Novel endoscopic management for small gastric submucosal tumors: A single-center experience (with video)

作者全名："Li, Shan; Liang, Xiaoyan; Zhang, Bingqiang; Tao, Xiaohong; Deng, Liang"

作者地址："[Li, Shan; Liang, Xiaoyan; Zhang, Bingqiang; Tao, Xiaohong; Deng, Liang] Chongqing Med Univ, Affiliated Hosp 1, Dept Gastroenterol, Chongqing 400010, Peoples R China"

通信作者："Deng, L (corresponding author), Chongqing Med Univ, Affiliated Hosp 1, Dept Gastroenterol, Chongqing 400010, Peoples R China."

来源：DIGESTIVE AND LIVER DISEASE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000670070300018

JCR分区：Q2

影响因子：4.5

年份：2021

卷号：53

期号：7

开始页：895

结束页：899

文献类型：Article

关键词：SMT-MPs; GISTs; Precutting EBL; Ligation

摘要："Background and aims: To explore the novel treatment of small gastric submucosal tumors (SMTs) originating from the muscularis propria layer (SMT-MPs), we utilized endoscopic band ligation (EBL) with a precut of the covering mucosa. Methods: From Jan. 2012 to Dec. 2019, 111 patients with 124 gastric SMT-MPs were treated by precutting EBL. The clinical characteristics, operation duration, postoperative adverse events, and follow-up profiles were retrospectively collected. Results: A total of 124 tumors from 111 patients were successfully treated by precutting EBL. No adverse events, including perforation and major bleeding, were observed. Furthermore, 93 patients (83.8%) underwent endoscopic surveillance postoperatively, and during the follow-up period, no local recurrence was detected. Conclusions: Precutting EBL appears to be a safe and simple method for removing gastric SMT-MPs < 16 mm (mainly indicated for potentially malignant GISTs), but further studies with longer follow-up are needed to assess the radicality of this intervention. (c) 2021 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved."

基金机构：First Affiliated Hospital of Chongqing Medical University Foundation [XKTS102]; Joint Project Foundation of Chongqing Health Commission; Chongqing Scientific and Technological Commission [2021MSXM103]

基金资助正文：This study was supported by the First Affiliated Hospital of Chongqing Medical University Foundation (Grant No. XKTS102) . This study was also supported by the Joint Project Foundation of Chongqing Health Commission and Chongqing Scientific and Technological Commission (Grant No. 2021MSXM103) .