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Cirrhotic patients may be at high risk for esophageal cancer. Endoscopic resection is the standard treatment for superficial tumors. However, cirrhosis might be associated with upper gastrointestinal bleeding, particularly in case of portal hypertension or coagulopathy. This study aims to assess safety, efficacy and methods to prevent potential complications in cirrhosis or portal hypertension context for esophageal endoscopic resection.
This retrospective multicentric French-Belgian study includes all consecutive patients with cirrhosis or portal hypertension who underwent esophageal endoscopic resection from January 2005 to 2021.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cirrhotic patients or with portal hypertension | Patients with early esophageal cancer |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Endosocpic resection of early esophageal tumor | Procedure | under general anesthesia, by mucosectomy or endoscopic submucosal dissection |
|
| Measure | Description | Time Frame |
|---|---|---|
| technical success of early esophageal cancer resection | defined by a complete macroscopic resection | baseline |
| Measure | Description | Time Frame |
|---|---|---|
| adverse events per procedure (immediate bleeding, perforation) | baseline | |
| morbidity post procedure (delayed bleeding, infection, esophageal stenosis, 30-days related liver decompensation, 30-days related mortality) | up to 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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112 patients with cirrhosis or portal hypertension who underwent endoscopic resection of an early esophageal tumor
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| ID | Term |
|---|---|
| D004938 | Esophageal Neoplasms |
| D005355 | Fibrosis |
| D006975 | Hypertension, Portal |
| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| Potential risk factors for adverse events | baseline |
| preemptive methods to the risk of bleeding | baseline |
| D006258 |
| Head and Neck Neoplasms |
| D004066 | Digestive System Diseases |
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D008107 | Liver Diseases |