22 August 2024 : Database Analysis
A Retrospective Study of 290 Patients with Resectable Benign and Malignant Gastric Neoplasms to Compare Postoperative Outcomes of Endoscopic Resection with and without the Internal Traction Method Using a Spring-and-Loop with Clip (S-O Clip)
Yoichi Nakatsu1ABCDEF, Makoto Furihata1ABCDEF*, Anna Fujiyama1F, Arisa Yuzawa1F, Mako Ushio1F, Shintaro Yano1B, Hiroki Okawa1B, Kumiko Noda1B, Shinjiro Nishi1B, Shingo Ogiwara1D, Tsuneo Kitamura1D, Naoto Sakamoto12ACDE, Taro Osada1ABCDEDOI: 10.12659/MSM.945341
Med Sci Monit 2024; 30:e945341
Table 5 Clinical outcomes of ESD with or without the S-O clip after PSM.
| S-O group (n=93) | Control group (n=93) | P value | |
|---|---|---|---|
| Procedure time (min) | 42.4±24.4 | 65.5±42.8 | <0.001* |
| Dissection speed (mm/min) | 14.5±9.5 | 25.1±18.9 | <0.001* |
| En block resection (%) | 97.9 (n=91) | 97.9 (n=91) | 1.000 |
| Complete resection (%) | 96.8 (n=90) | 89.3 (n=83) | 0.044* |
| Post-ESD bleeding (%) | 2.2 (n=2) | 7.5 (n=7) | 0.087 |
| Gastric perforation (%) | 0.0 (n=0) | 1.1 (n=1) | 0.316 |
| Maximal serum CRP level (mg/dl) | 2.11±2.4 | 1.59±2.0 | 0.086 |
| Decreased hemoglobin level (g/dl) | −0.52±0.9 | −0.49±0.7 | 0.930 |
| Length of hospital stay (days) | 8.61±1.8 | 8.60±2.2 | 0.905 |
| Requirement of M-scope (%) | 7.5 (n=7) | 17.2 (n=16) | 0.045* |
| Requirement of snare (%) | 2.2 (n=2) | 11.8 (n=11) | 0.009* |
| Data are shown a mean±standard deviation. ESD – endoscopic submucosal dissection; PSM – propensity score matching; CRP – C-reactive protein; M-scope – multi-bending scope. * values | |||






