Endoscopic ultrasound-guided therapy of a gastrointestinal stromal tumor (GIST)

Cortázar, Eduardo Valdivielso; Fernández-Urién, Ignacio; Vila, Juan J.; Pérez, Francisco Javier Jiménez

doi:10.1055/s-0034-1391952

Cited by 11 publications

(6 citation statements)

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“…We induced 10 cases, in which 11 EUS-guided procedures were included ( Table 2 ). 20 , 21 , 31 , 32 , 35 , 38 The source of bleeding mainly focuses on Dieulafoy’s lesion (five cases). Other pathogenesis includes pancreatic pseudoaneurysm (two cases), duodenal metastasis (one case), periampullary tumor (one case), and GIST (one case).…”

Section: Resultsmentioning

confidence: 99%

“…In a study reported by Levy et al , 31 the needle was punctured directly into the pseudoaneurysm followed by advancing to the feeding vessel and injection when treating a patient of pancreatic pseudoaneurysm . Valdivielso Cortazar et al 20 reported that the needle was placed in the middle of the lesion of a GIST and alcohol was injected in the middle of the lesion. The sizes of the needles used in these cases were 19G in one case (two procedures, 18.2%), 20G in one case (9.1%), 22G in four cases (36.4%), 23G in three cases (27.3%), and 25G in one case (9.1%).…”

Section: Resultsmentioning

confidence: 99%

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Management of non-variceal upper gastrointestinal bleeding: role of endoscopic ultrasound-guided treatments

Han

Xin

Liu

et al. 2022

Therap Adv Gastroenterol

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Non-variceal upper gastrointestinal bleeding (NVUGIB) is a common type of upper gastrointestinal emergency with high risk of life-threatening conditions. Nowadays some standard guidelines for the treatments of NVUGIB have been established based on endoscopic therapies, including injection of glues or sclerosing agents, coiling, band ligation, and thermal therapies. Nevertheless, some patients are refractory to standard endoscopic treatments. We have noticed that endoscopic ultrasound (EUS)–guided treatments have been performed by some endoscopists in certain conditions. This review aims to evaluate the role of EUS-guided treatments in the management of NVUGIB. We performed a MEDLINE/PubMed search, and relevant studies were extracted and examined. According to the existing literature, the most common lesions were Dieulafoy’s lesion, pancreatic pseudoaneurysms, and gastrointestinal stromal tumors. EUS-guided treatments mainly include injection, mechanical therapies, and combined therapies, and seem to be a promising technique in the management of NVUGIB, especially for refractory bleeding.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Management of non-variceal upper gastrointestinal bleeding: role of endoscopic ultrasound-guided treatments

Han

Xin

Liu

et al. 2022

Therap Adv Gastroenterol

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“…There is no consensus with regard to the appropriate volume, type of needle and clinical efficacy. To date, few published cases have been reported (3)(4)(5). A literature review of GIST cases treated with EUS-guided ethanol-ablation was performed and a comparison with two reported cases is summarized in table 1.…”

Section: Discussionmentioning

confidence: 99%

EUS-guided ethanol ablation therapy for gastric stromal tumors

2017

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“…Conventional endoscopic treatment of tumoral lesions is challenging and efficacy limited because of the complex neoangiogenesis of these lesions, which are beyond the reach of endoscopic contact procedures [2]. Cases of endoscopic ultrasound (EUS)guided therapy of bleeding GISTs with injection of cyanoacrylate (CYA) [3,4] or ethanol [5] have been published. To the best of our knowledge, EUS-guided coil deployment has not been reported in this setting.…”

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confidence: 99%