Endoscopic submucosal dissection or piecemeal endoscopic mucosal resection for large superficial colorectal lesions: A cost effectiveness study

Stéphane Scheer,Timothée Wallenhorst,Jérémie Albouys,Raphael Olivier,Martin Dahan, Emmanuelle Pauliat, Eloïse Leclerc,Quentin Denost, Nikki Christou, Sonia Brischoux,Hugo Lepetit, Guillaume Gschwind,Romain Legros,Mathieu Pioche,Sophie Geyl,Jérémie Jacques

Clinics and Research in Hepatology and Gastroenterology（2022）

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摘要

•Endoscopic submucosal dissection with countertraction for laterally spreading lesions is more cost effective than a selective ESD or a piece-meal EMR strategy.•Endoscopic submucosal dissection for all laterally spreading lesions is the cheapest strategy and avoids the greatest number of surgeries.•CONECCT classification is the best classification to select high risk lesions for endoscopic submucosal dissection.•Depending to the reimbursement scheme, a selective endoscopic submucosal strategy according to CONECCT optical diagnosis classification could be the most cost effective.

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关键词

Endoscopic submucosal dissection,Countertraction Endoscopic submucosal dissection,Piece meal endoscopic mucosal resection,Cost effectiveness,Colorectal neoplasms

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