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©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Nov 7, 2022; 28(41): 5957-5967
Published online Nov 7, 2022. doi: 10.3748/wjg.v28.i41.5957
Published online Nov 7, 2022. doi: 10.3748/wjg.v28.i41.5957
Feasibility of same-day discharge following endoscopic submucosal dissection for esophageal or gastric early cancer
Jing Wang, Shi-Jie Li, Yan Yan, Peng Yuan, Wei-Feng Li, Chang-Qi Cao, Qi Wu, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Endoscopy Center, Peking University Cancer Hospital & Institute, Beijing 100142, China
Shi-Jie Li, Wei-Gang Chen, The First Affiliated Hospital, School of Medicine, Shihezi University, Shihezi 832008, Xinjiang Uygur Autonomous Region, China
Ke-Neng Chen, The First Department of Thoracic Surgery, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing 100142, China
Author contributions: Wang J and Li S contributed equally to this work; Wang J and Li S performed in analysis and interpretation of the data, and drafting of the manuscript; Wu Q and Chen K conceived of and designed the study; Yan Y, Yuan P, Li W, Cao C and Chen W helped to perform the analyses and critically revised the manuscript for important intellectual content; and all authors approved the final draft submitted.
Supported by Wu Jie-Ping Medical Foundation Special Fund for Clinical Research , No. 320.6750.2021-04-71 ; Open Research Fund of NHC Key Laboratory of Prevention and Treatment of Central Asia High Incidence Diseases , No. KF202101 ; Non-profit Central Research Institute Fund of Chinese Academy of Medical Sciences , No. 2020-PT330-003 ; Beijing Hospitals Authority Clinical Medicine Development of Special Funding Support , No. XMLX202143 ; Capital’s Funds for Health Improvement and Research , No. 2020-2-2155 ; and Beijing Municipal Administration of Hospitals Incubating Program , No. PX2020047 .
Institutional review board statement: This study was approved by the Ethics Committee of the Peking University Cancer Hospital, No. 2022KT13.
Informed consent statement: Written informed consent was obtained from all patients or their families.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: Contact wangjing_pku@bjmu.edu.cn to obtain the anonymized dataset.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qi Wu, MD, Assistant Professor, Chief Physician, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Endoscopy Center, Peking University Cancer Hospital & Institute, No. 52 Fucheng Road, Haidian District, Beijing 100142, China. wuqi1973@bjmu.edu.cn
Received: July 26, 2022
Peer-review started: July 26, 2022
First decision: August 31, 2022
Revised: September 15, 2022
Accepted: October 19, 2022
Article in press: October 19, 2022
Published online: November 7, 2022
Peer-review started: July 26, 2022
First decision: August 31, 2022
Revised: September 15, 2022
Accepted: October 19, 2022
Article in press: October 19, 2022
Published online: November 7, 2022
Core Tip
Core Tip: Generally, multi-day (M-D) admission is required for patients with early gastrointestinal neoplasia undergoing endoscopic submucosal dissection (ESD) due to potential complications. We evaluated the feasibility of a same-day (S-D) discharge strategy for ESD of the esophagus or stomach. No significant difference was found between the S-D and M-D groups with respect to intraoperative and postprocedural major adverse events. However, the S-D group demonstrated a significantly shorter length of hospital stay (P < 0.001) and lower overall medical expenses (P < 0.001) compared to the M-D group. The S-D discharge strategy may be feasible and effective for esophagogastric ESD.