Endoscopic submucosal excavation of esophageal submucosal tumors originating from the muscularis propria layer
10.3760/cma.j.issn.1007-5232.2011.10.003
- VernacularTitle:内镜黏膜下挖除术治疗食管固有肌层肿瘤
- Author:
Yunshi ZHONG
;
Qiang SHI
;
Liqing YAO
;
Pinghong ZHOU
;
Meidong XU
;
Weifeng CHEN
;
Quanlin LI
;
Xianli CAI
;
Ping WANG
- Publication Type:Journal Article
- Keywords:
Esophagus;
Muscularis propria;
Endoscopic submucosal excavation
- From:
Chinese Journal of Digestive Endoscopy
2011;28(10):545-548
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the value of endoscopic submucosal excavation (ESE) for esophageal submucosal tumors originating from the muscularis propria layer.Methods Data of 27 patients with 29 lesions in esophageal muscularis propria treated with ESE from Dec.2008 to Dec.2010 were retrospected.Feasibility,effects and safety were evaluated accordingly.Results Of 27 patients,there were 17 males and 10 females.Mean age was 50(22 ～62)yrs,and mean diameter of the lesions was 1.25 ±0.70 (0.5 ～3.0)cm.Resection rate was 96.3％ (26/27).One failed case with tumor residual after ESE received additional operation.The median procedure time was 74 (30-120) min.Pathological examination confirmed leiomyoma in 26 cases and gastrointestinal stromal tumor (GISTs) in 1 case.Perforation during operation occurred in 2 cases,accompanied with pneumothorax.They were treated with closed thoracic drainage,without surgery.The median follow-up time was 12 months (3 to 27 months),and no recurrence was found.Conclusion ESE is a safe and effective therapy for the esophageal tumor smaller than 3.0 cm from the muscularis propria.
