Endoscopic ultrasound of isolated gastric corrosive stricture mimicking linitis plastica

Altonbary, Ahmed Youssef; Deiab, Ahmed Galal; Negm, Emad H; Sorogy, Mohamed El; Elkashef, Wagdi

doi:10.4103/2303-9027.151365

Cited by 5 publications

(3 citation statements)

References 6 publications

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“…It is therefore of paramount importance to accurately differentiate schwannomas from GISTs. Endoscopic ultrasound (EUS) is a useful imaging technique for diagnosing the gastric submucosal tumors, [ 1 ] but only a few reports have been published regarding the EUS characteristics of gastric schwannomas. [ 2 ]…”

Section: Introductionmentioning

confidence: 99%

Role of endoscopic ultrasound and endoscopic resection for the treatment of gastric schwannoma

Liu²,

Ge³

et al. 2017

Medicine

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Endoscopic ultrasound (EUS) and endoscopic resection play an important role in gastric submucosal tumor. However, there were few articles regarding EUS and endoscopic resection of gastric schwannomas. Our aim was to evaluate the role of EUS and endoscopic resection in treating gastric schwannomas.We retrospectively reviewed 14 patients between March 2012 and April 2016 with gastric schwannomas and who received EUS and endoscopic resection. EUS characteristics, endoscopic resection, tumor features, and follow-up were evaluated in all the patients.Fourteen patients were enrolled in the present study. The patients’ ages ranged from 25 to 72 years (mean age, 52.6 years). On EUS, all tumors were originating from muscularis propria and hypoechoic. Ten tumors have the extraluminal growth patterns and 4 tumors have the intraluminal growth patterns. Marginal halos were observed in 7 lesions. No cystic change and calcification were found inside the lesions. Complete endoscopic resection was performed in all the patients with no complications occurring in any patients. No recurrence or metastases was found in all patients during the follow-up period.Gastric schwannoma has some characteristics on EUS, but it is difficult to differentiate gastric schwannoma from gastrointestinal stromal tumor. Endoscopic resection is an effective and safe treatment for gastric schwannoma with an excellent follow-up outcome.

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Section: Introductionmentioning

confidence: 99%

Role of endoscopic ultrasound and endoscopic resection for the treatment of gastric schwannoma

Liu²,

Ge³

et al. 2017

Medicine

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“…The use of gastroscopy for opportunistic screening of gastric cancers is widely accepted, while the use of this procedure for mass screening of gastric cancers remains questionable, even in developed countries such as Japan (Leung et al 2008). Various imaging modalities are used to detect gastric lesions, including endoscopy, barium studies, computed tomography, magnetic resonance imaging and ultrasound (Altonbary et al 2015;Liu and Adler 2014;Liu et al 2014aLiu et al , 2014bMachicado et al 2014;Rana et al 2015;Salah and Faigel, 2014). Among these, the double-contrast barium meal continues to be the most common mass screening tool for gastric cancers in Japan and Korea (Lee et al 2011;Leung et al 2008;Nakajima 2012).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Transabdominal Ultrasound with Oral Cellulose-Based Contrast Agent in the Detection and Surveillance of Gastric Ulcer

Liu

Guo

Wang

et al. 2017

Ultrasound in Medicine & Biology

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The aim of this study was to assess the role of transabdominal ultrasound with cellulose-based oral contrast agent (TUS-OCCA) in the detection and surveillance of gastric ulcer. The study was approved by the institutional review board at Shengjing Hospital of China Medical University. A total of 124 consecutive patients with benign gastric ulcer diagnosed by gastroscopy and biopsy were enrolled. Serial TUS-OCCA (approximately 1 exam every 2 wk) was performed to monitor the effects of treatment, and additional interventions were planned according to the results. TUS-OCCA detected gastric ulcer in 76% of patients (94 of 124). The detection rates for lesions of ≤5 mm, lesions of 5-10 mm, lesions of 10-15 mm and lesions >15 mm were 32% (10 of 31), 77% (27 of 35), 96% (25 of 26) and 100% (32 of 32), respectively. The detection rates for lesions located in the antrum, angle and body were 70%, 84% and 85%, respectively. Among 30 undetected lesions, which ranged 2-13 mm in size, 11 were at the antrum, 9 at the angle, 3 in the body, 6 at the cardia and 1 at the fundus. During the follow-up period, patients underwent a mean of 3.8 TUS-OCCA examinations (range 2-7), and ulcers were healed after 8 wk (range 2-12 wk) of standard therapy in 76 patients. Eighteen patients who did not show improvement after standard therapy underwent repeat gastroscopy with biopsy. Repeat biopsy was positive for gastric cancer in 4 of these: 2 of the remaining 14 were diagnosed with gastric cancer at gastrectomy, and 12 were diagnosed with chronic benign ulcer. These results indicate that serial TUS-OCCA can be used for close monitoring during routine treatment of gastric ulcers that are detectable by TUS-OCCA and that monitoring by TUS-OCCA can guide additional interventions. A non-invasive follow-up program based on TUS-OCCA can also help to detect gastric cancers that have been misdiagnosed as benign ulcers at the initial endoscopic biopsy.

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“…Some FBs, especially sharp‐pointed ones, may migrate from the GI lumen into the submucosa or into adjacent tissue, leaving behind a bulge or ulcer in the GI tract. With EUS being more commonly used in clinical practice these days, EUS‐L can be performed to locate FBs in such situations. Here, FBs are always hyperechogenic and are distinguishable from the surrounding tissue .…”

Section: Discussionmentioning

confidence: 99%

Endoscopic ultrasound‐guided retrieval of a toothpick embedded in the stomach wall

Sun

2017

J of Clinical Ultrasound

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Patients with the complaint of ingested foreign body commonly present in the emergency department. Radiographic imaging is always done for the purpose of localization. However, radiolucent materials like wood are not easily picked up on CT scan. We report the case of a 33-year-old male patient who presented with the complaint of progressive abdominal pain and history of ingestion of a toothpick. It was removed by endoscopic ultrasound-guided localization-assisted targeted endoscopic dissection. Endoscopic ultrasound-guided localization reduced the length and depth of the required incision and helped to minimize the risk of damage to the surrounding tissue. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 45:603-604, 2017.

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Endoscopic ultrasound of isolated gastric corrosive stricture mimicking linitis plastica

Cited by 5 publications

References 6 publications

Role of endoscopic ultrasound and endoscopic resection for the treatment of gastric schwannoma

Role of endoscopic ultrasound and endoscopic resection for the treatment of gastric schwannoma

Evaluation of Transabdominal Ultrasound with Oral Cellulose-Based Contrast Agent in the Detection and Surveillance of Gastric Ulcer

Endoscopic ultrasound‐guided retrieval of a toothpick embedded in the stomach wall

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