A new Endoscopic submucosal resection –ligation technique for Gastric tumors
Gastroenterology and Hepatology from Bed to Bench,
9 December 2020
Two middle-aged cases with gastric subepithelial tumors were admitted to Taleghani gastrointestinal department. The polyps were resected via our new Endoscopic Mucosal Resection (EMR) technique. In this technique, the needle knife was used for un-roofing the mucosal surface. Then, the polyps were resected with hot snares. The hemoclips were applied for ligation, too. We found no early or delayed complications. More investigations are necessary for confirming the validity of our new EMR technique.
- subepithelial tumor
- endoscopic mucousal resection.
Evans JA, Chandrasekhara V, Chathadi KV, Decker GA, Early DS, Fisher DA et al. The role of endoscopy in the management of premalignant and malignant conditions of the stomach. Gastrointestinal Endoscopy 2015. 82(1): p. 1-8.
Enestvedt BK, Chandrasekhara V, and Ginsberg GG. Endoscopic ultrasonographic assessment of gastric polyps and endoscopic mucosal resection. Current gastroenterology reports 2012. 14(6): p. 497-503.
Dávila JS, Momblán D, Ginès À, Sánchez-Montes C, Araujo I, 6Saavedra-Pérez D, et al. Endoscopic-assisted laparoscopic resection for gastric subepithelial tumors. Surgical endoscopy 2016. 30(1): p. 199-203.
Zhang D, Lin Q, Shi R, Wang L, Yao J, Tian Y. Ligation-assisted endoscopic submucosal resection with apical mucosal incision to treat gastric subepithelial tumors originating from the muscularis propria. Endoscopy 2018. 50(12): p. 1180-1185.
Yoshikane H, Asai T, Sakakibara A, Ayakawa T, Taki N, Kawashima H, et al. Gastric hyperplastic polyp occurring at the resection site of gastric adenoma. Endoscopy 1999. 31(07): p. 563-565.
Mashimo Y, Matsuda T, Uraoka T, Saito Y, Sano Y, Fu K, et al. Endoscopic submucosal resection with a ligation device is an effective and safe treatment for carcinoid tumors in the lower rectum. Journal of gastroenterology and hepatology 2008. 23(2): p. 218-221.
Chun SY, Kim KO, Park DS, Lee IJ, Park JW, Moon Sung-Hoon et al. Endoscopic submucosal dissection as a treatment for gastric subepithelial tumors that originate from the muscularis propria layer: a preliminary analysis of appropriate indications. Surgical endoscopy 2013. 27(9): p. 3271-3279.
Zhu, H., et al., Snare-assisted endoscopic resection of gastric subepithelial tumors originating from the muscularis propria layer: a multicenter study. Surgical Endoscopy, 2019: p. 1-6.
Ebi M, Nakagawa S, Yamaguchi Y, Tamura Y, Izawa S, Hijikata Y, et al. Endoscopic submucosal resection with an endoscopic variceal ligation device for the treatment of rectal neuroendocrine tumors. International journal of colorectal disease 2018. 33(12): p. 1703-1708.
Harada H, Suehiro S, Shimizu T, Katsuyama Y, Hayasaka K, Ito H, et al. Ligation-assisted endoscopic submucosal resection with circumferential mucosal incision for duodenal carcinoid tumor. World Journal of Gastroenterology: WJG 2015. 21(34): p. 10041.
Zhu ZL, Shi HP, Beeharry MK, Feng TN, Yan M, Yuan F, et al. Expanding the indication of endoscopic submucosal dissection for undifferentiated early gastric cancer is safe or not? Asian journal of surgery, 2019.
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