Comparison of endoscopic submucosal dissection and surgery for the treatment of gastric submucosal tumors originating from the muscularis propria layer: a single-center study (with video)

Meng, Fan-Sheng; Zhang, Zhaohong; Hong, Yanyun; Li, Dejian; Lin, Junhong; Chen, Xiao Li; Ji, Feng

doi:10.1007/s00464-016-4860-7

Cited by 29 publications

(25 citation statements)

References 25 publications

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“…6 In an institution having well-experienced ESD operators, standard ESD or EMD may be a preferable treatment option for patients with G-SMT originating from Digestive Endoscopy 2018; 30 (Suppl. 1): [7][8][9][10][11][12][13][14][15][16] Endoscopic removal of gastric SMT 13 the MP layer. Moreover, several variations of ESD, such as submucosal endoscopic tumor resection (SET), submucosal tunneling endoscopic resection (STER), endoscopic submucosal tunnel dissection (ESTD), and EFTR without or with laparoscopic assistance have been successfully carried out to remove G-SMT originating from the MP layer.…”

Section: Ost G-smt Including Gist Usually Growmentioning

confidence: 99%

“…These procedures, derived from endoscopic submucosal dissection (ESD) techniques, seem to be effective and safe for patients with G‐SMT. However, such ER procedures require advanced endoscopic skills, particularly for endoscopic closure of a gastric‐wall defect; thus, reports on such ER procedures published to date are relatively limited . These procedures still require evidence of oncological outcomes and remain an investigational treatment .…”

Section: Introductionmentioning

confidence: 99%

“…These procedures still require evidence of oncological outcomes and remain an investigational treatment . Moreover, little is known about the clinical outcomes of these ER procedures in comparison with those of LR for treating G‐SMT . Therefore, we carried out a retrospective study to compare the two resection methods, namely, ER procedures (ESD, endoscopic muscularis dissection [EMD], and EFTR) and LR.…”

Section: Introductionmentioning

confidence: 99%

“…However, such ER procedures require advanced endoscopic skills, particularly for endoscopic closure of a gastric-wall defect; thus, reports on such ER procedures published to date are relatively limited. [3][4][5][6][7][8][9][10] These procedures still require evidence of oncological outcomes and remain an investigational treatment. 1,2 Moreover, little is known about the clinical outcomes of these ER procedures in comparison with those of LR for treating G-SMT.…”

Section: Introductionmentioning

confidence: 99%

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Comparison between endoscopic and laparoscopic removal of gastric submucosal tumor

Abe

Takeuchi

Ohki

et al. 2018

Digestive Endoscopy

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Results: The ER group had a significantly higher percentage of intraluminal growing type of tumor (100% vs 41%) and smaller tumor size (23 vs 33 mm) than the LR group. The ER group had a significantly shorter operative time (93 vs 145 min) and less blood loss (13 vs 30 mL) than the LR group. In the ER group, three patients who had tumors located on the anterior wall of the stomach required laparoscopic closure after EFTR because of difficulty in endoscopic closure of the gastric-wall defect. Postoperative complication rates and duration of postoperative hospital stays did not differ between the two groups.Conclusions: ER may be technically feasible, safe, less invasive, and oncologically appropriate options for selected patients with the intraluminal growing type of G-SMT smaller than 30 mm. EFTR may be more reasonable alternatives to LR in selected patients with a small G-SMT located on the lesser curvature side.

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Section: Ost G-smt Including Gist Usually Growmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison between endoscopic and laparoscopic removal of gastric submucosal tumor

Abe

Takeuchi

Ohki

et al. 2018

Digestive Endoscopy

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“…[5,6] In recent years, more GSTs have been found incidentally during routine esophagogastroduodenoscopy (EGD). GSTs have a malignant potential, particularly those originating from the muscularis propria layer.…”

Section: Introductionmentioning

confidence: 99%

Concomitant stromal tumor and early cancer of the stomach

Xu¹,

Liang-fang²,

Lu³

et al. 2017

Medicine

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Concomitant gastric stromal tumor (GST) and gastric cancer (GC) is uncommon; even more uncommon is a concomitant GST and early stage GC (EGC). Tumor resection by endoscopic submucosal dissection (ESD) for concomitant GST and EGC has not been reported. We sought to define the clinical importance of detection of concomitant GST and EGC during the first esophagogastroduodenoscopy (EGD), and compare the clinical outcomes of ESD versus radical surgery for the treatment of concomitant GST and EGC. Our investigation was a retrospective cohort study. Patients with concomitant GST and EGC who underwent ESD or radical surgery were enrolled at the university-affiliated hospital from January 2005 to January 2015. The detection rate of concomitant GST and EGC during the first EGD was 3/25 (12%). Among 25 patients, 14 underwent ESD and 11 underwent surgery. Mean operation time and hospital stay were significantly shorter in the ESD group than the surgery group. There were no significant differences in terms of rates of en bloc resection, complete resection, and early complications. Late complications were more common in the surgery group than in the ESD group. The median follow-up duration was 58.9 months. Three- or 5-year overall survival rates were 100% for both groups and no patient died of EGC and GST. There was no local recurrence in the 2 groups; however, 3 metachronous EGC lesions were found during the follow-up period in the ESD group as follows: the simultaneous occurrence of GST and EGC was uncommon; the detection rate of concomitant GST and EGC was very low at the first EGD; and ESD appeared to be a safe, efficient, and popular treatment option for concomitant GST and EGC, that met the ESD absolute indication, and the outcomes were comparable to those achieved with surgery.

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Comparison of endoscopic ultrasonography and magnifying endoscopy for assessment of the invasion depth of shallow gastrointestinal neoplasms: a systematic review and meta-analysis

et al. 2017

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Comparison of endoscopic submucosal dissection and surgery for the treatment of gastric submucosal tumors originating from the muscularis propria layer: a single-center study (with video)

Abstract: ESD can achieve similar oncological outcomes when compared with surgery for treatment of gastric SMT smaller than 50 mm.

Cited by 29 publications

References 25 publications

Comparison between endoscopic and laparoscopic removal of gastric submucosal tumor

Comparison between endoscopic and laparoscopic removal of gastric submucosal tumor

Concomitant stromal tumor and early cancer of the stomach

Comparison of endoscopic ultrasonography and magnifying endoscopy for assessment of the invasion depth of shallow gastrointestinal neoplasms: a systematic review and meta-analysis

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