Sa1509 A Prospective Questionnaire Study of Quality of Life After Colorectal Endoscopic Submucosal Dissection Compared With Laparoscopy-Assisted Colectomy for Early Stage Colorectal Cancer

2013 ◽  
Vol 77 (5) ◽  
pp. AB231-AB232
Author(s):  
Shin Haruyama ◽  
Fumihiko Nakamura ◽  
Masayoshi Yamada ◽  
Eriko so ◽  
Taku Sakamoto ◽  
...  
2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Liang Liu ◽  
Xingjie Shen ◽  
Jingyu Zhu

Purpose. Studies reporting the treatment of early colorectal cancer (ECC) by endoscopic submucosal dissection (ESD) in elderly patients are lacking in China. The aim was to evaluate the efficacy, safety and overall quality of life of elderly patients with ECC who undergoing ESD. Methods. Three hundred and seventy-nine patients with 401 colorectal lesions entered into our study from March 2013 to March 2016 (Patients with an age 70 years old or older were divided into the elderly group and those who were less than 70-year-old entered the non-elderly group). Results. No significant differences were found in sex ratio, body mass index, location, endoscopic classification, pathological pattern, lesion size, mean procedure time, hospitalization days, complete excision, and en bloc resection rate between the two groups (P>0.05). No significant differences were observed between the groups in terms of complications during and after ESD procedure (P>0.05). There were no statistical differences between two groups in Quality of life index (QL-Index) and European Organization for Research and Treatment quality of life version 3.0 questionnaire (EORTC QLQ-C30) scores (P>0.05). Conclusion. ESD was relatively safe and effective for elderly patients with ECC, and it may be an recommended first-line treatment.


2019 ◽  
Vol 178 (2) ◽  
pp. 59-61
Author(s):  
A. A. Avanesyan ◽  
A. E. Akkalaeva ◽  
B. I. Miroshnikov ◽  
V. M. Moiseenko

Taking into consideration the results of our clinical observation, we can argue that the technique of endoscopic submucosal dissection of large leiomyoma of the esophagus with subsequent closure of the defect with a mucosal flap is applicable in clinical practice. This method is relatively safe, allows to achieve complete, quality results of morphological study, helps to reduce the number of postoperative complications, compared to more invasive surgical interventions. Also it reduces the time of social recovery and contributes to preserving the quality of life after the treatment.


2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Jonah Cohen

Colorectal cancer is the third most common cancer among both men and women in the United States and the second leading cause of cancer death. Endoscopic submucosal dissection (ESD) is an innovative advanced endoscopic therapy for superficial gastrointestinal neoplasms which is rapidly becoming standard of care particularly in Asia. ESD was first developed for the resection of early gastric cancers; yet ESD for colon tumors has gained increasing attention in recent years. The advantage of ESD over conventional endoscopic resection lies in its potential to achieve en bloc resection regardless of tumor size, leading to more precise histological evaluation and greater potential for cure. Selecting appropriate patients for this procedure involves identifying colorectal cancers with nul risk of lymph node spread. For colorectal ESD to engraft in the United States, the prevalence of such early stage lesions must be defined so that centers of excellence can be developed for high volume clinical practice to offer patients the safest and most efficacious outcomes. This review discusses the endoscopic staging of colorectal neoplasms, indications for colorectal ESD, and the epidemiology of early stage ESD-amenable colorectal cancer in America to better define an opportunity for this important minimally invasive therapy.


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