Therapeutic effect of the pre-purse-string suture on gastric lesions of external growth under endoscopy
10.3760/cma.j.issn.1007-5232.2017.08.011
- VernacularTitle:预荷包缝合技术在腔外生长型胃黏膜下肿瘤内镜治疗中的应用
- Author:
Xin LI
1
;
Yong XIAO
;
Nannan WU
;
Xi ZENG
;
Fang WANG
;
Shiqian LIU
;
Honggang YU
;
Mingkai CHEN
Author Information
1. 武汉大学人民医院消化内科 武汉大学人民医院消化内镜中心 湖北省消化疾病微创诊治医学临床研究中心
- Keywords:
Stomach neoplasms;
Endoscopic submucosal dissection;
Purse-string suture
- From:
Chinese Journal of Digestive Endoscopy
2017;34(8):586-589
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of "pre-purse-string" suture on submucous gastric lesions of external growth type in endoscopic patients. Methods Clinical data of 27 patients with gastric lesions of external growth type admitted to the digestive endoscopy center of Renmin Hospital of Wuhan University from August 2016 to October 2016 for endoscopic submucosal dissection ( ESD ) were analyzed. Patients were randomly divided into two groups, the experiment group receiving the "pre-purse-string" suture, the control group receiving purse-string suture after ESD. Mean size of the lesions, procedure time, withdrawal time of gastric decompression, and hospitalization time were compared. Results In the 15 patients of the experiment group, there were 3 cases whose lesions were located in gastric antrum, 6 in gastric body and 6 in gastric fundus. In the 12 cases of the control group, 3 lesions were located in gastric antrum, 5 in gastric body and 4 in gastric fundus. All procedures were successfully completed in endoscopy. No obvious postoperative complications occurred. The mean size of lesions was 2. 5 cm × 3. 2 cm in the experiment group,and 2. 4 cm×3. 0 cm in the control group (P=0. 63). The operation time was 28. 0-43. 0 min (35. 8±6. 1 min) in the experiment group, and 45. 6-68. 8 min (48. 8±5. 3 min) in control group ( P<0. 01) . Conclusion "Pre-purse-string" technique is of clinical effect on gastric submucosal tumor of external growth.
