Endoscopic Diagnosis of Gastric Neoplasms

Randall, Gayle

doi:10.1016/s1052-5157(18)30626-3

Cited by 3 publications

(3 citation statements)

References 62 publications

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“…In our series, FGP were multiple in most cases, with a diameter of <1 cm and were most frequent in the fundus. Our observations confi rmed previous reports that FGP occurred within the body and fundus (1,3,7,15) . Histological examination of HP in our series showed that only (0.9%) of the 109 cases had focal carcinoma in the form of a large, pedunculated polyp 4 cm in diameter located in the gastroenteroanastomosis resulting from Billroth II gastrectomy.…”

Section: Discussionsupporting

confidence: 93%

Gastric polyps: a retrospective analysis of 26,000 digestive endoscopies

Morais

Yamanaka

Zeitune

et al. 2007

Arq. Gastroenterol.

123

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-Background -Gastric polyps are small gastric lesions, asymptomatic in most cases and are generally discovered inadvertently during upper digestive endoscopy. Aim -To retrospectively review the characteristics and frequency of gastric polyps, derived from the gastric mucosal epithelium in a large series of endoscopies. Methods -One hundred and fi fty three patients in a series of 26,000 consecutive upper digestive endoscopies done over a 5-year period, being that each patient had only one examination were analyzed and their histological and Yamada classifi cation, as well as their location, size, histopathological fi ndings and treatment studied. All patients had at least one gastric polyp, as confi rmed by histological examination. Results -The polyps were classifi ed as hyperplastic, adenomatous and fundic gland polyps. The most of them measure less than 1 cm (hyperplastic polyps -60,5%; adenomatous polyps -73,6%; fundic gland polyps -72%). Hyperplastic polyps were the most frequent and accounted for 71.3% of the cases, whereas fundic gland polyps accounted for 16.3% and adenomatous polyps for 12.4%. Hyperplastic and adenomatous polyps were primarily single, whereas fundic gland polyps tended to be multiple. A carcinoma was detected in one hyperplastic polyp (0.9%) and in two adenomatous polyps (10.5%). High grade dysplastic foci were found in four adenomatous polyps (21%). Conclusions -The digestive endoscopy is the safest and effi cient method for the diagnosis of the gastric polyps, that in most of the patients does not show characteristic symptoms. The histopathological defi nition is not possible to the endoscopic glance being needed the pathologist's aid, once the conduct to be adopted will depend on the result of the biopsy.

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Section: Discussionsupporting

confidence: 93%

Gastric polyps: a retrospective analysis of 26,000 digestive endoscopies

Morais

Yamanaka

Zeitune

et al. 2007

Arq. Gastroenterol.

123

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“…Diagnostic endoscopic retrograde cholangiopancreatography and sphincterotomy [2,3], biliary stent placement [4], and removal of gastric polyps [5] or small superficial gastric malignancies by snare cauterization [6] are some of the most effective endotherapeutic maneuvers currently performed in the stomach. However, the ability by these procedures to manipulate tissues is limited because of instrument limitations and space confinement [7].…”

Section: Introductionmentioning

confidence: 99%

Mucoadhesive film for anchoring assistive surgical instruments in endoscopic surgery: in vivo assessment of deployment and attachment

et al. 2011

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“…Other hemostatic techniques such a bipolar electrocoagulation, laser photocoagulation, heater probe, and endoscopic variceal band ligation evolved [3,4]. Diagnostic endoscopic retrograde cholangiopancreatography and sphincterotomy [5,6], biliary stent placement [7], and removal of gastric polyps [8] or small superficial gastric malignancies by snare cauterization [9] constitute some of the most effective endotherapeutic maneuvers performed currently. However, the ability to manipulate tissues is reduced with these procedures because of instrument limitations and space confinement.…”

mentioning

confidence: 99%

Endoluminal Surgery

Martínez-Serna

Filipi

1999

World j. surg.

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The development of laparoscopic surgery has provided minimally invasive surgeons with advanced laparoscopic instrumentation and high definition imaging. The resulting surgical expertise and technology has now been extended to gastric endoluminal surgery. Laboratory and clinical investigations have been initiated for various applications of this new form of surgery. Endoluminal gastric wall excision surgery is the most widely utilized and includes the removal of superficial gastric malignancies, benign gastric wall leiomyomas, and gastric polyps. Clinical experience has increased, and the initial results have been satisfactory. Pancreaticocystogastrostomy can be successfully performed using intraluminal surgery, but gastric wall bleeding and lack of fusion of the stomach to the cyst wall have complicated some cases. There are case reports of foreign body removal and intraluminal surgical procedures for patients with bleeding gastric ulcers. Of primary importance at this stage of development is the surgeon's familiarity with appropriate indications for gastric endoluminal surgery and the access devices currently available. Future considerations include the application of this approach to patients with gastroesophageal reflux disease, occult gastrointestinal bleeding, intractable bleeding from a duodenal ulcer, and multiinstitutional trials of gastric excision procedures.

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Endoscopic Diagnosis of Gastric Neoplasms

Cited by 3 publications

References 62 publications

Gastric polyps: a retrospective analysis of 26,000 digestive endoscopies

Gastric polyps: a retrospective analysis of 26,000 digestive endoscopies

Mucoadhesive film for anchoring assistive surgical instruments in endoscopic surgery: in vivo assessment of deployment and attachment

Endoluminal Surgery

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