Ligation-assisted endoscopic submucosal resection with apical mucosal incision to treat gastric subepithelial tumors originating from the muscularis propria.
Endoscopy
; 50(12): 1180-1185, 2018 12.
Article
em En
| MEDLINE
| ID: mdl-29913532
ABSTRACT
BACKGROUND:
This study aimed to evaluate the clinical efficacy, safety, and feasibility of performing endoscopic submucosal resection with a ligation device (ESMR-L) after apical mucosal incision (AMI) for the treatment of gastric subepithelial tumors originating from the muscularis propria (SET-MPs).METHODS:
14 patients with gastric SET-MPs were treated by ESMR-L with AMI between December 2016 and May 2017.âThe complete resection rate, operation duration, and postoperative complications were collected. All patients were followed for 2â-â6 months.RESULTS:
The complete resection rate was 100â%, the mean tumor size was 10.71 ± 3.45âmm (7â-â18âmm), and the median operative time was 18.5 minutes. Perforation occurred in four patients, with all lesions being completely repaired endoscopically. No delayed bleeding or peritoneal signs were observed. No residual lesions or recurrence were found during the follow-up period.CONCLUSIONS:
AMI with ESMR-L appears to be an efficient and simple method for the histological diagnosis of gastric SET-MPs, but it carries a high perforation rate and cannot guarantee cure.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Gástricas
/
Ressecção Endoscópica de Mucosa
Tipo de estudo:
Observational_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Endoscopy
Ano de publicação:
2018
Tipo de documento:
Article