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Efficacy of endoscopic submucosal dissection for gastrointestinal subepithelial tumors within the submucosa: multicenter study

Phase 1
Conditions
gastrointestinal subepithelial tumors within submucosa
Registration Number
JPRN-UMIN000011690
Lead Sponsor
Kagawa University Hospital
Brief Summary

The rates of en bloc resection, curative resection, complications were 98.2%, 66.7%, 7.7% for overall (n=57), 100%, 61.9%, 2.4% for NET (n=42), and 93.3%, 80%, 20% for indeterminate SELs (n=15), respectively. The rates of curative resection were poor with 20% in stomach (n=5), 33% in duodenum (n=3), compared with 71% in rectum (n=24). Including conservative approach for 11 of 16 NETs who resulted in non-curative resection, no tumor recurrences occurred in all cases during follow-up period.

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete: follow-up complete
Sex
All
Target Recruitment
57
Inclusion Criteria

Not provided

Exclusion Criteria

1.We exclude cysts, lipoma and vascular lesions with typical features in the image and asymptomatic symptoms 2.Lesions postoperative stenosis is expected, beyond the half cercumferential lumen 3.Lesions that can not check the remaining submucosa of the third layer by EUS 4.patients who do not meeting the following conditions: physical status I to II and normal complete blood cell counts and prothrombin times are excluded

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
en bloc rection rate
Secondary Outcome Measures
NameTimeMethod
complications, procedure time, emergency,emergency surgery migration rate, additional surgery rate, recurrence rate, survival observation period
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