Long-term outcomes of endoscopic submucosal dissection for gastric stromal tumors
10.11659/jjssx.12E015213
- VernacularTitle:内镜黏膜下剥离术治疗胃间质瘤的远期疗效研究
- Author:
Changji YU
;
Chaoqiang FAN
;
Jin YU
;
Xia XIE
;
Xubiao NIE
;
Xinwei DIAO
;
En LIU
;
Jianying BAI
;
Shiming YANG
- Publication Type:Journal Article
- Keywords:
gastric stromal tumor;
endoscopic submucosal dissection;
long-term outcomes
- From:
Journal of Regional Anatomy and Operative Surgery
2016;25(4):279-282
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the long-term outcomes of endoscopic submucosal dissection (ESD) of gastric GISTs.Methods Data of 25 patients with gastric stromal tumors,who underwent ESD,were reviewed in terms of clinical characteristics,histopathologic results,complications and long-term outcomes.Results Twenty-five patients underwent one-time complete removal of lesion, with a average tumor size of 3.0 cm (range,0.6 to 7.6 cm).The average time of operation was 65 minutes (range,15 to 154 minutes).one case was observed with intraoperative hemor-rhage of 200 mL blood,which was successfully managed by hemostatic forceps.Perforation with incidence rate of 16%occurred in 4 cases and was closed well with clips.Mucosal mechanical laceration of esophagus occurred in 1 case when the big tumor was taken out.The average length of hospi-talization was 7.3 days (range,4 to 21 days).A follow-up for 30 months (range,13 to 54 months) showed no tumor recurrence or metastasis. Conclusion ESD is an effective and safe endoscopic procedure to remove gastric GISTs for long-term outcomes in patients with no metastasis.
