| Unique ID issued by UMIN | UMIN000010136 |
|---|---|
| Receipt number | R000010772 |
| Scientific Title | Prospective cohort study evaluating the long-term outcome after endoscopic submucosal dissection for colorectal neoplasia. |
| Date of disclosure of the study information | 2013/02/28 |
| Last modified on | 2025/09/05 09:51:08 |
Prospective cohort study evaluating the long-term outcome after endoscopic submucosal dissection for colorectal neoplasia.
Long-term outcome after colorectal ESD.
Prospective cohort study evaluating the long-term outcome after endoscopic submucosal dissection for colorectal neoplasia.
Long-term outcome after colorectal ESD.
| Japan |
Colorectal neoplasia can be treated endoscopically
| Gastroenterology |
Malignancy
NO
Evaluation of the long-term outcome after ESD for colorectal neoplasia
Safety,Efficacy
Exploratory
% 5-year survival without surgical resection in patients with pathological curative resection, % 5-year survival, proportion of one-piece resection, local recurrence, adverse effects
Observational
| Not applicable |
| Not applicable |
Male and Female
All patients who undergo colorectal ESD.
none
1400
| 1st name | Yutaka |
| Middle name | |
| Last name | Saito |
National cancer center hospital
Endoscopy
104-0045
5-1-1 Tsukiji, Chuoku, Tokyo, Japan
03-3542-2511
ytsaito@ncc.go.jp
| 1st name | Nozomu |
| Middle name | |
| Last name | Kobayashi |
Tochigi cancer center
Diagnostic imaging
320-0834
4-9-13 Yonan, Utsunomiya, Tochigi, Japan
028-658-5151
nkobayas@tcc.pref.tochigi.lg.jp
National cancer center hospital
National cancer center
Other
Tochigi Cancer Center
4-9-13 Yonan, Utsunomiya, Tochigi, Japan
028-658-5151
chiken@tcc.pref.tochigi.lg.jp
NO
| 2013 | Year | 02 | Month | 28 | Day |
https://pubmed.ncbi.nlm.nih.gov/35810779/
Published
https://pubmed.ncbi.nlm.nih.gov/35810779/
1883
The 5-year overall survival rate was 93.6%, the disease-specific survival rate was 99.6%, and the intestinal preservation rate was 88.6%. No metastases were observed in cases classified as curative resection, whereas 4 cases of metastasis were confirmed in the non-curative resection group. The curative resection group showed significantly higher overall survival and disease-specific survival rates than the non-curative resection group (P < .001 and P = .009, respectively).
| 2025 | Year | 09 | Month | 05 | Day |
| 2022 | Year | 07 | Month | 08 | Day |
In the 1814 cases, the mean tumor diameter was 32.4 mm, and more than one-half of the lesions (55.5%) were located in the right colon. Regarding morphology, 1612 (88.9%) corresponded to LST.
From February 2013 to January 2015, ESD was performed on 1,883 patients with 1,965 lesions. Among these, 1,740 patients with 1,814 colorectal epithelial tumors measuring 20 mm or larger were included in the analysis.
Seven emergent surgeries were conducted to treat patients with delayed perforation.
The primary endpoint, the 5-year overall survival rate for all cases, was 93.6%.
Main results already published
| 2012 | Year | 08 | Month | 31 | Day |
| 2013 | Year | 02 | Month | 14 | Day |
| 2013 | Year | 02 | Month | 28 | Day |
| 2020 | Year | 04 | Month | 30 | Day |
| 2020 | Year | 10 | Month | 15 | Day |
All patients who undergo colorectal ESD are enrolled before treatment and will follow for 5 years, prospectivily.
| 2013 | Year | 02 | Month | 28 | Day |
| 2025 | Year | 09 | Month | 05 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010772