Efficacy, safety and complications of ESD for colonic lesions in the super-elderly patients above eighty-five years of age

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  • Matsuoka Junko
    Department of Gastroenterology, Tokyo Metropolitan Geriatric Hospital
  • Nishimura Makoto
    Department of Gastrointestinal Endoscopy, Tokyo Metropolitan Geriatric Hospital
  • Fujii Yuko
    Department of Gastroenterology, Tokyo Metropolitan Geriatric Hospital
  • Kowazaki Yuka
    Department of Gastroenterology, Tokyo Metropolitan Geriatric Hospital
  • Matsukawa Miho
    Department of Gastrointestinal Endoscopy, Tokyo Metropolitan Geriatric Hospital
  • Ushio Yasuko
    Department of Gastroenterology, Tokyo Metropolitan Geriatric Hospital
  • Sasaki Mina
    Department of Gastroenterology, Tokyo Metropolitan Geriatric Hospital
  • Uegaki Satoko
    Department of Gastroenterology, Tokyo Metropolitan Geriatric Hospital

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Other Title
  • 当院における大腸ESDの年齢階級別治療成績の検討

Abstract

<p>This study aims to provide further comparative data on the safety and feasibility of ESD provision in super-elderly patients above 85 years of age. Patients had ESD performed for colonic lesions from June 2013 till September 2015 were included and divided into 3 groups - ＜64 years old (group A) , 65〜84 years old (group B) , or ＞85 years old (group C) . Data on baseline characteristics, ESD procedure date, complications and specimen histology were analysed and compared. A total of 106 patients were included in this study of which 10 were group A, 76 were group B and 20 were group C. There was no significant difference among 3 groups in procedure time, en bloc resection rate and curative resection rate. Overall, no major adverse events were reported. ESD is a safe procedure for resection of colonic lesions even in super-elderly patients.</p>

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