Endoscopic band ligation of small gastric stromal tumors and follow-up by endoscopic ultrasonography

Sun, Siyu; Guo, Nan; Wang, Caixia; Wang, Mengchun; Lu, Qingjie

doi:10.1007/s00464-006-9028-4

Cited by 66 publications

(39 citation statements)

References 17 publications

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“…FNA in our series was able to confirm GIST only in 2 of 8 cases without the evaluation of the mitotic index. The high success rate (90 % in our series) achieved with ESD and the absence of relevant complications suggest this procedure as a diagnostic and in some case therapeutic option in the resection of SMTs [15][16][17][18][19]. The main limitation of this study was that patients were assigned to ESD based solely on the patient's attitude.…”

Section: Discussionmentioning

confidence: 83%

Endoscopic submucosal dissection in the treatment of gastric submucosal tumors: results from a retrospective cohort study

et al. 2012

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Background A submucosal tumor (SMT) of the stomach, which is an occasional finding during routine upper gastrointestinal endoscopy, may pose diagnostic and therapeutic challenges. Methods To assess whether endoscopic submucosal dissection (ESD) is a feasible approach to definitively cure SMTs, the authors performed a retrospective cohort study with two endoscopic italian centers.Results The study consisted of 20 patients with SMTs who underwent ESD. The patients underwent ESD and were followed up by endoscopy. We analyzed complete resection rate, frequency of complications, and survival. The overall rate of R0 resection was 90 % (18/20), with two endoscopic failures, one for a submucosal tumor and one for a neoplasm deeply infiltrating the proper muscle layer. The median procedure time was 119.1 min (range 40-240 min). The median size of the resected specimens was 29 mm (range 15-60 mm). Perforation occurred in 3 patients; all were treated conservatively. There were no cases of severe bleeding. Based on histopathological findings, 6 cases of ectopic pancreas, 1 of ectopic spleen, 3 of leiomyoma, and 10 of gastrointestinal stromal tumor (GIST) were diagnosed. Complete resection was obtained in all GIST cases. Among the 10 GIST cases treated by ESD, no death occurred: the 5-year disease-specific survival rate was 100 %. Conclusions The high success rate of 90 % and the low incidence of complications should indicate ESD is the correct diagnostic and definitive treatment in selected patients.

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Section: Discussionmentioning

confidence: 83%

Endoscopic submucosal dissection in the treatment of gastric submucosal tumors: results from a retrospective cohort study

et al. 2012

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“…This technique is frequently employed for the resection of rectal carcinoids smaller than 1 cm in diameter, and has been shown to be superior to conventional polypectomy in terms of achieving complete resection with negative margins [42,43]. Band ligation with or without electrosurgical resection has also been employed as a promisingly safe and effective method of treating small subepithelial lesions arising from the muscularis propria, including GISTs [37,[44][45][46]. In the so-called "ligate and let-go" technique, snare resection is not performed at the time of band ligation, thereby avoiding the risks of bleeding and perforation.…”

Section: Endoscopic Mucosal Resection and Endoscopic Submucosal Dissementioning

confidence: 99%

“…While not commonly performed, endoscopic resection of GISTs has been described using a variety of techniques, such as EMR, ESD, band ligation-assisted resection, and endoscopic enucleation/excavation [37,40,44,46,73,74]. Because GISTs typically arise from the muscularis propria, endoscopic resection carries a considerable risk for complications, especially bleeding and perforation.…”

Section: Treatment Of Localized Gistsmentioning

confidence: 99%

Subepithelial Lesions

Huang¹,

Saltzman²

2015

ERCP and EUS

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“…Endoscopic mucosal resection with band ligation was reported to be used in removing the subepithelial tumor in the submucosal layer <10 mm on any sites of digestive tract [8] .…”

Section: Discussionmentioning

confidence: 99%

Ligation-Assisted Endoscopic Enucleation for the Resection of Gastrointestinal Tumors Originating from the Muscularis Propria: Analysis of Efficacy and Facility

Zeng

Jiao²,

Wang³

et al. 2016

Dig Surg

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Background: Gastrointestinal tumors originating from the muscularis propria are believed to have the potential to progress to malignant tumors. The efficacy of ‘pre-management' with elastic band or endoloop assistant ligation after initial submucosal dissection in endoscopic enucleation procedure of these tumors was investigated and evaluated. Methods: The study included 21 patients with small gastric stromal tumors arising in the gastric muscularis propria as determined by endoscopy (endoscopic ultrasonography). A standard endoscope with a transparent cap attached to the tip was used. The cap was placed over the lesion, after incision of the surrounding tissue, maximum sustained suction was applied. Then the elastic band or endoloop was released around the base. Circumference resection was performed with clips strengthening the defect closure. Results: The 22 gastrointestinal stromal tumors sloughed completely. The mean time required for the full-thickness resection was 48 min. Minor perforation occurred with metal clips closing the defect of the gastric wall. Follow-up ranged from 13 to 42 months, during which time no recurrence was observed postoperatively. Conclusions: The band or endoloop assistant endoscopic ligation technique is effective for the enucleation of deep gastric tumors. It may help avoiding disturbance the abdominal cavity hemostasis in traditional full-thickness enucleation procedure.

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Endoscopic band ligation of small gastric stromal tumors and follow-up by endoscopic ultrasonography

Abstract: Endoscopic band ligation with systematic followup by EUS is an effective and safe treatment for small GISTs.

Cited by 66 publications

References 17 publications

Endoscopic submucosal dissection in the treatment of gastric submucosal tumors: results from a retrospective cohort study

Endoscopic submucosal dissection in the treatment of gastric submucosal tumors: results from a retrospective cohort study

Subepithelial Lesions

Ligation-Assisted Endoscopic Enucleation for the Resection of Gastrointestinal Tumors Originating from the Muscularis Propria: Analysis of Efficacy and Facility

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