Endoscopic Ultrasonography as a Guide to Strip Biopsy Removal of Esophageal Submucosal Tumors

Songür, Yıldıran; Okai, Takashi; T, Fujii; Watanabe, Hiroyuki; Motoo, Yoshiharu; Sawabu, Norio

doi:10.1097/00004836-199501000-00018

Cited by 6 publications

(4 citation statements)

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“…Previous studies have shown that this approach does not provide a reliable distinction between benign and malignant tumors, but that lesions smaller than 3 cm in diameter with a homogeneous internal echo pattern and smooth border are likely to be benign [7].…”

Section: Discussionmentioning

confidence: 99%

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Utility of endoscopic ultrasonography in assessing the indications for endoscopic surgery of submucosal esophageal tumors

et al. 1999

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Section: Discussionmentioning

confidence: 99%

“…Surgical procedures for SMT: Two procedures were used in this study: endoscopic resection using the strip biopsy technique [1,7] and thoracoscopic enucleation [2].…”

Section: Eus Techniquementioning

confidence: 99%

Utility of endoscopic ultrasonography in assessing the indications for endoscopic surgery of submucosal esophageal tumors

et al. 1999

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“…In the future, other procedures may replace simple LM enucleation. Endoscopic aspiration lumpectomy [20], video-thorascopy [229,230], endoscopic ultrasonography-assisted fiberoptic endoscopic resection [19,27], endoscopic laser ablation (lm 38), and traditional thorascopic enucleation assisted by an intralumi-nal balloon-mounted esophagoscope [16] have all shown promise in the treatment of esophageal tumors.…”

Section: Discussionmentioning

confidence: 99%

Tumors of the Esophagus

et al. 2000

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This collective review includes all available case reports of smooth muscle (stromal) tumors of the esophagus in the world literature. Compiling this review, we endeavored to examine cumulative and recently collected data of both benign and malignant esophageal smooth muscle tumors found in the literature spanning the period from 1875 to 1996, which totaled 1679 leiomyomas (LMs) and 165 leiomyosarcomas (LMSs). The peak age of occurrence of benign smooth muscle tumors in the esophagus was found to be between the ages of 30 and 59, whereas the highest frequency of malignant tumors was seen later in life, during the decade from age 60 to 69. The most common location of both LMs and LMSs was the lower third of the esophagus. Their patterns of growth differed; LMs were more likely to grow intramurally, and LMSs were predominantly intraluminal. Most patients with LMs presented with dysphagia and pain or discomfort; patients with LMSs additionally commonly complained of weight loss. As with smooth muscle tumors of other areas of the gastrointestinal tract, the duration of symptoms averaged 1 month to 1 year, and malignant tumors grew to larger sizes than benign neoplasms. Approximately one-third of LMSs had metastasized at diagnosis, and there was a 5-year survival rate of approximately 20%.

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“…Although a precise diagnosis can be made on histological examination, it is more difficult to achieve in the case of SELs. To overcome this problem, methods such as a biteon-bite technique, strip biopsy, or EUS-guided fine-needle aspiration have been suggested [9][10][11][12]. Surgical resection is sometimes recommended for symptomatic or larger asymptomatic SELs [7,13].…”

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confidence: 99%

Endoscopic submucosal resection of esophageal subepithelial lesions using band ligation

et al. 2011

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Subepithelial lesions (SELs) are occasionally found in the esophagus during upper endoscopy. Sometimes endoscopic resection is needed for accurate diagnosis or in the rare cases of malignant transformation of SELs. In this case series, we evaluated the usefulness of endoscopic submucosal resection with a ligation device (ESMR-L) in esophageal SELs. Twenty-three patients with 25 esophageal SELs that were no larger than 13 mm and were localized within the muscularis mucosae or submucosa were enrolled. ESMR-L was successfully performed in all 25 SELs. The en bloc resection rate was 100% (25/25), and histologically complete resection was achieved in 24 lesions (24/25, 96%). After resection of the lesion by snare, minor immediate bleeding occurred in four cases, but there was no delayed bleeding or perforation.

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Endoscopic Ultrasonography as a Guide to Strip Biopsy Removal of Esophageal Submucosal Tumors

Cited by 6 publications

References 0 publications

Utility of endoscopic ultrasonography in assessing the indications for endoscopic surgery of submucosal esophageal tumors

Utility of endoscopic ultrasonography in assessing the indications for endoscopic surgery of submucosal esophageal tumors

Tumors of the Esophagus

Endoscopic submucosal resection of esophageal subepithelial lesions using band ligation

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