ISSN: 2008-2258
Vol 13, (2020): Supplement1- Winter
A new endoscopic submucosal resection –ligation technique for gastric tumors
Gastroenterology and Hepatology from Bed to Bench,
,
,
Page S149-S153
https://doi.org/10.22037/ghfbb.v13i1.1975
Abstract
Although most subepithelial lesions are benign, the malignant forms could present as serious life-threating cancers. Their accurate diagnosis depends on complete surgical resection. Different endoscopic methods have been recommended for the resection. Recently, the EMR has been considered as a safe and effective technique, while various revised EMR techniques have been introduced. In this study, a new version of EMR has been evaluated in two patients. 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. Furthermore, the microscopic margins of the lesions were free. Our study represented a safe and cost-beneficial technique for subepithelial lesions and no complications was found and the margins were free. However, further investigations are required for confirming the validity of this new EMR technique.
Keywords: Subepithelial Tumor, Endoscopic Mucosal Resection.
(Please cite as: Asadzadeh Aghdaei H, Sadeghi A, Ghorbanpour Nouri A, Nouri GHR, Dooghaie Moghadam A, Azizi MR, et al. A new endoscopic submucosal resection –ligation technique for gastric tumors. Gastroenterol Hepatol Bed Bench 2020;13(Suppl.1):S149-S153).
- subepithelial tumor
- endoscopic mucousal resection.
How to Cite
References
Enestvedt BK, Chandrasekhara V, Ginsberg GG. Endoscopic ultrasonographic assessment of gastric polyps and endoscopic mucosal resection. Curr Gastroenterol Rep 2012;14:497-503.
Dávila JS, Momblán D, Ginès À, Sánchez-Montes C, Araujo I, Saavedra-Pérez D, et al. Endoscopic-assisted laparoscopic resection for gastric subepithelial tumors. Surg Endosc 2016;30:199-203.
Baghaei K, Shokrzadeh L, Jafari F, Dabiri H, Yamaoka Y, Bolfion M, et al. Determination of Helicobacter pylori virulence by analysis of the cag pathogenicity island isolated from Iranian patients. Dig Liver Dis. 2009;41:634-8.
Zali MR, Mayumi M, Raoufi M, Nowroozi A. Hepatitis C virus genotypes in the Islamic Republic of Iran: a preliminary study. East Mediterr Health J. 2000;6:372-7.
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. J Gastroenterol Hepatol 2008;23:218-21.
Chun SY, Kim KO, Park DS, Lee IJ, Park JW, Moon SH, 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. Surg Endosc 2013;27:3271-9.
Zhu H, Shi D, Song H, Zhou M, Sun D, Li R, et al. Snare-assisted endoscopic resection of gastric subepithelial tumors originating from the muscularis propria layer: a multicenter study. Surg Endosc 2019:1-6.
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. Int J Colorectal Dis 2018;33:1703-8.
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. Gastrointest Endosc 2015;82:1-8.
Shokrzadeh L, Baghaei K, Yamaoka Y, Dabiri H, Jafari F, Sahebekhtiari N, et al. Analysis of 3'-end variable region of the cagA gene in Helicobacter pylori isolated from Iranian population. J Gastroenterol Hepatol 2010;25:172-7.
Nishizawa T, Yahagi N. Endoscopic mucosal resection and endoscopic submucosal dissection: technique and new directions. Curr Opin Gastroenterol 2017;33:315-9.
Zhang DG, Luo S, Xiong F, Xu ZL, Li YX, Yao J, et al. Endoloop ligation after endoscopic mucosal resection using a transparent cap: A novel method to treat small rectal carcinoid tumors. World J Gastroenterol 2019;25:1259-65.
Rostami-Nejad M, Villanacci V, Hogg-Kollars S, Volta U, Manenti S, Reza-Zali M, et al. Endoscopic and histological pitfalls in the diagnosis of celiac disease: A multicentre study assessing the current practice. Rev Esp Enferm Dig 2013;105:326-33.
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 J Surg 2020;43:526-531.
Sahebekhtiari N, Nochi Z, Eslampour MA, Dabiri H, Bolfion M, Taherikalani M, et al. Characterization of Staphylococcus aureus strains isolated from raw milk of bovine subclinical mastitis in Tehran and Mashhad. Acta Microbiol Immunol Hung 2011;58:113-21.
- Abstract Viewed: 0 times
- PDF Downloaded: 0 times
