Endoscopic Resection for Gastric Subepithelial Tumor with Backup Laparoscopic Surgery: Description of a Single-Center Experience
The aim of this study was to analyze patients who underwent endoscopic resection (ER) for gastric subepithelial tumors (SETs) with a high probability of surgical intervention. Between January 2013 and January 2021, 83 patients underwent ER at the operation theater and 27 patients (32.5%) required ba...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/19/4423 |
| _version_ | 1797516221987422208 |
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| author | Wei-Jung Chang Lien-Cheng Tsao Hsu-Heng Yen Chia-Wei Yang Joseph Lin Kuo-Hua Lin |
| author_facet | Wei-Jung Chang Lien-Cheng Tsao Hsu-Heng Yen Chia-Wei Yang Joseph Lin Kuo-Hua Lin |
| author_sort | Wei-Jung Chang |
| collection | DOAJ |
| description | The aim of this study was to analyze patients who underwent endoscopic resection (ER) for gastric subepithelial tumors (SETs) with a high probability of surgical intervention. Between January 2013 and January 2021, 83 patients underwent ER at the operation theater and 27 patients (32.5%) required backup surgery mainly due to incidental perforation or uncontrolled bleeding despite endoscopic repairing. The tumor was predominantly located in the upper-third stomach (81%) with a size ≤ 2 cm (69.9%) and deep to the muscularis propria (MP) layer (92.8%) but there were no significant differences between two groups except tumor exophytic growth as a risk factor in the surgery group (37% vs. 0%, <i>p</i> < 0.0001). Patients in the ER-only group had shorter durations of procedure times (60 min vs. 185 min, <i>p</i> < 0.0001) and lengths of stay (5 days vs. 7 days, <i>p</i> < 0.0001) but with a higher percentage of overall morbidity graded III (0% vs. 7.1%, <i>p</i> = 0.1571). After ER, five patients (6%) had delayed perforation and two (2.4%) required emergent laparoscopic surgery. Neither recurrence nor gastric stenosis was reported during long-term surveillance. Here, we provide a minimally invasive strategy of endoscopic resection with backup laparoscopic surgery for gastric SETs. |
| first_indexed | 2024-03-10T06:58:13Z |
| format | Article |
| id | doaj.art-b5236993bce84125ae3702e182d3ce65 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T06:58:13Z |
| publishDate | 2021-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-b5236993bce84125ae3702e182d3ce652023-11-22T16:19:17ZengMDPI AGJournal of Clinical Medicine2077-03832021-09-011019442310.3390/jcm10194423Endoscopic Resection for Gastric Subepithelial Tumor with Backup Laparoscopic Surgery: Description of a Single-Center ExperienceWei-Jung Chang0Lien-Cheng Tsao1Hsu-Heng Yen2Chia-Wei Yang3Joseph Lin4Kuo-Hua Lin5Department of General Surgery, Changhua Christian Hospital, Changhua 500, TaiwanDepartment of General Surgery, Changhua Christian Hospital, Changhua 500, TaiwanDivision of Gastroenterology, Changhua Christian Hospital, Changhua 500, TaiwanDivision of Gastroenterology, Changhua Christian Hospital, Changhua 500, TaiwanDepartment of General Surgery, Changhua Christian Hospital, Changhua 500, TaiwanDepartment of General Surgery, Changhua Christian Hospital, Changhua 500, TaiwanThe aim of this study was to analyze patients who underwent endoscopic resection (ER) for gastric subepithelial tumors (SETs) with a high probability of surgical intervention. Between January 2013 and January 2021, 83 patients underwent ER at the operation theater and 27 patients (32.5%) required backup surgery mainly due to incidental perforation or uncontrolled bleeding despite endoscopic repairing. The tumor was predominantly located in the upper-third stomach (81%) with a size ≤ 2 cm (69.9%) and deep to the muscularis propria (MP) layer (92.8%) but there were no significant differences between two groups except tumor exophytic growth as a risk factor in the surgery group (37% vs. 0%, <i>p</i> < 0.0001). Patients in the ER-only group had shorter durations of procedure times (60 min vs. 185 min, <i>p</i> < 0.0001) and lengths of stay (5 days vs. 7 days, <i>p</i> < 0.0001) but with a higher percentage of overall morbidity graded III (0% vs. 7.1%, <i>p</i> = 0.1571). After ER, five patients (6%) had delayed perforation and two (2.4%) required emergent laparoscopic surgery. Neither recurrence nor gastric stenosis was reported during long-term surveillance. Here, we provide a minimally invasive strategy of endoscopic resection with backup laparoscopic surgery for gastric SETs.https://www.mdpi.com/2077-0383/10/19/4423gastric subepithelial tumorendoscopic resectionlaparoscopic surgerygastrointestinal stromal tumordelayed perforation |
| spellingShingle | Wei-Jung Chang Lien-Cheng Tsao Hsu-Heng Yen Chia-Wei Yang Joseph Lin Kuo-Hua Lin Endoscopic Resection for Gastric Subepithelial Tumor with Backup Laparoscopic Surgery: Description of a Single-Center Experience Journal of Clinical Medicine gastric subepithelial tumor endoscopic resection laparoscopic surgery gastrointestinal stromal tumor delayed perforation |
| title | Endoscopic Resection for Gastric Subepithelial Tumor with Backup Laparoscopic Surgery: Description of a Single-Center Experience |
| title_full | Endoscopic Resection for Gastric Subepithelial Tumor with Backup Laparoscopic Surgery: Description of a Single-Center Experience |
| title_fullStr | Endoscopic Resection for Gastric Subepithelial Tumor with Backup Laparoscopic Surgery: Description of a Single-Center Experience |
| title_full_unstemmed | Endoscopic Resection for Gastric Subepithelial Tumor with Backup Laparoscopic Surgery: Description of a Single-Center Experience |
| title_short | Endoscopic Resection for Gastric Subepithelial Tumor with Backup Laparoscopic Surgery: Description of a Single-Center Experience |
| title_sort | endoscopic resection for gastric subepithelial tumor with backup laparoscopic surgery description of a single center experience |
| topic | gastric subepithelial tumor endoscopic resection laparoscopic surgery gastrointestinal stromal tumor delayed perforation |
| url | https://www.mdpi.com/2077-0383/10/19/4423 |
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