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Table 2 Results and clinical course of gastric ESD

From: Feasibility of a modified search, coagulation, and clipping method with and without the use of polyglycolic acid sheets and fibrin glue for preventing delayed bleeding after gastric endoscopic submucosal dissection

Characteristic

Total (n = 123)

MSCC (n = 114)

PMSCC (n = 9)

P value

En bloc R0 resection, n (%)

121/123 (98.4)

112/114 (98.2)

9/9 (100.0)

1.0000

VM1, n (%)

2 (1.6)

2 (1.8)

0 (0)

1.0000

HM1, n (%)

0 (0)

0 (0)

0 (0)

 

Curative resection, n (%)

107/123 (87.0)

86/100 (86.0)

7/9 (77.7)

0.3312

Resection time (min), median (IQR)

91 (55–137)

88 (54–133)

100 (74–186)

0.3486

Resection speed (cm2/h), median (IQR)

4.5 (2.6–6.2)

4.5 (2.6–6.2)

4.0 (2.2–5.2)

0.7819

Surgeon, S.A. alone/others

84/39

77/37

7/2

0.7177

Time of PEC method (min), median (IQR)

7 (5–11)

7 (4–11)

11 (5–16)

0.1060

Speed of PEC method (cm2/10 min), median (IQR)

7.5 (4.9–12.7)

7.5 (4.9–12.8)

6.9 (4.5–11.4)

0.7449

Time of MSCC method (min), median (IQR)

16 (8–23)

16 (8–22)

26 (8–30)

0.2574

Speed of MSCC method (cm2/10 min), median (IQR)

4.0 (2.7–7.1)

4.0 (2.7–6.9)

4.3 (2.8–7.7)

0.6656

Number of clips used for MSCC method, n, median (IQR)

4 (1–7)

4 (1–7)

4 (4–8)

0.3884

Time of PMSCC methoda (min), median (IQR)

  

59 (44–63)

 

Speed of PMSCC methoda (cm2/10 min), median (IQR)

  

1.3 (1.2–2.4)

 

Second-look endoscopy, n (%)

15 (12.9)

13 (12.9)

2 (22.2)

0.3015

Vonoprazan, n (%)

99 (80.5)

90 (78.9)

9 (100.0)

0.2032

Perforation during ESD, n (%)

0 (0)

0 (0)

0 (0)

 

Delayed perforation, n (%)

0 (0)

0 (0)

0 (0)

 

Delayed bleeding, n (%)

1 (0.8)

1 (0.9)

0 (0)

1.0000

Post-ESD stenosis, n (%)

0 (0)

0 (0)

0 (0)

 
  1. ESD endoscopic submucosal dissection, HM1 horizontal margin positive, IQR interquartile range, MSCC modified search, coagulation, and clipping method, PEC post-ESD coagulation, PMSCC polyglycolic acid sheets and fibrin glue combined with the modified search, coagulation, and clipping method, VM1 vertical margin positive
  2. aOnly the nine patients in whom PMSCC was performed are included