Clinical outcomes of endoscopic submucosal dissection for esophageal squamous cell carcinoma with esophageal varices: Multicenter retrospective study.

endoscopic submucosal dissection esophageal squamous cell carcinoma esophageal varices liver cirrhosis

Journal

Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society
ISSN: 1443-1661
Titre abrégé: Dig Endosc
Pays: Australia
ID NLM: 9101419

Informations de publication

Date de publication:
21 Jun 2023
Historique:
received: 25 04 2023
accepted: 20 06 2023
pubmed: 21 6 2023
medline: 21 6 2023
entrez: 21 6 2023
Statut: aheadofprint

Résumé

Clinical outcomes of endoscopic submucosal dissection (ESD) for esophageal squamous cell carcinoma (ESCC) with esophageal varices (EVs) are obscure. We aimed to elucidate the clinical outcomes of ESD for ESCC with EVs in a multicenter, retrospective study. We established a retrospective cohort of 30 patients with ESCC complicating EVs, who underwent ESD at 11 Japanese institutions. Rates of en bloc resection and R0 resection, procedure time, and adverse events were evaluated as indicators of the feasibility and safety of ESD. Additional treatment, recurrence, and metastasis of the lesions were evaluated as indicators of the long-term efficacy of ESD. Portal hypertension was caused by cirrhosis, of which alcohol was the most common cause. En bloc resection was achieved in 93.3% and R0 resection in 80.0% of the patients. The median procedure time was 92 min. Adverse events included a case of uncontrolled intraoperative bleeding leading to discontinuation of ESD and a case of esophageal stricture due to extensive resection. During the follow-up period of a median for 42 months, a patient with local recurrence and another patient with liver metastasis were observed. One patient died of liver failure after receiving chemoradiotherapy as an additional treatment after ESD. No patient died of ESCC. This multicenter, retrospective cohort study demonstrated the safety and efficacy of ESD for ESCC with EVs. Further studies are needed to establish appropriate treatment methods for EVs before ESD and additional treatments for patients with insufficient ESD.

Identifiants

pubmed: 37343173
doi: 10.1111/den.14619
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Investigateurs

Risaburo Akasaka (R)
Hiroko Abe (H)
Tatsuya Mikami (T)
Daisuke Chinda (D)
Hidezumi Kikuchi (H)
Tsunetaka Kato (T)
Minami Hashimoto (M)
Takumi Yanagita (T)
Shoichiro Fujishima (S)

Informations de copyright

© 2023 Japan Gastroenterological Endoscopy Society.

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Auteurs

Yosuke Toya (Y)

Division of Gastroenterology and Hepatology, Department of Internal Medicine, School of Medicine, Iwate Medical University, Iwate, Japan.

Waku Hatta (W)

Division of Gastroenterology, Tohoku University Graduate School of Medicine, Miyagi, Japan.

Tomohiro Shimada (T)

Department of Gastroenterology, Sendai City Medical Center, Miyagi, Japan.

Tamotsu Matsuhashi (T)

Department of Gastroenterology and Neurology, Akita University Graduate School of Medicine, Akita, Japan.

Takeharu Shiroki (T)

Department of Gastroenterology, Iwate Prefectural Central Hospital, Iwate, Japan.

Yu Sasaki (Y)

Department of Gastroenterology, Faculty of Medicine, Yamagata University, Yamagata, Japan.

Tetsuya Tatsuta (T)

Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, Aomori, Japan.

Jun Nakamura (J)

Department of Endoscopy, Fukushima Medical University Hospital, Fukushima, Japan.

Norihiro Hanabata (N)

Department of Gastroenterology, Aomori Prefectural Central Hospital, Aomori, Japan.

Yohei Horikawa (Y)

Department of Gastroenterology, Hiraka General Hospital, Akita, Japan.

Ko Nagino (K)

Department of Gastroenterology, Yamagata Prefectural Central Hospital, Yamagata, Japan.

Tomoyuki Koike (T)

Division of Gastroenterology, Tohoku University Graduate School of Medicine, Miyagi, Japan.

Atsushi Masamune (A)

Division of Gastroenterology, Tohoku University Graduate School of Medicine, Miyagi, Japan.

Yoshihiro Harada (Y)

Department of Gastroenterology, Sendai City Medical Center, Miyagi, Japan.

Tetsuya Ohira (T)

Department of Gastroenterology, Sendai City Medical Center, Miyagi, Japan.

Katsunori Iijima (K)

Department of Gastroenterology and Neurology, Akita University Graduate School of Medicine, Akita, Japan.

Yasuhiko Abe (Y)

Department of Gastroenterology, Faculty of Medicine, Yamagata University, Yamagata, Japan.

Takuto Hikichi (T)

Department of Endoscopy, Fukushima Medical University Hospital, Fukushima, Japan.

Shohei Igarashi (S)

Department of Gastroenterology, Aomori Prefectural Central Hospital, Aomori, Japan.

Saki Fushimi (S)

Department of Gastroenterology, Hiraka General Hospital, Akita, Japan.

Hiroaki Takeda (H)

Department of Gastroenterology, Yamagata Prefectural Central Hospital, Yamagata, Japan.

Shinsaku Fukuda (S)

Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, Aomori, Japan.

Takayuki Matsumoto (T)

Division of Gastroenterology and Hepatology, Department of Internal Medicine, School of Medicine, Iwate Medical University, Iwate, Japan.

Classifications MeSH