Non-Exposed Endoscopic Wall-Inversion Surgery for Gastrointestinal Stromal Tumor of the Stomach: First Case Report in Korea

Kim, Da Won; Kim, Joon Sung; Kim, Byung‐Wook; Jung, Ji Yun; Kim, Gi Jun; Kim, Jin-Jo

doi:10.5946/ce.2016.002

Cited by 8 publications

(6 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus a more secure endoscopic method is needed, and it should be performed by a well-trained endoscopist. Recently, novel hybrid techniques, such as combination of laparoscopic and endoscopic approaches to neoplasia with non exposure technique (CLEANNET) (76) and non-exposed endoscopic wall-inversion surgery (NEWS) (77,78), could avoid exposing malignant SETs to the peritoneal cavity. In conclusion, technical modifications and improvements are required to define the role of endoscopy for treating gastric GISTs.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic resection of gastric gastrointestinal stromal tumors

Tan

et al. 2017

Transl. Gastroenterol. Hepatol.

View full text Add to dashboard Cite

Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors in the gastrointestinal tract, and about 60% of them are found in the stomach. With the widespread application of endoscopy and endoscopic ultrasonography (EUS), more and more gastric GISTs are being found in an early stage (with a relative small diameter and no metastasis), giving the chance of complete resection. Endoscopic resection such as endoscopic band ligation (EBL), endoscopic submucosal dissection (ESD), endoscopic submucosal excavation (ESE), endoscopic full-thickness resection (EFTR) and submucosal tunneling endoscopic resection (STER), is a minimally invasive method compared with the conventional surgical approaches (open or laparoscopic), and has been demonstrated to be safe and effective for treating gastric GISTs. This review summarizes the recent advances on endoscopic resection of gastric GISTs, aiming to provide a rational management strategy for gastric GISTs.

show abstract

Section: Discussionmentioning

confidence: 99%

Endoscopic resection of gastric gastrointestinal stromal tumors

Tan

et al. 2017

Transl. Gastroenterol. Hepatol.

View full text Add to dashboard Cite

show abstract

“…NEWS is a novel technique developed by Goto et al ( 6 ) that consists of a minimally invasive procedure using laparoscopic surgery and endoscopic intervention with a full-thickness resection of the gastric wall and a decreased contamination risk. NEWS has been used in patients with schwannoma, GISTs, granuloma, an ectopic pancreas and neurinoma ( 7 , 12 , 13 ), and has been combined with sentinel node basin dissection for early stage gastric cancer ( 8 – 9 ).…”

Section: Discussionmentioning

confidence: 99%

Non-exposed endoscopic wall-inversion surgery for a gastrointestinal stromal tumor of the stomach: A case report

2017

View full text Add to dashboard Cite

Complete surgical resections are crucial for permanently curing patients with gastrointestinal stromal tumors (GISTs). Laparoscopic wedge resection is a widely accepted surgical treatment, but identifying the tumor margin from a serosal laparoscopic view is challenging when using this technique. Non-exposed endoscopic wall-inversion surgery (NEWS) for patients with gastric GISTs is a novel, minimally invasive surgical technique that may aid in complete resection of the tumor margin by endoscopy and laparoscopy methods, removing the whole layer of the gastric wall and the entire tumor, with decreased risk of peritoneal contamination or tumor spread to the peritoneum. To the best of our knowledge, the present study reports the first use of NEWS for a patient with small gastric GIST in Thailand. A 61-year old female presented with jaundice and was diagnosed with acute viral hepatitis A. At 4 months, the severity of the symptoms had decreased but the serum transaminase in the liver function tests remained elevated. The computed tomography scans incidentally demonstrated a gastric mass that protruded into the lumen. Endoscopic examination revealed a 2.5×2.0-cm sub-epithelial tumor located in the posterior wall of the upper gastric body. The patient was informed and consented to undergo NEWS. No intraoperative or immediate postoperative complications were detected. The patient was discharged 5 days following the surgery. In a follow-up visit 4 weeks subsequent to the surgery, the patient was healthy and without complications.

show abstract

“…Finally, circumferential muco-submucosal incision of the intruded tumor is performed by endoscopists and tumor specimen is retrieved perorally followed by mucosal closure ( 80 , 181 , 194 ). Besides the benefit that precludes interluminal communication, NEWS could achieve an accurate determination of the resection line ( 195 ). However, it is obvious that the NEWS technique is restrained by tumor size as tumors with a relatively larger size (>3 cm) are laborious to be retrieved through the mouth.…”

Section: Advances In Laparoscopy–endoscopy Cooperative Techniquesmentioning

confidence: 99%

Advances of endoscopic and surgical management in gastrointestinal stromal tumors

2023

View full text Add to dashboard Cite

As one of the most common mesenchymal malignancies in the digestive system, gastrointestinal stromal tumors (GISTs) occur throughout the alimentary tract with diversified oncological characteristics. With the advent of the tyrosine kinase inhibitor era, the treatment regimens of patients with GISTs have been revolutionized and GISTs have become the paradigm of multidisciplinary therapy. However, surgery resection remains recognized as the potentially curative management for the radical resection and provided with favorable oncological outcomes. The existing available surgery algorithms in clinical practice primarily incorporate open procedure, and endoscopic and laparoscopic surgery together with combined operation techniques. The performance of various surgery methods often refers to the consideration of risk evaluation of recurrence and metastases; the degree of disease progression; size, location, and growth pattern of tumor; general conditions of selected patients; and indications and safety profile of various techniques. In the present review, we summarize the fundamental principle of surgery of GISTs based on risk assessment as well as tumor size, location, and degree of progress with an emphasis on the indications, strengths, and limitations of current surgery techniques.

show abstract

Non-Exposed Endoscopic Wall-Inversion Surgery for Gastrointestinal Stromal Tumor of the Stomach: First Case Report in Korea

Cited by 8 publications

References 7 publications

Endoscopic resection of gastric gastrointestinal stromal tumors

Endoscopic resection of gastric gastrointestinal stromal tumors

Non-exposed endoscopic wall-inversion surgery for a gastrointestinal stromal tumor of the stomach: A case report

Advances of endoscopic and surgical management in gastrointestinal stromal tumors

Contact Info

Product

Resources

About