Endoscopic enucleation of gastrointestinal stromal tumors of the stomach: Report of five cases

Katoh, Toshio; Itoh, Yoshiyuki; Mohri, Tomomi; Suzuki, Hiroshi

doi:10.3748/wjg.14.2609

Cited by 24 publications

(22 citation statements)

References 8 publications

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“…Endoscopic enucleation of gastric submucosal tumors has been reported by many authors (18)(19)(20). In their se- …”

Section: Discussionmentioning

confidence: 99%

“…However, this approach is challenging and many times technically impossible to perform in iuxtacardial location of the GIST. Moreover, is not indicated in large tumors or if involvement of the muscolaris propria is suspected in the preoperative endoscopic ultrasonography, because the risk of an uncompleted removal of the tumor (10,(18)(19)(20). Laparoscopic wedge resection has also been performed for the removal of gastric GIST (11).…”

Section: © C I C E D I Z I O N I I N T E R N a Z I O N A L Imentioning

confidence: 99%

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Laparoscopic endoscopic rendez-vous resection of iuxta-cardial gastric GIST

Vecchio¹

2013

G Chir

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“…Endoscopic enucleation of gastric submucosal tumors has been reported by many authors (18)(19)(20). In their se- …”

Section: Discussionmentioning

confidence: 99%

Section: © C I C E D I Z I O N I I N T E R N a Z I O N A L Imentioning

confidence: 99%

Laparoscopic endoscopic rendez-vous resection of iuxta-cardial gastric GIST

Vecchio¹

2013

G Chir

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“…A new endoscopic mini-invasive technique, endoscopic submucosal dissection (ESD), enables the resection of epithelial lesions of any diameter ''en bloc.'' ESD is gaining broad acceptance for the treatment of early neoplastic lesions of the stomach and has been proposed for the treatment of SMTs [9,10]. In this study we present the results of our experience in the use of ESD to treat patients with SMTs.…”

Section: Introductionmentioning

confidence: 91%

Endoscopic submucosal dissection in the treatment of gastric submucosal tumors: results from a retrospective cohort study

et al. 2012

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Background A submucosal tumor (SMT) of the stomach, which is an occasional finding during routine upper gastrointestinal endoscopy, may pose diagnostic and therapeutic challenges. Methods To assess whether endoscopic submucosal dissection (ESD) is a feasible approach to definitively cure SMTs, the authors performed a retrospective cohort study with two endoscopic italian centers.Results The study consisted of 20 patients with SMTs who underwent ESD. The patients underwent ESD and were followed up by endoscopy. We analyzed complete resection rate, frequency of complications, and survival. The overall rate of R0 resection was 90 % (18/20), with two endoscopic failures, one for a submucosal tumor and one for a neoplasm deeply infiltrating the proper muscle layer. The median procedure time was 119.1 min (range 40-240 min). The median size of the resected specimens was 29 mm (range 15-60 mm). Perforation occurred in 3 patients; all were treated conservatively. There were no cases of severe bleeding. Based on histopathological findings, 6 cases of ectopic pancreas, 1 of ectopic spleen, 3 of leiomyoma, and 10 of gastrointestinal stromal tumor (GIST) were diagnosed. Complete resection was obtained in all GIST cases. Among the 10 GIST cases treated by ESD, no death occurred: the 5-year disease-specific survival rate was 100 %. Conclusions The high success rate of 90 % and the low incidence of complications should indicate ESD is the correct diagnostic and definitive treatment in selected patients.

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“…Bilroth II type stomach resection is done less often. Very small tumours up to 2.5 cm are possible to enucleate without signifi cant complications endoscopically (17). Golden standard, consisting of a complete transperitoneal excision (open or laparoscopic) with clear margins and without tumour rupture, dominates therapy of gastric GISTs Total subdiafragmatic gastrectomy is recommended for tumours close to gastroesophageal junction.…”

Section: Therapymentioning

confidence: 99%

Gastrointestinal stromal tumour (GIST) from the point of view of a general surgeon

Hrusovský¹

2012

BLL

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Authors present the current knowledge about pathology of gastrointestinal stromal tumours (GISTs), their symptoms and diagnostics. They present data about surgical and biological therapy of GISTs and relation between them based on literature. This work is supplemented with the own group of 16 patients with GISTs, treated on their surgical ward in years [2003][2004][2005][2006][2007][2008]. General surgeon meets GISTs in unclear diagnosed tumours and when encountering their complications. Recurrent and metastatic tumours should be treated in centres (Tab. 6, Fig. 1, Ref. 24). Full Text in PDF www.elis.sk.

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Endoscopic enucleation of gastrointestinal stromal tumors of the stomach: Report of five cases

Cited by 24 publications

References 8 publications

Laparoscopic endoscopic rendez-vous resection of iuxta-cardial gastric GIST

Laparoscopic endoscopic rendez-vous resection of iuxta-cardial gastric GIST

Endoscopic submucosal dissection in the treatment of gastric submucosal tumors: results from a retrospective cohort study

Gastrointestinal stromal tumour (GIST) from the point of view of a general surgeon

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