ArticleDEN open2026
Short- and Long-Term Outcomes of Endoscopic Submucosal Dissection for Gastric Lesions in Elderly Patients Aged 80 Years or Older: Focus on Non-Procedure-Related Adverse Events.
Article in DEN open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
17 authors.
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Abstract
Objectives: With an aging society, the proportion of elderly patients undergoing gastric endoscopic submucosal dissection (ESD) is increasing. Although procedure-related adverse events (AEs) are comparable between the elderly and non-elderly patients, data on non-procedure-related AEs remain limited. This study aimed to evaluate the short- and long-term outcomes of gastric ESD in elderly patients, focusing on risk factors for non-procedure-related AEs. Methods: We retrospectively analyzed 941 patients who underwent gastric ESD at two institutions between 2011 and 2024. Patients were stratified into elderly (≥80 years) and non-elderly (<80 years) groups, and short- and long-term outcomes were compared. Procedure-related AEs included delayed bleeding, perforation, and stricture, whereas non-procedure-related AEs included pneumonia and other systemic complications. Results: Procedure-related AE rates were similar between the groups (8.9% vs. 7.1%, Conclusions: Assessment of systemic health status, particularly using PS and CCI, is essential for predicting non-procedure-related AEs, and they are useful indices for determining treatment indications in elderly patients undergoing gastric ESD.
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