Outcomes of endoscopic submucosal dissection for superficial esophageal neoplasms in patients with liver cirrhosis
| Title: | Outcomes of endoscopic submucosal dissection for superficial esophageal neoplasms in patients with liver cirrhosis |
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| Authors: | Young Kwon Choi, Jin Hee Noh, Do Hoon Kim, Hee Kyong Na, Ji Yong Ahn, Jeong Hoon Lee, Kee Wook Jung, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung |
| Source: | Clinical Endoscopy, Vol 55, Iss 3, Pp 381-389 (2022) |
| Publisher Information: | Korean Society of Gastrointestinal Endoscopy, 2022. |
| Publication Year: | 2022 |
| Collection: | LCC:Internal medicine LCC:Diseases of the digestive system. Gastroenterology |
| Subject Terms: | endoscopic mucosal resection, esophageal neoplasms, liver cirrhosis, squamous cell carcinoma, Internal medicine, RC31-1245, Diseases of the digestive system. Gastroenterology, RC799-869 |
| More Details: | Background/Aims The treatment of superficial esophageal neoplasms (SENs) in cirrhotic patients is challenging and rarely investigated. We evaluated the outcomes of endoscopic submucosal dissection (ESD) to determine the efficacy and safety of treating SENs in patients with liver cirrhosis. Methods The baseline characteristics and treatment outcomes of patients who underwent ESD for SENs between November 2005 and December 2017 were retrospectively reviewed. Results ESD was performed in 437 patients with 481 SENs, including 15 cirrhotic patients with 17 SENs. En bloc resection (88.2% vs. 97.0%) and curative resection (64.7% vs. 78.9%) rates were not different between the cirrhosis and non-cirrhosis groups (p=0.105 and p=0.224, respectively). Bleeding was more common in cirrhotic patients (p=0.054), and all cases were successfully controlled endoscopically. The median procedure and hospitalization duration did not differ between the groups. Overall survival was lower in cirrhotic patients (p=0.003), while disease-specific survival did not differ between the groups (p=0.85). Conclusions ESD could be a safe and effective treatment option for SENs in patients with cirrhosis. Detailed preprocedural assessments are needed, including determination of liver function, esophageal varix status, and remaining life expectancy, to identify patients who will obtain the greatest benefit. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2234-2400 2234-2443 |
| Relation: | http://www.e-ce.org/upload/pdf/ce-2021-242.pdf; https://doaj.org/toc/2234-2400; https://doaj.org/toc/2234-2443 |
| DOI: | 10.5946/ce.2021.242 |
| Access URL: | https://doaj.org/article/ddd0b4ab5c3c434c8312049ebe8f1761 |
| Accession Number: | edsdoj.0b4ab5c3c434c8312049ebe8f1761 |
| Database: | Directory of Open Access Journals |
| ISSN: | 22342400 22342443 |
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| DOI: | 10.5946/ce.2021.242 |
| Published in: | Clinical Endoscopy |
| Language: | English |