Endoscopic Submucosal Dissection for Treatment of Gastric Submucosal Tumors Originating from the Muscularis Propria Layer

Zhang, Shuo; Chao, Guanqun; Men, Li; Gui-bao, NI; Lv, Bin

doi:10.1007/s10620-013-2559-3

Cited by 28 publications

(22 citation statements)

References 20 publications

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“…Thus, we assume that endoscopic approach should be highly selective. To our knowledge, our study contains the largest number of GIST in the UGIT resected by the endoscopic procedure, considering that previous studies only included small number of case series attached to clinical data of gastric SETs resected by ESD, STER or EFTR, [15][16][17][18][19][20][27][28][29][30] and their follow-up duration was relatively short, ranging from 2 to 21 months, 15,17,20,27,28,30,31 or even not presented. 16,18,29 Endoscopically resected cases in our study were followed up for 46 months on average, longer than previous studies, but nevertheless, the recurrence rate was 2.2%.…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic versus surgical resection of GI stromal tumors in the upper GI tract

Joo

Park

Kim

et al. 2016

Gastrointestinal Endoscopy

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Section: Discussionmentioning

confidence: 99%

“…This was compatible with previously published data reporting no recurrence during relatively shortterm duration of follow-up. 15,17,20,28,30,31 M A N U S C R I P T…”

Section: Discussionmentioning

confidence: 99%

Endoscopic versus surgical resection of GI stromal tumors in the upper GI tract

Joo

Park

Kim

et al. 2016

Gastrointestinal Endoscopy

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“…The included studies were published between 2006 and 2013. Seven studies were conducted in Asia [7,20,23-27] (three studies in China [24,25,27], two studies in Japan [7,23], one study in Korea [26], and one study in Taiwan [20]), and two studies were conducted in Europe (one study in Poland [21], and one study in Italy [22]). All of the included studies were written in English.…”

Section: Resultsmentioning

confidence: 99%

Endoscopic submucosal dissection of gastric subepithelial tumors: a systematic review and meta-analysis

Bang

Baik

Shin

et al. 2016

Korean J Intern Med

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Background/Aims:To evaluate the therapeutic outcomes of the endoscopic submucosal dissection (ESD) technique for the treatment of gastric subepithelial tumors (SETs).Methods:A systematic literature review was conducted using the core databases. Data on the complete resection rates and the procedure-related perforation rates were extracted and analyzed. A random effects model was then applied for this meta-analysis.Results:In all, 288 patients with 290 SETs were enrolled from nine studies (44 SETs originated from the submucosal layer; 246 SETs originated from the muscularis propria layer). The mean diameter of the lesions ranged from 17.99 to 38 mm. Overall, the pooled complete resection rate was estimated to be 86.2% (95% confidence interval [CI], 78.9 to 91.3). If the analysis was limited to the lesions that originated from the submucosal layer, the pooled complete resection rate was 91.4% (95% CI, 77.9 to 97). If the analysis was limited to the lesions that originated from the muscularis propria, the pooled complete resection rate was 84.4% (95% CI, 78.7 to 88.8). The pooled procedure-related gastric perforation rate was 13% (95% CI, 9.4 to 17.6). Sensitivity analyses showed consistent results. Finally, publication bias was not detected.Conclusions:ESD, including endoscopic muscularis dissection, is a technically feasible procedure for the treatment of SETs. However, selection bias is suspected from the enrolled studies. For the development of a proper indication of ESD for SETs, further studies are needed.

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“…ESD or modified ESD can be performed for tumors larger than 2 cm with a higher en bloc resection and lower local recurrence, perforation, and bleeding rates (8). Zhang et al (9) reported that ESD is a safe, effective, well-tolerated, and minimally invasive therapy with few complications such as perforation of the intraluminal gastric submucosal tumors originating from the muscularis propria, which can be managed endoscopically.…”

Section: Discussionmentioning

confidence: 99%

Incidental gastrointestinal stromal tumor at a gastroscopic polypectomy specimen: A case report and review of literature

Karakaş¹,

Dandin

Balta

et al. 2017

Turk J Surg

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Although gastrointestinal stromal tumors (GISTs) comprise less than 1% of all gastrointestinal (GI) tract tumors, they are the most common mesenchymal tumors of the GI tract. Gastrointestinal stromal tumors can occur anywhere along the GI tract, but the stomach and small intestine are the most frequently involved sites. Gastrointestinal stromal tumors are frequently asymptomatic, and one-third of all cases are found incidentally. Endoscopy, endoscopic ultrasonography, and computed tomography are useful tools in the diagnosis. Endoscopic mucosal resection, endoscopic submucosal dissection, laparoscopic endoscopic cooperative surgery, and surgery with either laparoscopic or open approaches are treatment modalities for GISTs. An R0 resection is the principle surgery. Imatinib is the main medical agent used in the adjuvant or neoadjuvant treatment of GIST. We present a 65-year-old woman with an asymptomatic GIST that arose from a gastric polyp treated via endoscopic polypectomy.

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Endoscopic Submucosal Dissection for Treatment of Gastric Submucosal Tumors Originating from the Muscularis Propria Layer

Abstract: ESD is a safe, effective, well-tolerated, and minimally invasive therapy for the intraluminal SMTs originating from gastric muscularis propria with relatively few complications. Although there is a risk of perforation which has become manageable endoscopically.

Cited by 28 publications

References 20 publications

Endoscopic versus surgical resection of GI stromal tumors in the upper GI tract

Endoscopic versus surgical resection of GI stromal tumors in the upper GI tract

Endoscopic submucosal dissection of gastric subepithelial tumors: a systematic review and meta-analysis

Incidental gastrointestinal stromal tumor at a gastroscopic polypectomy specimen: A case report and review of literature

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