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Mucosectomy device-assisted endoscopic resection of gastric subepithelial lesions.
Li, Lian Yong; Li, Bai Wen; Mekaroonkamol, Parit; Chen, Hui Min; Shen, Shan Shan; Luo, Hui; Dacha, Sunil; Xue, Yue; Cristofaro, Sarah; Keilin, Steven; Willingham, Field; Cai, Qiang.
Afiliación
  • Li LY; Department of Medicine, Division of Digestive Diseases, Emory University School of Medicine, Atlanta, GA.
  • Li BW; Department of Gastroenterology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • Mekaroonkamol P; Department of Medicine, Division of Digestive Diseases, Emory University School of Medicine, Atlanta, GA.
  • Chen HM; Department of Gastroenterology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • Shen SS; Department of Medicine, Division of Digestive Diseases, Emory University School of Medicine, Atlanta, GA.
  • Luo H; Department of Medicine, Division of Digestive Diseases, Emory University School of Medicine, Atlanta, GA.
  • Dacha S; Division of Gastroenterology and Hepatology, Shanghai Institute of Digestive Disease, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
  • Xue Y; Department of Medicine, Division of Digestive Diseases, Emory University School of Medicine, Atlanta, GA.
  • Cristofaro S; Department of Gastroenterology, Drum Tower Hospital affiliated to the Medical School of Nanjing University, Nanjing, Jiangsu Province, China.
  • Keilin S; Department of Medicine, Division of Digestive Diseases, Emory University School of Medicine, Atlanta, GA.
  • Willingham F; Department of Gastroenterology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, China.
  • Cai Q; Department of Medicine, Division of Digestive Diseases, Emory University School of Medicine, Atlanta, GA.
J Dig Dis ; 21(4): 215-221, 2020 Apr.
Article en En | MEDLINE | ID: mdl-32129564
OBJECTIVE: Some gastrointestinal subepithelial tumors (SETs) have malignant potential and complete resection may be required. However, endoscopic submucosal dissection (ESD) can be a tedious procedure and requires a long and extensive training to master. Devices for endoscopic full-thickness resection (EFTR) are limited and are not widely available. We report here a simpler endoscopic method to resect small SETs using a commercially available endoscopic mucosal resection (EMR) kit and enucleation technique. METHODS: All patients with SET who underwent device-assisted resection at our tertiary care hospital from April 2015 to November 2016 were enrolled in this retrospective study. All procedures were performed by a single expert endoscopist with an advanced endoscopy trainee. A mucosectomy and a limited dissection under mucosa were performed to preserve the mucosa before a device-assisted enucleation of the tumor to facilitate endoscopic closure of the defect closure in all cases. RESULTS: A total of 12 patients aged 38-70 y, of whom six were males, were included. Most of the tumors originated from the muscularis propria and were located at the proximal gastric body. The mean procedural duration was 53 minutes (range 23-91 min). The average size of the lesions was 13 mm (range 9-21 mm). The mean duration of hospitalization was 1.3 days. Bleeding and intentional perforation were all successfully managed during the procedure and did not result in any clinically significant adverse event. CONCLUSION: A device-assisted EFTR using a commercially available EMR kit is a safe and feasible method for the endoscopic resection of small gastric extrovert SETs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Gástricas / Gastroscopía / Tumores del Estroma Gastrointestinal / Resección Endoscópica de la Mucosa / Mucosa Gástrica Tipo de estudio: Evaluation_studies / Observational_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Dig Dis Año: 2020 Tipo del documento: Article Pais de publicación: Australia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Gástricas / Gastroscopía / Tumores del Estroma Gastrointestinal / Resección Endoscópica de la Mucosa / Mucosa Gástrica Tipo de estudio: Evaluation_studies / Observational_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Dig Dis Año: 2020 Tipo del documento: Article Pais de publicación: Australia