Table 2. Differences in polyp morphology and outcomes between EMR, ESD, and hybrid ESD techniques across all studies.
Endoscopic mucosal resection
(n = 347) |
Endoscopic submucosal dissection
(n = 190) |
Hybrid endoscopic submucosal dissection
(n = 73) |
|
Lesion characteristics | |||
|
14.6 | 25.1 | 26 |
|
71.3 | 36.8 | NA |
|
2.3 | 88.1 | 75.3 |
Polyp morphology (%) | |||
|
43.8 | 11.1 | 32.8 |
|
56.2 | 88.9 | 67.1 |
Rate of incomplete resection (%) | 0.6 (95 % CI: 0 %–2.7 %, I 2 6.3 %) |
3.8 (95 % CI: 0.2 %–10 %, I 2 25.6 %) |
0 |
Rate of en bloc resection (%) | 79.7 (95 % CI: 63 %–90.3 %, I 2 92.6 %) |
85.7 (95 % CI: 72.2 %–95.8 %, I 2 73.6 %) |
74.6 (95 % CI: 63.1 %–84.8 %, I 2 0 %) |
Rate of adverse events (%) | 0.7 (95 % CI 0 %–2.7 %, I 2 0 %) |
4.4 (95 % CI 0.07 %–10 %, I 2 11.8 %) |
11 (95 % CI 4.3 %–19.6 %, I 2 0 %) |
Rate of recurrence during follow-up (%) | 3.5 (95 % CI 0 %–11.5 %, I 2 83.4 %) |
1.7 (95 % CI 0 %–6.5 %, I 2 33.5 %) |
4.4 (95 % CI 0.1 %–11.8 %, I 2 0 %) |
EMR, endoscopic mucosal resection; ESD, endoscopic submucosal dissection; NA, not available.