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Experience with a new device for pathological assessment of colonic endoscopic submucosal dissection
- Source :
- Techniques in Coloproctology. 18:1117-1123
- Publication Year :
- 2014
- Publisher :
- Springer Science and Business Media LLC, 2014.
-
Abstract
- Endoscopic submucosal dissection (ESD) is gaining popularity worldwide in the treatment of neoplastic lesions of the gastrointestinal tract. However, the experience in Western countries is quite limited and restricted to large or academic centers. Besides, this approach requires an optimal pathological assessment. The aim of this study was to report our experience with colonic ESD using a new device that allows complete handling of the resected specimens and especially of lateral margins, for pathological analysis. In a 1-year period, 14 patients (6 men, 8 women, age range 50-82 years) underwent colonic ESD in a non-academic hospital. The endoscopic procedure was carried out successfully en bloc in more than 90 % of cases. Perforation requiring surgery occurred in one patient (7 %). Pathological assessment with the new device allowed entire and complete examination of both the deep and lateral margins of the excised specimens. Colonic ESD is a viable option for non-surgical treatment of large bowel lesions even in relatively small centers and in non-academic settings. The new device allows good handling of the specimens, and it seems to be useful for the entire examination of the resection margins.
- Subjects :
- Male
medicine.medical_specialty
Colon
Biopsy
Perforation (oil well)
Colon surgery
medicine
Humans
Intestinal Mucosa
Pathological
Aged
Retrospective Studies
Aged, 80 and over
Colonoscopes
medicine.diagnostic_test
business.industry
Dissection
Gastroenterology
Retrospective cohort study
Colonoscopy
Equipment Design
Middle Aged
Endoscopic Procedure
Colorectal surgery
Surgery
Female
Colorectal Neoplasms
business
Abdominal surgery
Subjects
Details
- ISSN :
- 1128045X and 11236337
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- Techniques in Coloproctology
- Accession number :
- edsair.doi.dedup.....667333becd114bac527fe4720b42e161