ENDOSCOPIC SUBMUCOSAL DISSECTION IN A WESTERN NON-ACADEMIC CENTRE – INITIAL EXPERIENCE

Aims Endoscopic submucosal dissection (ESD) is a technique developed in East Asia that allows the resection of histologically advanced epithelial lesions. In the last years, in the Western World, experience in this procedure has been increasing, with several published studies showing good results. Our aim is to show the results of ESD carried out in a non-academic centre in a western country.

Methods Single-centre retrospective study of patients undergoing endoscopic submucosal dissection of stomach and rectum lesions. Between March 2019 and October 2021, 33 ESD were performed. We present data regarding the location, histology of the removed lesion, histological complete resection rate (R0) and rate of complications.

Results Of the 33 removed lesions, 23 were gastric lesions and 10 rectal lesions. 3 (13%) of the gastric lesions were early gastric cancer, while 4 (40%) of rectal lesions were early cancers. The complete histological resection rate (R0) was 87% in gastric lesions and 90% in rectal lesions. All lesions with adenocarcinoma histology were R0 resections. Regarding immediate or late complications, there were 4 complications (two bleedings, one perforation and one coagulation syndrome), all of them treated endoscopically or conservatively, without the need for surgical interventions or without mortality associated.

Conclusions Our results are in agreement with several recently published studies and show a great potential and promising future of ESD in the treatment of histologically advanced epithelial lesions of the stomach and rectum.

Publication History

Article published online:
14 April 2022