Endoscopy 2019; 51(04): S40-S41
DOI: 10.1055/s-0039-1681289
ESGE Days 2019 oral presentations
Friday, April 5, 2019 11:00 – 13:00: ESD stomach 1 Club A
Georg Thieme Verlag KG Stuttgart · New York

GERMAN ESD REGISTRY – FIRST RESULTS

C Fleischmann
1   3. Medizinische Klinik, Klinikum Augsburg, Augsburg, Germany
,
A Probst
1   3. Medizinische Klinik, Klinikum Augsburg, Augsburg, Germany
,
A Ebigbo
1   3. Medizinische Klinik, Klinikum Augsburg, Augsburg, Germany
,
S Faiss
2   Gastroenterologie und Interventionelle Endoskopie, Asklepios Klinik Barmbek, Hamburg, Germany
,
B Schuhmacher
3   Klinik für Innere Medizin und Gastroenterologie, Elisabeth-Krankenhaus, Essen, Germany
,
HP Allgaier
4   Medizinische Klinik, Evangelisches Diakoniekrankenhaus, Freiburg, Germany
,
D Hartmann
5   Innere Medizin I, Sana-Klinikum Lichtenberg, Berlin, Germany
,
FL Dumoulin
6   Klinik für Innere Medizin, Gemeinschaftskrankenhaus Bonn, Bonn, Germany
,
C Rust
7   Klinik für Innere Medizin I, Barmherzige Brüder, München, Germany
,
J Pohl
8   Interventionelles Endoskopiezentrum und Schwerpunkt gastrointestinale Onkologie, Asklepios Klinik Altona, Hamburg, Germany
,
H Mörk
9   Klinik für Innere Medizin I, Kreisklinikum Calw-Nagold, Nagold, Germany
,
J Albert
10   Gastroenterologie, Hepatologie und Endokrinologie, Robert-Bosch-Krankenhaus, Stuttgart, Germany
,
R ReinehrI
11   Innere Medizin, Elbe-Elster Klinikum, Herzberg, Germany
,
F Kolligs
12   Klinik für Innere Medizin, Helios Klinikum Berlin-Buch, Berlin, Germany
,
J Mayerle
13   Medizinische Klinik und Poliklinik II, Universitätsklinikum München, München, Germany
,
K Caca
14   Klinik für Innere Medizin, Gastroenterologie, Hämato-Onkologie, Pneumologie, Diabetologie und Infektiologie, Klinikum Ludwigsburg, Ludwigsburg, Germany
,
M Götz
15   Innere Medizin I, Universitätsklinikum Tübingen, Tübingen, Germany
,
U Denzer
16   Klinik für Gastroenterologie, Universitätsklinikum Gießen/Marburg, Marburg, Germany
,
J Hampe
17   Medizinische Klinik I, Universitätsklinikum Dresden, Dresden, Germany
,
I Schiefke
18   Klinik für Gastroenterologie und Hepatologie, Klinikum St. Georg, Leipzig, Germany
,
H Messmann
1   3. Medizinische Klinik, Klinikum Augsburg, Augsburg, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

Also available at
 
 

    Aims:

    In Europe, endoscopic submucosal dissection (ESD) is not yet the standard treatment for premalignant or early malignant lesions in the gastrointestinal (GI)-tract. High quality data is limited to single center studies. In this study, we present the first results of the German ESD registry which was set up to evaluate and assess the technical success, curative resection rate, economic aspects as well as long term outcomes of ESD procedures performed in Germany.

    Methods:

    The German ESD registry study is a prospective, multicenter trial. Management and evaluation of collected data is done in a central data base at Klinikum Augsburg, Germany. Data is collected anonymously via electronic case report form (CRF).

    Results:

    In the year 2017, 18 hospitals included a total amount of 381 ESDs. A total of 139 resected lesions were located in the rectum, 109 lesions in the esophagus, 105 lesions in the stomach, 26 lesions in the colon and 2 lesions in the duodenum.

    An overall en bloc resection rate of 94 percent was achieved; the highest en bloc rate was in the esophagus with 98% and the lowest en bloc rate in the colon with 88%.

    The overall histological R0 resection rate was 81%; the highest R0-Rate was in the rectum (88%) and the lowest in the colon (73%). The overall complication rate was 15%; when colonic- ESDs were excluded, the complication rate dropped to 8,5%.

    Conclusions:

    A total of 381 ESD procedures were registered in 2017 with favourable R0 resection and complication rates. The German ESD registry represents a first step towards establishing ESD as a standard treatment of choice for premalignant und early malignant lesions. However, colonic ESD still remains a hurdle for western endoscopists. Further data collection and data analysis in 2018 will help to expand on the results shown here.


    #