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Endoscopic full-thickness resection for gastric gastrointestinal stromal tumor originating from the muscularis propria
Huang, Ju; Xian, Xiang-Shu; Huang, Liu-Ye; Zhang, Bo; Wu, Cheng-Rong; Cui, Jun.
  • Huang, Ju; Nanchang University. Queen Mary School. Nanchang. CN
  • Xian, Xiang-Shu; The Affiliated Yantai Yuhuangding Hospital of Qingdao University. Department of Gastroenterology. Yantai. CN
  • Huang, Liu-Ye; The Affiliated Yantai Yuhuangding Hospital of Qingdao University. Department of Gastroenterology. Yantai. CN
  • Zhang, Bo; The Affiliated Yantai Yuhuangding Hospital of Qingdao University. Department of Gastroenterology. Yantai. CN
  • Wu, Cheng-Rong; The Affiliated Yantai Yuhuangding Hospital of Qingdao University. Department of Gastroenterology. Yantai. CN
  • Cui, Jun; The Affiliated Yantai Yuhuangding Hospital of Qingdao University. Department of Gastroenterology. Yantai. CN
Rev. Assoc. Med. Bras. (1992) ; 64(11): 1002-1006, Nov. 2018. tab, graf
Article in English | LILACS | ID: biblio-976793
ABSTRACT
SUMMARY

OBJECTIVE:

This study retrospectively reviewed 46 cases of gastric gastrointestinal stromal tumors treated by endoluminal endoscopic full-thickness resection (EFR) microsurgery in our gastrointestinal endoscopy center. We aimed to evaluate the EFR for the treatment of gastric gastrointestinal stromal tumors originating from the muscularis propria.

METHODS:

A total of 46 patients with gastric gastrointestinal stromal tumors originated from the muscularis propria layer from January 2012 to June 2015 were treated with EFR. The patients were followed up with gastroscope and computed tomography (CT) for evaluation of therapeutic effect and safety.

RESULTS:

EFR was successfully accomplished to remove all tumors in 46 patients. The mean procedure time was 82.5±39.8min (56-188min). Except in 3 leiomyomas, pathological examination confirmed gastrointestinal stromal tumor (GIST) in 43 cases. None of the patients had occurred bleeding, peritonitis and other complications after EFR. Thereafter, all patients were followed up with gastro-scope after 1, 6,12 months.

CONCLUSIONS:

EFR is effective and safe for patients with gastric gastrointestinal stromal tumors originated from muscularis propria layer and has the advantage of less invasive treatment and higher tumor resection rate. It should be considered for further application.
RESUMO
RESUMO

OBJETIVO:

Este estudo revisou retrospectivamente 46 casos de tumores gástricos estromáticos gastrointestinais tratados por microcirurgia endoluminal endoscópica de ressecção completa (EFR) em nosso centro de endoscopia gastrointestinal. Pretendemos avaliar a EFR para o tratamento de tumores gastrointestinais estromáticos originários da muscularis própria.

MÉTODOS:

Um total de 46 pacientes com tumores gástricos estromáticos gastrointestinais originários da camada muscular própria, de janeiro de 2012 a junho de 2015, foi tratado com EFR. Os pacientes foram acompanhados com gastroscópio e tomografia computadorizada (TC) para avaliação de efeitos terapêuticos e segurança.

RESULTADOS:

A EFR foi realizada com sucesso para remover todos os tumores em 46 pacientes. O tempo médio de procedimento foi de 82,5±39,8 min (56-188 min). Exceto em três leiomiomas, exame patológico confirmou tumor estromal gastrointestinal (Gist) em 43 casos. Em nenhum paciente ocorreu sangramento, peritonite e outras complicações após EFR. Posteriormente, todos os pacientes foram acompanhados com gastroscópio após um, seis e 12 meses.

CONCLUSÕES:

A EFR é eficaz e segura para pacientes com tumores gastrointestinais originários da camada muscular própria e tem a vantagem de ser um tratamento menos invasivo e com maior taxa de ressecção tumoral. Deve ser considerada para posterior aplicação.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Stomach Neoplasms / Gastrointestinal Stromal Tumors / Endoscopic Mucosal Resection / Gastrectomy / Gastric Mucosa / Leiomyoma Type of study: Observational study Limits: Adult / Aged / Female / Humans / Male Language: English Journal: Rev. Assoc. Med. Bras. (1992) Year: 2018 Type: Article Affiliation country: China Institution/Affiliation country: Nanchang University/CN / The Affiliated Yantai Yuhuangding Hospital of Qingdao University/CN

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Full text: Available Index: LILACS (Americas) Main subject: Stomach Neoplasms / Gastrointestinal Stromal Tumors / Endoscopic Mucosal Resection / Gastrectomy / Gastric Mucosa / Leiomyoma Type of study: Observational study Limits: Adult / Aged / Female / Humans / Male Language: English Journal: Rev. Assoc. Med. Bras. (1992) Year: 2018 Type: Article Affiliation country: China Institution/Affiliation country: Nanchang University/CN / The Affiliated Yantai Yuhuangding Hospital of Qingdao University/CN