<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2341-4545</journal-id>
<journal-title><![CDATA[GE-Portuguese Journal of Gastroenterology]]></journal-title>
<abbrev-journal-title><![CDATA[GE Port J Gastroenterol]]></abbrev-journal-title>
<issn>2341-4545</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Gastrenterologia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2341-45452021000500319</article-id>
<article-id pub-id-type="doi">10.1159/000514797</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Colorectal Endoscopic Submucosal Dissection in a Western Center: Analysis of Outcomes and Safety Profile]]></article-title>
<article-title xml:lang="pt"><![CDATA[Dissecção endoscópica da submucosa em lesões do colon e recto num centro ocidental: análise de resultados e perfil de segurança]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos-Antunes]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marques]]></surname>
<given-names><![CDATA[Margarida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morais]]></surname>
<given-names><![CDATA[Rui]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carneiro]]></surname>
<given-names><![CDATA[Fátima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Macedo]]></surname>
<given-names><![CDATA[Guilherme]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar S. João Faculty of Medicine Department of Gastroenterology]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalar S. João Faculty of Medicine Department of Pathology]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade do Porto i3S (Instituto de Investigação e Inovação em Saúde Ipatimup]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>10</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>10</month>
<year>2021</year>
</pub-date>
<volume>28</volume>
<numero>5</numero>
<fpage>319</fpage>
<lpage>327</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2341-45452021000500319&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2341-45452021000500319&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2341-45452021000500319&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Endoscopic submucosal dissection (ESD) is a well-established endoscopic technique for the treatment of gastrointestinal lesions. Colorectal ESD outcomes are less reported in the Western literature, and Portuguese data are still very scarce. Our aim was to describe our experience on colorectal ESD regarding its outcomes and safety profile.  Methods: We conducted a retrospective evaluation of recorded data on ESDs performed between 2015 and 2020. Only ESDs performed on epithelial neoplastic lesions were selected for further analysis.  Results: Of a total of 167 colorectal ESDs, 153 were included. Technical success was achieved in 147 procedures (96%). The lesions were located in the colon (n = 24) and rectum (n = 123). The en bloc resection rate was 92% and 97%, the R0 resection rate was 83% and 82%, and the curative resection rate was 79% and 78% for the colon and the rectum, respectively. The need for a hybrid technique was the only risk factor for piecemeal or R1 resection. We report a perforation rate of 3.4% and a 4.1% rate of delayed bleeding; all the adverse events were manageable endoscopically, without the need of blood transfusions or surgery. Most of the lesions were laterally spreading tumours of the granular mixed type (70%), and 20% of the lesions were malignant (12% submucosal and 8% intramucosal cancer).  Conclusion: Our series on colorectal ESD reports a very good efficacy and safety profile. This technique can be applied by endoscopists experienced in ESD.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  A dissecção endoscópica da submucosa é uma técnica com comprovada eficácia para o tratamento das lesões do tracto digestivo. As dissecções endoscópicas da submucosa de lesões do colon ou recto são menos reportadas na literatura ocidental, e dados Portugueses publicados são escassos. O nosso objectivo foi reportar a eficácia e o perfil de segurança da nossa série nestas lesões.  Métodos: Avaliação retrospetiva das dissecções realizadas entre 2015 e 2020, relativamente a lesões epiteliais neoplásicas do colon e recto.  Resultados: De um total de 167 lesões colo-rectais, foram incluídas 153. O sucesso técnico foi de 96% (n = 147). As lesões estavam localizadas no colon (n = 24) e recto (n = 123). A taxa de ressecção em bloco foi de 92% e 97%, de ressecções R0 de 83% e 82% e de ressecções curativas foi de 79% e 78% no colon e recto respectivamente. A necessidade de realização de técnica híbrida foi o único factor de risco identificado para ressecção em piecemeal ou R1. Obtivemos uma taxa de perfuração de 3.4% e 4.1% de hemorragia tardia; todos os eventos adversos foram tratados endoscopicamente, sem necessidade de transfusões sanguíneas ou cirurgia. A maioria das lesões eram lateral spreading tumours do tipo granular nodular misto (70%), e 20% das lesões eram malignas (12% com invasão submucosa, 8% carcinomas intramucosos).  Conclusão: A nossa série de dissecções do colon e recto demonstrou uma muito boa eficácia e excelente perfil de segurança. Este procedimento terapêutico pode ser utilizado por endoscopistas com experiência nesta técnica.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Endoscopic submucosal dissection]]></kwd>
<kwd lng="en"><![CDATA[Colorectal lesions]]></kwd>
<kwd lng="en"><![CDATA[Western series]]></kwd>
<kwd lng="en"><![CDATA[Laterally spreading tumour]]></kwd>
<kwd lng="en"><![CDATA[Colorectal endoscopic submucosal dissection]]></kwd>
<kwd lng="pt"><![CDATA[Dissecção endoscópica da submucosa]]></kwd>
<kwd lng="pt"><![CDATA[Lesões do colon e recto]]></kwd>
<kwd lng="pt"><![CDATA[Série ocidental]]></kwd>
<kwd lng="pt"><![CDATA[Laterally spreading tumour]]></kwd>
<kwd lng="pt"><![CDATA[Dissecção endoscópica da submucosa colorectal]]></kwd>
</kwd-group>
</article-meta>
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