A Single-Center Early Experience of Endoscopic Submucosal Dissection for Gastric Lesions in Thailand

Endoscopic submucosal dissection (ESD) was also considered a “high risk” at the starting point with skillful endoscopic techniques and terrible complications. Still, it remains challenging yet has become widespread among institutes in many parts of the world. This study is aimed at further investiga...

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Main Author: Prasit Mahawongkajit
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2020/6873071
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author Prasit Mahawongkajit
author_facet Prasit Mahawongkajit
author_sort Prasit Mahawongkajit
collection DOAJ
description Endoscopic submucosal dissection (ESD) was also considered a “high risk” at the starting point with skillful endoscopic techniques and terrible complications. Still, it remains challenging yet has become widespread among institutes in many parts of the world. This study is aimed at further investigating the feasibility, efficacy, and safety of ESD of gastric lesions and at evaluating clinical outcomes in early experience. The patient characteristics, postoperative outcomes, and results of histopathological examinations were reviewed retrospectively between January 2017 and May 2019. Thirteen patients’ gastric ESD were included with all of en bloc resections without recurrence. The long duration was related to the large lesion, the upper part of the stomach, and previous treatment. In this study, the ESD procedure of the stomach is a feasible and safe minimally invasive treatment option with organ preservation. It requires training and experience with a learning approach where skill may be improved to prevent unwanted complications.
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spelling doaj-art-0956a4f5e1d04e85bab31c722d6c67e62025-02-03T05:49:30ZengWileyGastroenterology Research and Practice1687-61211687-630X2020-01-01202010.1155/2020/68730716873071A Single-Center Early Experience of Endoscopic Submucosal Dissection for Gastric Lesions in ThailandPrasit Mahawongkajit0Department of Surgery, Faculty of Medicine, Thammasat University, Pathum Thani, ThailandEndoscopic submucosal dissection (ESD) was also considered a “high risk” at the starting point with skillful endoscopic techniques and terrible complications. Still, it remains challenging yet has become widespread among institutes in many parts of the world. This study is aimed at further investigating the feasibility, efficacy, and safety of ESD of gastric lesions and at evaluating clinical outcomes in early experience. The patient characteristics, postoperative outcomes, and results of histopathological examinations were reviewed retrospectively between January 2017 and May 2019. Thirteen patients’ gastric ESD were included with all of en bloc resections without recurrence. The long duration was related to the large lesion, the upper part of the stomach, and previous treatment. In this study, the ESD procedure of the stomach is a feasible and safe minimally invasive treatment option with organ preservation. It requires training and experience with a learning approach where skill may be improved to prevent unwanted complications.http://dx.doi.org/10.1155/2020/6873071
spellingShingle Prasit Mahawongkajit
A Single-Center Early Experience of Endoscopic Submucosal Dissection for Gastric Lesions in Thailand
Gastroenterology Research and Practice
title A Single-Center Early Experience of Endoscopic Submucosal Dissection for Gastric Lesions in Thailand
title_full A Single-Center Early Experience of Endoscopic Submucosal Dissection for Gastric Lesions in Thailand
title_fullStr A Single-Center Early Experience of Endoscopic Submucosal Dissection for Gastric Lesions in Thailand
title_full_unstemmed A Single-Center Early Experience of Endoscopic Submucosal Dissection for Gastric Lesions in Thailand
title_short A Single-Center Early Experience of Endoscopic Submucosal Dissection for Gastric Lesions in Thailand
title_sort single center early experience of endoscopic submucosal dissection for gastric lesions in thailand
url http://dx.doi.org/10.1155/2020/6873071
work_keys_str_mv AT prasitmahawongkajit asinglecenterearlyexperienceofendoscopicsubmucosaldissectionforgastriclesionsinthailand
AT prasitmahawongkajit singlecenterearlyexperienceofendoscopicsubmucosaldissectionforgastriclesionsinthailand