Endoscopic full-thickness resection for gastric stromal tumor
10.3760/cma.j.issn.1007-5232.2011.11.010
- VernacularTitle:内镜下胃壁全层切除术对胃间质瘤的治疗价值研究
- Author:
Jianhua JIAO
;
Xueliang LI
;
Lianzhen YU
;
Shuping YANG
;
Ruihua SHI
- Publication Type:Journal Article
- Keywords:
Gastrointestinal stromal tumors;
Therapy;
Endoscopic full-thickness resection;
Endoscopic submucosal dissection
- From:
Chinese Journal of Digestive Endoscopy
2011;28(11):632-634
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate the therapeutic effect of endoscopic full-thickness resection (EFTR) for gastric stromal tumors.MethodsA total of 33 patients with gastric stromal tumor orgination from deep muscularis propria layer received EFTR from January 2010 to July 2011.The effectiveness and safety of EFTR were compared with those of other 34 patients with gastric stromal tumor origination from muscularis propria layer who underwent endoscopic submucosal dissection (ESD).ResultsExcept in 2 patients with lesions larger than 3.0 × 3.0 cm,EFTR was successful in others 31 patients,who recovered well and had no recurrence during the follow-up within 12 months.There were no significant differences in resection rate,incidence of complications,body temperature,white blood cell counts or recovery time between 2 procedures (P ＞ 0.05 ).However,the number of clips used in EFTR ( 7.0 ± 3.5 vs.4.9 ± 3.1,P =0.013 ) and postoperative fasting days (3.4 ± 1.5 vs.2.0 ± 1.0,P =0.001 ) were significantly higher than those of ESD procedures.ConclusionEFTR is effective and safe for gastric stromal tumors with no higher risk than ESD,but it is more complex technically.EFTR can be used as an expanding method of ESD in endoscopic treatment of gastric stromal tumors.
