PRELIMINARY RESULTS OF TREATMENT DYSPLASIA LESION AND EARLY GASTRIC CANCER BY ENDOSCOPIC SUBMUCOSAL DISECSSION

Thái Văn Dũng1,, Nguyễn Cảnh Bình2, Thái Doãn Kỳ2, Phạm Minh Ngọc Quang2, Đinh Thị Ngà2
1 Vietnam Military Medical University
2 108 Military Central Hospital

Main Article Content

Abstract

Objective: To assess the preliminary outcome and satefy of treatment dysplasia lesion and early gastric cancer (EGC) by endoscopic submucosal dissecsion (ESD). Subject and method: A retrospective and prospective study carried out on 35 patients with dysplasia lesion and  EGC treated by ESD in 108 military central hospital between September 2018 and August 2022. Results: Rate of man and woment were 2.5:1, average age was 59,94 ± 11,78 years old. Most lesions were in antrum (80%), mainly type 0-IIac (51.4%), average size was 19.6 ± 7.5mm. The rate of en bloc resection and curative resection were 94,3% and 91,4%, respectively. The median procedure time was 65.96 min. Complications of bleeding, perforation, and surgery were 2.9%, 0%, 0%, respectively. All ulcerative lesions after ESD healed up to scarring stages within 1,5 months. After 6 months of treatment: 1 case of local recurrence was removed by ESD. Conclusion: ESD is an effective and relatively safe technique in the treatment of dysplasia lesion and early gastric cancer.

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References

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