Endoscopic transmural route for dissection of gastric submucosal tumors with extraluminal growth: experience in two cases.

Endoscopic transmural route for dissection of gastric submucosal tumors with extraluminal growth: experience in two cases.
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DOI:
10.1136/gutjnl-2021-324027
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发表时间:
2021-11
期刊:
Gut
影响因子:
24.5
通讯作者:
Hu J
Hu J
中科院分区:
医学1区
文献类型:
--
作者:
Liu X;Chen T;Cheng J;Gao P;Li Q;Chen W;Zhang Y;Zhou P;Hu J

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包括全层技术在内的一系列内镜切除方法已能够切除大多数较小的胃粘膜下肿瘤(SMT)。我们开发了一种扩展的透壁内镜下剥离技术,用于治疗主要由固有肌层引起的腔外生长病变。它包括在病变旁用内窥镜透壁进入腹腔,然后从外部进行浆膜下剥离。该技术在2例较小(2-3 cm)的胃间质瘤患者中获得成功;病变完全切除,短期随访正常。进一步的研究是必要的,以确认这种新方法的安全性和可行性。
The spectrum of endoscopic resection methods, including full thickness techniques, has enabled removal of most smaller gastric submucosal tumours (SMTs). We developed an extended transmural endoscopic dissection technique for lesions with predominately extraluminal growth arising from the muscularis propria. It consists of transmural intraperitoneal access with the endoscope besides the lesion followed by subserosal dissection from the outside. The technique was successful in two patients with smaller (2–3 cm) gastric stromal tumours; lesions were resected completely and short-term follow-up was normal. Further studies are warranted to confirm the safety and feasibility of this this new approach.
粘膜下隧道内镜切除术:治疗起源于固有肌层的上消化道粘膜下肿瘤的新技术
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