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http://hdl.handle.net/2445/119054
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DC Field | Value | Language |
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dc.contributor.author | Peña, Joaquín de la | - |
dc.contributor.author | Calderón, Ángel | - |
dc.contributor.author | Esteban, José M. | - |
dc.contributor.author | López Rosés, Leopoldo | - |
dc.contributor.author | Martínez Ares, David | - |
dc.contributor.author | Nogales, Óscar | - |
dc.contributor.author | Orive Calzada, Aitor | - |
dc.contributor.author | Rodríguez Muñoz, Sarbelio | - |
dc.contributor.author | Sánchez Hernández, Eloy | - |
dc.contributor.author | Vila, Juan | - |
dc.contributor.author | Fernández Esparrach, Glòria | - |
dc.date.accessioned | 2018-01-16T16:19:08Z | - |
dc.date.available | 2018-01-16T16:19:08Z | - |
dc.date.issued | 2014-02 | - |
dc.identifier.issn | 1130-0108 | - |
dc.identifier.uri | http://hdl.handle.net/2445/119054 | - |
dc.description.abstract | BACKGROUND: Endoscopic submucosal dissection (ESD) is an effective but time-consuming treatment for early neoplasia that requires a high level of expertise. OBJECTIVE: The objective of this study was to assess the efficacy and learning curve of gastric ESD with a hybrid knife with high pressure water jet and to compare with standard ESD. MATERIAL AND METHODS: We performed a prospective non survival animal study comparing hybrid-knife and standard gastric ESD. Variables recorded were: Number of en-bloc ESD, number of ESD with all marks included (R0), size of specimens, time and speed of dissection and adverse events. Ten endoscopists performed a total of 50 gastric ESD (30 hybrid-knife and 20 standard). RESULTS: Forty-six (92 %) ESD were en-bloc and 25 (50 %) R0 (hybrid-knife: n = 13, 44 %; standard: n = 16, 80 %; p = 0.04). Hybrid-knife ESD was faster than standard (time: 44.6 +/- 21.4 minutes vs. 68.7 +/- 33.5 minutes; p = 0.009 and velocity: 20.8 +/- 9.2 mm(2)/min vs. 14.3 +/- 9.3 mm(2)/min (p = 0.079). Adverse events were not different. There was no change in speed with any of two techniques (hybrid-knife: From 20.33 +/- 15.68 to 28.18 +/- 20.07 mm(2)/min; p = 0.615 and standard: From 6.4 +/- 0.3 to 19.48 +/- 19.21 mm(2)/min; p = 0.607). The learning curve showed a significant improvement in R0 rate in the hybrid-knife group (from 30 % to 100 %). CONCLUSION: despite the initial performance of hybrid-knife ESD is worse than standard ESD, the learning curve with hybrid knife ESD is short and is associated with a rapid improvement. The introduction of new tools to facilitate ESD should be implemented with caution in order to avoid a negative impact on the results. | - |
dc.format.extent | 5 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Aran Ediciones | - |
dc.relation.isformatof | Reproducció del document publicat a: | - |
dc.relation.ispartof | Revista Española de Enfermedades Digestivas, 2014, vol. 106, num. 2, p. 98-102 | - |
dc.rights | (c) Aran Ediciones, 2014 | - |
dc.source | Articles publicats en revistes (Medicina) | - |
dc.subject.classification | Endoscòpia | - |
dc.subject.classification | Mucosa gastrointestinal | - |
dc.subject.classification | Cirurgia digestiva | - |
dc.subject.other | Endoscopy | - |
dc.subject.other | Gastrointestinal mucosa | - |
dc.subject.other | Gastrointestinal surgery | - |
dc.title | Experimental study of hybrid-knife endoscopic submucosal dissection (ESD) versus standard ESD in a Western country | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 658747 | - |
dc.date.updated | 2018-01-16T16:19:08Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 24852735 | - |
Appears in Collections: | Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) Articles publicats en revistes (Medicina) |
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File | Description | Size | Format | |
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658747.pdf | 647.64 kB | Adobe PDF | View/Open |
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