Endoscopic submucosal tumorectomy for gastrointestinal submucosal tumors restricted to the submucosa: a new form of endoscopic minimal surgery

Kono, Kenji; Yamada, Yoshio; Furukawa, Nobufusa; Utsunomiya, Takeshi; Haraguchi, Yukiaki; Mizuguchi, Masanobu; Oiwa, Toshio; Takano, H; Masuda, Kouji

doi:10.1016/s0016-5107(97)70116-0

Cited by 71 publications

(35 citation statements)

References 9 publications

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“…The conventional endoscopic methods may require longer duration depending on the technique used as well as their associated risk. The localization, dimension and form of the tumour are important considerations for a successful intervention (21,22). In our patients, endoscopic snare resection appeared to be unsuitable due to the size of the tumours.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Alcohol Injection Therapy of Giant Gastric Leiomyomas: An Alternative Method to Surgery

Özdil

Akkız

Keçe³

et al. 2010

Canadian Journal of Gastroenterology and Hepatology

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Leiomyomas are the most common benign mesenchymal tumours of the upper gastrointestinal tract. They rarely cause symptoms when they are smaller than 5 cm in diameter. Observation with repeated endoscopies is recommended in asymptomatic patients with small lesions. Surgical resection remains the main therapy option for symptomatic and complicated patients. The treatment of esophageal leiomyoma has been enhanced by improvements in diagnostic and therapeutic endoscopic techniques; however, the same cannot be said for gastric leiomyoma management. The present article describes the management of two cases involving giant gastric leiomyomas that were successfully treated using endoscopic injection of alcohol. To the authors’ knowledge, the present study is the first report of the treatment of such hemorrhagic gastric tumours using this alternative and low-cost technique. Endoscopic local ethanol injection may be the treatment of choice in carefully selected patients with hemorrhagic leiomyomas of the upper gastrointestinal tract.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Alcohol Injection Therapy of Giant Gastric Leiomyomas: An Alternative Method to Surgery

Özdil

Akkız

Keçe³

et al. 2010

Canadian Journal of Gastroenterology and Hepatology

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“…Therefore, this method was feasible and allowed accurate diagnosis of the lesion. Generally, endoscopic resection of SMTis indicated for tumors less than 3 cm in size, located in the mucosa or submucosa (18,19). There have been many case reports of endoscopic resection for gastric IFP (17,20,21).…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Resection of Small Inflammatory Fibroid Polyp of the Colon.

et al. 2000

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“…When the SML is located in the mucosa or the submucosa, the lesions can be resected using injection of physiological saline solution and electrocautery. This technique seems to be a safe and highly useful diagnostic and therapeutic method for GI SMLs [80,81].…”

Section: Eus Rate Amentioning

confidence: 99%

Endoscopic Ultrasonography

Caletti¹,

Fusaroli²,

Buracco³

1998

Digestion

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Endoscopic ultrasonography (EUS) is nowadays a clinically relevant technology and its findings can have a major impact on patient management. This technique is currently indicated for staging digestive cancers, assessment of submucosal tumors, diagnosis of intestinal wall infiltrative diseases, common bile-duct stones and gut neuroendocrine tumors. As far as neoplasms are concerned, EUS appears to be a reliable and safe technique, thus making the physician able to plan either an aggressive surgical treatment, or a conservative palliative therapy. This is of the utmost importance in order to optimize medical-related costs, and to make the best therapeutic decision for each individual patient. EUS is also helpful in monitoring the course of a disease, as it is simple and virtually without complications. When EUS findings are not sufficient for a complete diagnosis, it is now possible to perform an EUS-guided fine-needle biopsy, which can allow a cytological diagnosis. Finally, some therapeutic endosonography-guided procedures are being increasingly adopted, such as cystoenterostomy, celiac plexus neurolysis, cholangio-pancreatography and selective injection of botulinum toxin in the muscle layer of the lower esophageal sphincter.

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Endoscopic submucosal tumorectomy for gastrointestinal submucosal tumors restricted to the submucosa: a new form of endoscopic minimal surgery

Cited by 71 publications

References 9 publications

Endoscopic Alcohol Injection Therapy of Giant Gastric Leiomyomas: An Alternative Method to Surgery

Endoscopic Alcohol Injection Therapy of Giant Gastric Leiomyomas: An Alternative Method to Surgery

Endoscopic Resection of Small Inflammatory Fibroid Polyp of the Colon.

Endoscopic Ultrasonography

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