scholarly journals Clinical Applicability of Various Treatment Approaches for Upper Gastrointestinal Submucosal Tumors

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Jing Zhang ◽  
Kaili Huang ◽  
Shigang Ding ◽  
Ye Wang ◽  
Te Nai ◽  
...  
Keyword(s):  
Endoscopic Therapy ◽  
Submucosal Tumor ◽  
Screening Method ◽  
Endoscopic Examination ◽  
Main Approach ◽  
Submucosal Tunneling Endoscopic Resection ◽  
Submucosal Tumors ◽  
Endoscopic Methods ◽  
Upper Gastrointestinal ◽  
Selection Of

Submucosal tumor (SMT) is a disease that is commonly discovered during endoscopic examination. With advances in endoscopic ultrasonography (EUS) technology, this technique has become the primary screening method for the diagnosis of upper gastrointestinal SMTs. The present study summarized the clinical data of patients who were examined and diagnosed with upper gastrointestinal SMTs by EUS, underwent endoscopic therapy or surgical treatment, and received final pathological results in our hospital between January 2011 and September 2014. Our results show that endoscopic therapy has become the main approach for the treatment of upper gastrointestinal SMTs with the development and maturation of endoscopic technology in recent years. Our conclusion suggests that the selection of endoscopic methods, such as endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), and peroral submucosal tunneling endoscopic resection (STER), under the guidance of EUS is safe and effective for the treatment of upper gastrointestinal SMTs.

Long-term Outcomes of Submucosal Tunneling Endoscopic Resection for Upper Gastrointestinal Submucosal Tumors

2017 ◽  
Vol 265 (2) ◽  
pp. 363-369 ◽  
Author(s):  
Tao Chen ◽  
Ping-Hong Zhou ◽  
Yuan Chu ◽  
Yi-Qun Zhang ◽  
Wei-Feng Chen ◽  
...  
Keyword(s):  
Endoscopic Resection ◽  
Long Term Outcomes ◽  
Submucosal Tunneling Endoscopic Resection ◽  
Submucosal Tumors ◽  
Upper Gastrointestinal

scholarly journals Prone Position Is Useful in Thoracoscopic Enucleation of Esophageal Leiomyoma

2015 ◽  
Vol 9 (2) ◽  
pp. 165-170 ◽  
Author(s):  
Kenji Maki ◽  
Shinsuke Takeno ◽  
Satoshi Nimura ◽  
Ippei Yamana ◽  
Hideki Shimaoka ◽  
...  
Keyword(s):  
Prone Position ◽  
Submucosal Tumor ◽  
Endoscopic Examination ◽  
Esophageal Leiomyoma ◽  
Immunohistochemical Examination ◽  
Left Lateral Decubitus Position ◽  
Remarkable Event ◽  
Thoracoscopic Enucleation ◽  
Lateral Decubitus ◽  
Upper Gastrointestinal

A 36-year-old man was admitted to our institute due to the diagnosis of esophageal submucosal tumor detected by a periodical upper gastrointestinal endoscopic examination without any complaint. Thoracoscopic enucleation of the lesion with the preoperative clinical diagnosis of esophageal leiomyoma was performed under general anesthesia in the prone position. After immunohistochemical examination, the pathological diagnosis was leiomyoma. There was no remarkable event during the postoperative hospital stay, and the patient was discharged on the 12th day after surgery. This case report suggests that the prone position might be superior to the left lateral decubitus position in thoracoscopic enucleation of esophageal leiomyoma.

scholarly journals Gastric Glomus Tumor: A Rare Cause of Upper Gastrointestinal Bleeding

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Yoshinori Handa ◽  
Mikihiro Kano ◽  
Mayumi Kaneko ◽  
Naoki Hirabayashi
Keyword(s):  
Glomus Tumor ◽  
Submucosal Tumor ◽  
Wedge Resection ◽  
Gastric Wall ◽  
Glomus Tumors ◽  
Submucosal Tumors ◽  
Gastric Submucosal Tumors ◽  
Upper Gastrointestinal ◽  
Tomography Scan ◽  
Immunohistological Analysis

A 24-year-old woman was referred to our department because of melena. These symptoms combined with severe anemia prompted us to perform an emergency upper endoscopy, which showed bleeding from an ulcerated 30 mm submucosal tumor in the gastric antrum. A computed tomography scan revealed a homogeneously enhanced mass, and endoscopic ultrasonography identified a well-demarcated mass in the third and fourth layers of the gastric wall. Because analysis of the possible medical causes remained inconclusive and the risk of rebleeding, laparoscopy-assisted gastric wedge resection was performed after administration of 10 units of red cell concentrate. Histological and immunohistological analysis revealed the tumor to be a gastric glomus tumor. Gastric submucosal tumors remain challenging to diagnose preoperatively as they show a variety of radiologic and clinicopathologic features and are associated with the risk of bleeding upon biopsy, as is indicated in the guidelines for gastric submucosal tumors. Gastric glomus tumors characteristically present with exsanguinating gastrointestinal hemorrhaging that often requires blood transfusion. Additionally, gastric submucosal tumors typically occur in elderly patients; however, this case involved a young patient who was 24 years old. Here, we describe this case in order to identify features that may aid in early differentiation of gastric submucosal tumors.

Efficacy and complications of submucosal tunneling endoscopic resection for upper gastrointestinal submucosal tumors and exploration for influencing factors

2018 ◽  
Vol 56 (04) ◽  
pp. 365-373 ◽  
Author(s):  
Shunzhe Song ◽  
Xu Wang ◽  
Shen Zhang ◽  
Yanxia Li ◽  
Xiaonan Zhang ◽  
...  
Keyword(s):  
Endoscopic Resection ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Complete Resection ◽  
Cochrane Library ◽  
En Bloc ◽  
Submucosal Tunneling Endoscopic Resection ◽  
Submucosal Tumors ◽  
Upper Gi ◽  
Upper Gastrointestinal

Abstract Background Submucosal tunneling endoscopic resection (STER) has emerged as a feasible technique for resecting upper gastrointestinal (GI) tract submucosal tumors (SMTs) through natural orifice transluminal endoscopic surgery. STER reduces the risk of postoperative perforation and abdominal infections and promotes rapid wound healing. The aim of this meta-analysis was to evaluate the safety and efficacy of STER for small (≤ 3.5 cm) upper GI SMTs and explore the potential factors influencing STER’s efficacy and complication rate. Methods Comprehensive literature searches were performed to find studies on STER for removal of SMTs. Several English-language databases were searched, including MEDLINE (through PubMed), EMBASE, and the Cochrane Library for the period January 2010 to June 2016. The medical terms “submucosal tunneling endoscopic resection or STER”, “upper gastrointestinal”, and “submucosal tumors” were used in the search. The primary outcome measures were the pooled estimates of the complete resection and en bloc resection rates. The secondary outcome measure was the pooled estimate of complications. Result Twelve studies including 397 patients and 430 lesions were identified. The pooled estimate of the complete resection rate was 98.1 % (95 % confidence interval [CI]: 95.9 – 99.2 %). The pooled estimate of en bloc resection was 94.9 % (95 % CI: 91.1 – 97.1 %). The pooled estimate of gas-related complications such as pneumoperitoneum and subcutaneous emphysema was 21.5 % (95 % CI: 13.2 – 33.1 %). The pooled estimate of inflammation-related complications including pleural and abdominal effusion was 8.4 % (95 % CI: 5.6 – 12.3 %). Gas-related complications occurred more frequently in the esophagogastric junction than in the stomach. In addition, the pooled estimate of delayed bleeding was 2.2 % (95 % CI: 1.0 – 4.7 %). Conclusion STER appeared to be an extremely effective technique for removing upper GI SMTs originating from the muscularis propria layer. In addition, the very low rate of complications also shows the safety of this technique. Tumor size, infiltration depth, and location may influence the complication rates.

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