullo, Angelo, MD</creator><creator>Rando, Giacomo, MD</creator><creator>Strangio, Giuseppe, MD</creator><creator>Romeo, Fabio, MD</creator><creator>Nicita, Rinaldo, MD</creator><creator>Rosati, Riccardo, MD</creator><creator>Malesci, Alberto, MD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100401</creationdate><title>Endoscopic submucosal dissection in patients with early esophageal squamous cell carcinoma: results from a prospective Western series</title><author>Repici, Alessandro, MD ; Hassan, Cesare, MD ; Carlino, Alessandra, MD ; Pagano, Nico, MD ; Zullo, Angelo, MD ; Rando, Giacomo, MD ; Strangio, Giuseppe, MD ; Romeo, Fabio, MD ; Nicita, Rinaldo, MD ; Rosati, Riccardo, MD ; Malesci, Alberto, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c437t-a37b73efa7b62d2fd9cd1392efec6d24e97991d7376374f3f8010eb0be11111b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Squamous Cell - mortality</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Disease-Free Survival</topic><topic>Esophageal Neoplasms - mortality</topic><topic>Esophageal Neoplasms - pathology</topic><topic>Esophageal Neoplasms - surgery</topic><topic>Esophagoscopy</topic><topic>Esophagus</topic><topic>Esophagus - pathology</topic><topic>Esophagus - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastroenterology and Hepatology</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Postoperative Complications - etiology</topic><topic>Prospective Studies</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Repici, Alessandro, MD</creatorcontrib><creatorcontrib>Hassan, Cesare, MD</creatorcontrib><creatorcontrib>Carlino, Alessandra, MD</creatorcontrib><creatorcontrib>Pagano, Nico, MD</creatorcontrib><creatorcontrib>Zullo, Angelo, MD</creatorcontrib><creatorcontrib>Rando, Giacomo, MD</creatorcontrib><creatorcontrib>Strangio, Giuseppe, MD</creatorcontrib><creatorcontrib>Romeo, Fabio, MD</creatorcontrib><creatorcontrib>Nicita, Rinaldo, MD</creatorcontrib><creatorcontrib>Rosati, Riccardo, MD</creatorcontrib><creatorcontrib>Malesci, Alberto, MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Gastrointestinal endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Repici, Alessandro, MD</au><au>Hassan, Cesare, MD</au><au>Carlino, Alessandra, MD</au><au>Pagano, Nico, MD</au><au>Zullo, Angelo, MD</au><au>Rando, Giacomo, MD</au><au>Strangio, Giuseppe, MD</au><au>Romeo, Fabio, MD</au><au>Nicita, Rinaldo, MD</au><au>Rosati, Riccardo, MD</au><au>Malesci, Alberto, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic submucosal dissection in patients with early esophageal squamous cell carcinoma: results from a prospective Western series</atitle><jtitle>Gastrointestinal endoscopy</jtitle><addtitle>Gastrointest Endosc</addtitle><date>2010-04-01</date><risdate>2010</risdate><volume>71</volume><issue>4</issue><spage>715</spage><epage>721</epage><pages>715-721</pages><issn>0016-5107</issn><eissn>1097-6779</eissn><coden>GAENBQ</coden><abstract>Background Although endoscopic submucosal dissection (ESD) is becoming accepted as an established treatment for superficial esophageal squamous cell neoplasia, the majority of data on this endoscopic modality has been provided by Japanese series. Objective To assess the efficacy and safety of ESD for esophageal squamous cell neoplasia in a consecutive series of patients treated in a Western setting. Design and Setting Single-center, prospective observational study. Patients and Intervention From January 2005 to July 2008, 20 patients with superficial esophageal squamous cell neoplasia were treated by ESD. Main Outcome Measurements Rates of en bloc resection, complete resection, and complications were evaluated as short-term outcomes. Overall survival, local or distant recurrence, and postoperative stricture rates were evaluated as long-term outcomes. Results ESD was performed in 20 patients (mean age 64 years, range 46-81 years; 16 men). The mean size of the lesion was 32 mm (range 15-60 mm); it was 30 mm or larger in 14 patients (70%). The mean time of ESD was 89 minutes (range 58-180 minutes). En bloc resection with resection-free margins was achieved in 18 patients (90%), whereas 2 patients presented with incomplete or indeterminate resection. Two cases (10%) of mediastinal emphysema without overt perforation and 1 case (5%) of post-ESD symptomatic stricture were reported. No local or distant post-ESD recurrence occurred in those with resection-free margins at a median follow-up of 18 months. Limitations Small number of patients and limited follow-up. Conclusion This Western series study confirms that ESD is a potentially curative treatment for superficial esophageal squamous cell neoplasia. Early and late complication rates were comparable to those of Japanese series. ESD should be probably considered as the treatment of choice in all large lesions amenable to endoscopic treatment.</abstract><cop>Maryland heights, MO</cop><pub>Mosby, Inc</pub><pmid>20363414</pmid><doi>10.1016/j.gie.2009.11.020</doi><tpages>7</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Animals Biological and medical sciences Carcinoma, Squamous Cell - mortality Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - surgery Disease-Free Survival Esophageal Neoplasms - mortality Esophageal Neoplasms - pathology Esophageal Neoplasms - surgery Esophagoscopy Esophagus Esophagus - pathology Esophagus - surgery Female Follow-Up Studies Gastroenterology and Hepatology Gastroenterology. Liver. Pancreas. Abdomen Humans Male Medical sciences Middle Aged Postoperative Complications - etiology Prospective Studies Tumors |
| title | Endoscopic submucosal dissection in patients with early esophageal squamous cell carcinoma: results from a prospective Western series |
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