Ligation-assisted endoscopic dissection: a novel technique for resection of small gastric tumors origihating from muscularis propria
10.3760/cma.j.issn.1007-5232.2011.10.004
- VernacularTitle:内镜下结扎剥离术在切除胃固有肌层来源小肿瘤中的应用价值初探
- Author:
Jintao GOU
;
Zhijun LIU
;
Shen PAN
;
Siyu SUN
;
Cheng WANG
;
Xiang LIU
;
Nan GE
;
Gouxin WANG
;
Xianghong YANG
- Publication Type:Journal Article
- Keywords:
Stomach;
Endoscopic ultrasonography;
Tumors originating from muscularis propria;
Ligation-assisted endoscopic dissection
- From:
Chinese Journal of Digestive Endoscopy
2011;28(10):549-554
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of ligation-assisted endoscopic dissection (ED-L) technique for the removal of gastric tumors originating from muscularis propria.Methods A total of 33 patients with gastric tumors originating from muscularis propria less than 10 mm were treated with ED-L procedures.The tumor was ligated by elastic bands.Endoscopic dissection was performed until the tumor was partially or completely dissected from muscularis propria by using Hook knife and/or IT-knife.The wound was closed with metallic clips and medical adhesive.The patients were followed up 1 week,1 month,3 months,6 months and 12 months thereafter with endoscopy,respectively.Results Of the 33 gastric tumors,there were 25 partial dissections and 8 complete dissections.All of the tumors sloughed completely.Pathological diagnoses of all the patients were acquired.No complications like perforation occurred except for one self-limiting and non-life-threatening hemorrhage.There was no recurrent case during the 3-18 months of follow-up period.Conclusion ED-L is a safe,effective and relatively simple technique for excision of small gastrointestinal tumors originating from muscularis propria,providing a histopathological diagnosis as well.
