Table 4. Intraoperative predictors of a difficult endoscopic submucosal dissection (n = 130 patients).
Colon | Rectum | ||
Univariate analysis OR (95 %CI) | Multivariate analysis OR (95 %CI) | Univariate analysis OR (95 %CI) | |
Bleeding frequency | |||
|
1 | 1 | |
|
0.77 (0.13 – 4.39) | – | 1.63 (0.23 – 11.46) |
Scope control | |||
|
1 | 1 | |
|
1.65 (0.50 – 5.49) | – | 1.00 (0.06 – 17.62) |
Lesion lifting | |||
|
1 | 1 | |
|
6.32 (1.24 – 32.04) | – | N/A |
Submucosal approach | |||
|
1 | 1 | |
|
6.65 (2.35 – 18.76) | 5.16 (1.07 – 25.03) | 0.73 (0.15 – 3.49) |
Gravity countertraction | |||
|
1 | 1 | |
|
3.45 (1.35 – 8.85) | 12.29 (2.43 – 62.08) | N/A |
Submucosal fibrosis | |||
|
1 | 1 | |
|
1.41 (0.53 – 3.76) | 0.89 (0.16 – 4.83) | 1.36 (0.37 – 5.00) |
|
6.12 (1.52 – 24.60) | 21.87 (2.11 – 225.64) | N/A |
OR, odds ratio; CI, confidence interval; N/A, not applicable.