Perioperative complications of endoscopic submucosal dissection for early gastric cancer in elderly Japanese patients 75 years of age or older

Internal Medicine
Daisuke ChindaShinsaku Fukuda

Abstract

The number of endoscopic submucosal dissection (ESD) procedures for early gastric cancers among patients 75 years of age or older has been increasing. We herein examined both the outcomes and complications of ESD in elderly patients. We investigated the effects of underlying diseases, lesion characteristics, treatment outcomes and complications during and in the postoperative periods of ESD among elderly patients 75 years of age or older versus non-elderly patients less than 75 years of age. Patients A total of 318 early gastric cancers in consecutive 307 patients, all of whom underwent ESD for gastric cancer, were included in this study. The number of patients with hypertension and ischemic heart disease was significantly higher in the elderly group than in the non-elderly group. The proportion of lesions with an absolute indication, extended indication or no indication was not significantly different between the groups. During the ESD procedure, the use of atropine sulfate for bradycardia was significantly more frequent in the elderly group. No significant differences were observed between the groups in terms of the treatment for hypertension, oxygen administration or incidence of perforation. In addition, there were no signi...Continue Reading

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Citations

Jun 28, 2016·Gastrointestinal Endoscopy·Diogo LibânioMário Dinis-Ribeiro
Apr 18, 2019·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Yorimasa YamamotoNoriya Uedo
Oct 18, 2016·Current Opinion in Gastroenterology·Samuel HanWahid Y Wassef
Sep 29, 2017·Journal of Clinical Biochemistry and Nutrition·Daisuke ChindaShinsaku Fukuda
Apr 3, 2019·Journal of Clinical Biochemistry and Nutrition·Tetsu AraiShinsaku Fukuda
Nov 1, 2017·World Journal of Gastrointestinal Oncology·Yoshihiro OtsukaKazuhiko Nakamura
Oct 14, 2021·Clinical and Translational Gastroenterology·Mitsushige SugimotoTakashi Kawai

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