{"id":"https://openalex.org/W4403723920","doi":"https://doi.org/10.14309/01.ajg.0001035624.31450.35","title":"S1564 Comparative Efficacy and Safety of Endoscopic Submucosal Dissection versus Endoscopic Mucosal Resection for Gastrointestinal Lesions: A Meta-Analysis and Systematic Review","display_name":"S1564 Comparative Efficacy and Safety of Endoscopic Submucosal Dissection versus Endoscopic Mucosal Resection for Gastrointestinal Lesions: A Meta-Analysis and Systematic Review","publication_year":2024,"publication_date":"2024-10-01","ids":{"openalex":"https://openalex.org/W4403723920","doi":"https://doi.org/10.14309/01.ajg.0001035624.31450.35"},"language":"en","primary_location":{"id":"doi:10.14309/01.ajg.0001035624.31450.35","doi":"https://doi.org/10.14309/01.ajg.0001035624.31450.35","is_oa":false,"landing_page_url":"https://doi.org/10.14309/01.ajg.0001035624.31450.35","pdf_url":null,"source":{"id":"https://openalex.org/S66441642","display_name":"The American Journal of Gastroenterology","issn_l":"0002-9270","issn":["0002-9270","1572-0241"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Gastroenterology","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5111084419","display_name":"Nouman Shafique","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799648416","display_name":"AdventHealth Orlando","ror":"https://ror.org/02n1cyj49","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799648416"]},{"id":"https://openalex.org/I4405270336","display_name":"AdventHealth","ror":"https://ror.org/00gqase94","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4405270336"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Nouman Shafique","raw_affiliation_strings":["AdventHealth Medical Group, AdventHealth, Orlando, FL;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"AdventHealth Medical Group, AdventHealth, Orlando, FL;","institution_ids":["https://openalex.org/I2799648416","https://openalex.org/I4405270336"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039846483","display_name":"Ali Khan","orcid":"https://orcid.org/0009-0005-7456-6626","observed_orcids":["https://orcid.org/0009-0005-7456-6626"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ali Raza Khan","raw_affiliation_strings":["Nishtar Medical University, Multan, Punjab, Pakistan;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nishtar Medical University, Multan, Punjab, Pakistan;","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093075943","display_name":"Fnu Muhibullah","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I12097938","display_name":"West Virginia University","ror":"https://ror.org/011vxgd24","country_code":"US","type":"education","lineage":["https://openalex.org/I12097938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Fnu Muhibullah","raw_affiliation_strings":["West Virginia University Camden Clark Medical Center, Parkersburg, WV;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"West Virginia University Camden Clark Medical Center, Parkersburg, WV;","institution_ids":["https://openalex.org/I12097938"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113388450","display_name":"Shahzad Zafar","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Shahzad Zafar","raw_affiliation_strings":["Nishtar Medical University, Multan, Punjab, Pakistan;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nishtar Medical University, Multan, Punjab, Pakistan;","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101731791","display_name":"Abdul Qadeer","orcid":"https://orcid.org/0009-0008-2211-200X","observed_orcids":["https://orcid.org/0009-0008-2211-200X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Abdul Qadeer","raw_affiliation_strings":["Nishtar Medical University, Multan, Punjab, Pakistan;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nishtar Medical University, Multan, Punjab, Pakistan;","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063138926","display_name":"Adeena Shafique","orcid":"https://orcid.org/0000-0001-9118-8077","observed_orcids":["https://orcid.org/0000-0001-9118-8077"]},"institutions":[{"id":"https://openalex.org/I118185606","display_name":"Aga Khan University","ror":"https://ror.org/03gd0dm95","country_code":"PK","type":"education","lineage":["https://openalex.org/I118185606","https://openalex.org/I4210114929"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Adeena Shafique","raw_affiliation_strings":["Aga Khan University, Karachi, Sindh, Pakistan;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Aga Khan University, Karachi, Sindh, Pakistan;","institution_ids":["https://openalex.org/I118185606"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111330283","display_name":"Iqra Shafiq","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Iqra Shafiq","raw_affiliation_strings":["Combined Military Hospital, Bahawalpur, Punjab, Pakistan;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Combined Military Hospital, Bahawalpur, Punjab, Pakistan;","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5006994577","display_name":"Babu Pappu Mohan","orcid":"https://orcid.org/0000-0002-9512-8693","observed_orcids":["https://orcid.org/0000-0002-9512-8693"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Babu Mohan","raw_affiliation_strings":["Orlando Gastroenterology PA, Orlando, FL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Orlando Gastroenterology PA, Orlando, FL","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5111084419"],"corresponding_institution_ids":["https://openalex.org/I2799648416","https://openalex.org/I4405270336"],"apc_list":{"value":4390,"currency":"USD","value_usd":4390},"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"119","issue":"10S","first_page":"S1135","last_page":"S1136"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10696","display_name":"Gastric Cancer Management and Outcomes","score":0.9750999808311462,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10696","display_name":"Gastric Cancer Management and Outcomes","score":0.9750999808311462,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10552","display_name":"Colorectal Cancer Screening and Detection","score":0.012900000438094139,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11378","display_name":"Gastrointestinal Bleeding Diagnosis and Treatment","score":0.004100000020116568,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/endoscopic-submucosal-dissection","display_name":"endoscopic submucosal dissection","score":0.9990000128746033},{"id":"https://openalex.org/keywords/endoscopic-mucosal-resection","display_name":"endoscopic mucosal resection","score":1.0},{"id":"https://openalex.org/keywords/gastrointestinal-lesions","display_name":"gastrointestinal lesions","score":0.9810000061988831},{"id":"https://openalex.org/keywords/en-bloc-resection","display_name":"en bloc resection","score":0.8870000243186951},{"id":"https://openalex.org/keywords/r0-resection","display_name":"R0 resection","score":0.9599999785423279},{"id":"https://openalex.org/keywords/perforation","display_name":"perforation","score":0.7450000047683716},{"id":"https://openalex.org/keywords/post-procedural-bleeding","display_name":"post-procedural bleeding","score":0.9959999918937683},{"id":"https://openalex.org/keywords/recurrence","display_name":"recurrence","score":0.7919999957084656},{"id":"https://openalex.org/keywords/surgical-conversion","display_name":"surgical conversion","score":0.460999995470047},{"id":"https://openalex.org/keywords/treatment-efficacy-and-safety","display_name":"treatment efficacy and safety","score":0.5070000290870667},{"id":"https://openalex.org/keywords/early-gastric-cancer","display_name":"early gastric cancer","score":0.5090000033378601},{"id":"https://openalex.org/keywords/colorectal-lesions","display_name":"colorectal lesions","score":0.6600000262260437},{"id":"https://openalex.org/keywords/esophageal-lesions","display_name":"esophageal lesions","score":0.5979999899864197},{"id":"https://openalex.org/keywords/duodenal-lesions","display_name":"duodenal lesions","score":0.6389999985694885}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9643471240997314},{"id":"https://openalex.org/C2777137803","wikidata":"https://www.wikidata.org/wiki/Q11394587","display_name":"Endoscopic submucosal dissection","level":2,"score":0.9420684576034546},{"id":"https://openalex.org/C2778866283","wikidata":"https://www.wikidata.org/wiki/Q3257565","display_name":"Endoscopic mucosal resection","level":3,"score":0.8543331623077393},{"id":"https://openalex.org/C95190672","wikidata":"https://www.wikidata.org/wiki/Q815382","display_name":"Meta-analysis","level":2,"score":0.7044183015823364},{"id":"https://openalex.org/C159110652","wikidata":"https://www.wikidata.org/wiki/Q17078201","display_name":"Resection","level":2,"score":0.5149182081222534},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.47569096088409424},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.34002169966697693},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.24369889497756958}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.14309/01.ajg.0001035624.31450.35","doi":"https://doi.org/10.14309/01.ajg.0001035624.31450.35","is_oa":false,"landing_page_url":"https://doi.org/10.14309/01.ajg.0001035624.31450.35","pdf_url":null,"source":{"id":"https://openalex.org/S66441642","display_name":"The American Journal of Gastroenterology","issn_l":"0002-9270","issn":["0002-9270","1572-0241"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Gastroenterology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2279319026","https://openalex.org/W1976286040","https://openalex.org/W4416421189","https://openalex.org/W2422548507","https://openalex.org/W2013600877","https://openalex.org/W4210521775","https://openalex.org/W2757809054","https://openalex.org/W2996895439","https://openalex.org/W4403721484","https://openalex.org/W2203461359"],"abstract_inverted_index":{"Introduction:":[0],"Endoscopic":[1],"submucosal":[2],"dissection":[3],"(ESD)":[4],"and":[5,41,45,49,55,70,78,84,88,116,130,152,233,254,308,312,322,347,369],"endoscopic":[6,16],"mucosal":[7],"resection":[8,111,118,167,186,310],"(EMR)":[9],"are":[10],"widely":[11],"used":[12],"techniques":[13],"in":[14,149,156,169,209,258,275,297,303,373],"the":[15,43,126,157,210,222,259,276,291,317,323,341,348,367],"treatment":[17,359],"of":[18,24,35,47,103,204,224,293,299,320,350,371],"gastrointestinal":[19,53],"lesions.":[20],"The":[21,33,94,184,202,243],"high":[22],"risk":[23,127,319,351],"complications":[25,331],"associated":[26,332],"with":[27,333],"these":[28],"procedures":[29],"remains":[30],"a":[31,91,162,358],"concern.":[32],"aim":[34],"our":[36],"study":[37],"was":[38,65,161,188,206,256],"to":[39,73,124,174,330,365],"evaluate":[40],"compare":[42],"efficacy":[44,370],"safety":[46,368],"ESD":[48,77,150,172,193,211,232,260,277,294,334,356,372],"EMR":[50,158,175,234,296],"for":[51,105,114,134,192,246,251,326,343,382],"treating":[52],"lesions":[54],"across":[56],"multiple":[57],"clinical":[58,374],"outcomes.":[59],"Methods:":[60],"A":[61],"comprehensive":[62],"literature":[63],"search":[64],"conducted":[66],"using":[67,90],"PubMed,":[68],"EMBASE,":[69],"Cochrane":[71],"Library":[72],"identify":[74],"studies":[75,81,141],"comparing":[76],"EMR.":[79],"Relevant":[80],"were":[82,86,97,122,146,272],"included,":[83],"data":[85],"extracted":[87],"analyzed":[89],"random-effects":[92],"model.":[93],"primary":[95],"endpoints":[96],"post-procedural":[98,225],"bleeding,":[99],"perforation":[100,205,321],"rates,":[101,109,112],"rates":[102,271,311],"surgery":[104,113,250,328],"oncologic":[106,252,300],"adequacy,":[107],"recurrence":[108,314],"R0":[110,185,309],"complications,":[115,255],"en-bloc":[117,166,307],"rates.":[119,315],"Forest":[120,380],"plots":[121],"generated":[123],"visualize":[125],"ratios":[128],"(RR)":[129],"confidence":[131],"intervals":[132],"(CI)":[133],"each":[135],"outcome.":[136],"Results:":[137],"We":[138],"included":[139],"22":[140],"including":[142,249],"7,707":[143],"patients.":[144],"There":[145,160],"3,231":[147],"patients":[148,155,170],"group":[151,212,261,278],"4,":[153],"476":[154],"group.":[159],"statistically":[163],"significant":[164,229],"higher":[165,191,208,257,306,318],"rate":[168,187,203,223,390],"undergoing":[171],"compared":[173],"(RR:":[176,194,213,235,262,279],"2.56":[177],"[2.44;":[178],"2.68];":[179],"I2=98%;":[180],"P":[181,199,218,240,267,284],"<":[182,200,219,285],"0.001).":[183,201,286],"also":[189],"significantly":[190,207,273,305],"4.34":[195],"[3.53;":[196],"5.33];":[197],"I2=85%;":[198],"2.65":[214],"[2.11;":[215],"3.33];":[216],"I2=0%;":[217,239],"0.001),":[220],"while":[221],"bleeding":[226],"showed":[227],"no":[228],"difference":[230],"between":[231],"0.82":[236],"[0.57;":[237],"1.19];":[238],"=":[241,268],"0.30).":[242],"overall":[244],"need":[245,325],"further":[247,327],"surgery,":[248],"reasons":[253],"1.58":[263],"[1.08;":[264],"2.31];":[265],"I2=31%;":[266],"0.02).":[269],"Recurrence":[270,409],"lower":[274,313],"0.08":[280],"[0.03;":[281],"0.17];":[282],"I2=62%;":[283],"Conclusion:":[287],"Our":[288],"meta-analysis":[289],"underscores":[290],"superiority":[292],"over":[295],"terms":[298],"outcomes,":[301],"particularly":[302],"achieving":[304],"However,":[316],"increased":[324],"due":[329],"cannot":[335],"be":[336],"ignored.":[337],"These":[338],"results":[339],"emphasize":[340],"necessity":[342],"careful":[344],"patient":[345],"selection":[346],"development":[349],"management":[352],"strategies":[353],"when":[354],"considering":[355],"as":[357],"option.":[360],"Further":[361],"research":[362],"is":[363],"warranted":[364],"enhance":[366],"practice":[375],"(see":[376],"Figure":[377],"1).Figure":[378],"1.:":[379],"plot":[381],"A)":[383],"En-bloc":[384],"Resection":[385,389],"Rate":[386],"B)":[387],"Ro":[388],"C)":[391],"Post":[392,396],"Procedural":[393,397],"Perforation":[394],"D)":[395],"Bleeding":[398],"E)":[399],"Surgery":[400,405],"For":[401,406],"Oncologic":[402],"Reasons":[403],"F)":[404],"Complications":[407],"G)":[408],"rate.":[410]},"counts_by_year":[],"updated_date":"2026-09-22T06:50:58.402377","created_date":"2024-10-25T00:00:00"}
