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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 252 - 257 (6page)
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초록· 키워드
오류제보하기
Background/Aims: Evidence that general anesthesia (GA) reduces the operative time of esophageal endoscopic submucosal dissection(ESD) is currently insuffcient. This study aims to evaluate the effcacy and safety of esophageal ESD under GA. Methods: A total of 227 lesions from 198 consecutive patients with superficial esophageal neoplasms treated by ESD at 3 Japaneseinstitutions between April 2011 and September 2017 were included in this retrospective study. For ESD, GA and deep sedation (DS)were used in 102 (51.5%, GA group) and 96 patients (48.5%, DS group), respectively. Results: There were no statistically significant differences in age, sex, or comorbidities between the groups. In the GA group, the tumorsize was larger (21 [3–77] mm vs. 14 [3–63] mm, p<0.001), luminal circumference was larger (≥2/3; 13.9% vs. 5.4%, p=0.042), proceduretime was shorter (28 [5–202] min vs. 40 [8–249] min, p<0.001), and submucosal dissection speed was faster (25.2 [7.8–157.2] mm2 /minvs. 16.2 [2.4–41.3] mm2 /min, p<0.001). The rates of intraoperative perforation and aspiration pneumonia were lower in the GA group,but the difference did not achieve statistical significance (p=0.242 and p=0.242). Conclusions: GA shortens the procedure time of esophageal ESD.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Oyama T / 2005 / Endoscopic submucosal dissection of early esophageal cancer / Clin Gastroenterol Hepatol 3(7 Suppl 1):S67~S70
Fujishiro M / 2006 / Endoscopic submucosal dissection of esophageal squamous cell neoplasms / Clin Gastroenterol Hepatol 4:688~694
Guo HM / 2014 / Endoscopic submucosal dissection vs endoscopic mucosal resection for superficial esophageal cancer / World J Gastroenterol 20:5540~5547
Ishihara R / 2008 / Comparison of EMR and endoscopic submucosal dissection for en bloc resection of early esophageal cancers in Japan / Gastrointest Endosc 68:1066~1072
Takahashi H / 2010 / Endoscopic submucosal dissection is superior to conventional endoscopic resection as a curative treatment for early squamous cell carcinoma of the esophagus (with video) / Gastrointest Endosc 72:255~264
Fujishiro M / 2006 / Endoscopic submucosal dissection of esophageal squamous cell neoplasms / Clin Gastroenterol Hepatol 4:688~694
Guo HM / 2014 / Endoscopic submucosal dissection vs endoscopic mucosal resection for superficial esophageal cancer / World J Gastroenterol 20:5540~5547
Ishihara R / 2008 / Comparison of EMR and endoscopic submucosal dissection for en bloc resection of early esophageal cancers in Japan / Gastrointest Endosc 68:1066~1072
Takahashi H / 2010 / Endoscopic submucosal dissection is superior to conventional endoscopic resection as a curative treatment for early squamous cell carcinoma of the esophagus (with video) / Gastrointest Endosc 72:255~264
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