Endoscopic submucosal dissection (ESD) is an effective method of resecting larger superficial esophageal lesions en bloc; however, it is fraught with advanced training needs, longer procedure times, and a higher risk of complications compared to endoscopic mucosal resection (EMR). A novel articulating knife for ESD (ESD-AR) was approved in 2016, and this retrospective study was designed to evaluate the safety and efficacy of ESD-AR compared to widespread EMR, which is the resection of multiple pieces of tissue using an EMR device. <\/p>\n\n\n\n
A total of 115 patients (72 ESD-AR cases and 72 EMR cases) with comparable baseline characteristics except for anticoagulant use (higher in the ESD-AR group) were included in the study. En bloc, radical, and curative resections were noted in 83%, 42%, and 24%, respectively, of the ESD-AR group. Postresection diagnosis was changed in 55% and 39% of the cases after ESD-AR and EMR, respectively, with a greater portion of them being in the ESD-AR group (27.5% vs 12%; P<\/em>=.05). The ESD-AR group compared to the EMR group had a significant increase in the use of general anesthesia (24% vs 5%; P<\/em><.01), and the ESD-AR procedures took twice as long to perform (79.1 mins vs 37.2 mins; P<\/em><.01). While no perforations were noted in either group, there were 2 adverse events reported in the ESD-AR group (one transient ischemic attack from holding anticoagulation and one periprocedural post-ESD ulcer bleed).<\/p>\n","protected":false},"excerpt":{"rendered":" Endoscopic submucosal dissection (ESD) is an effective method of resecting larger superficial esophageal lesions en bloc; however, it is fraught with advanced training needs, longer procedure times, and a higher risk of complications compared to endoscopic mucosal resection (EMR). A novel articulating knife for ESD (ESD-AR) was approved in 2016, and this retrospective study was … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1791],"tags":[268,267],"class_list":["post-8166","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-esophagus","tag-emr","tag-esd"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/8166","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=8166"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=8166"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=8166"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}