Advances in endoscopic resection techniques of small gastric tumors originating from the muscularis propria
Gastrointestinal stromal tumors are common gastrointestinal tumors typically originating from the muscularis propria layer of the stomach. Small gastric stromal tumors are usually detected incidentally during routine endoscopic examination. Although they may have malignant potentially, controversies...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-08-01
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| Series: | Frontiers in Oncology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.1001112/full |
| _version_ | 1798041565829005312 |
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| author | Suliman Khan Xiaona Cui Safyan Nasir Shoaib Mohammad Rafiq Bo Qin Qian Bai |
| author_facet | Suliman Khan Xiaona Cui Safyan Nasir Shoaib Mohammad Rafiq Bo Qin Qian Bai |
| author_sort | Suliman Khan |
| collection | DOAJ |
| description | Gastrointestinal stromal tumors are common gastrointestinal tumors typically originating from the muscularis propria layer of the stomach. Small gastric stromal tumors are usually detected incidentally during routine endoscopic examination. Although they may have malignant potentially, controversies remain regarding the need for endoscopic resection of small gastric stromal tumors originating from the muscularis propria. According to the guidelines of the European Society of Medical Oncology, all gastrointestinal stromal tumors >2 cm in size should be resected with endoscopic surveillance recommended for tumors <2 cm. Endoscopic resection including endoscopic mucosal dissection (EMD), endoscopic submucosal dissection (ESD), submucosal tunneling endoscopic resection and snare assisted endoscopic resection. However, EMD and ESD procedures may be accompanied with serious complications including perforation, bleeding, and abdominal infection. Snare-assisted endoscopic resection is an alternative approach and has the advantages of a shorter procedure time and a low rate of perforation or bleeding. This study summarizes the safety and feasibility of a novel snare-assisted endoscopic resection technique and highlights the pros and cons of the different endoscopic approaches currently used for subepithelia small gastric tumors. |
| first_indexed | 2024-04-11T22:23:20Z |
| format | Article |
| id | doaj.art-f63c861d9d8d429ca8a153675360ba28 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-04-11T22:23:20Z |
| publishDate | 2022-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-f63c861d9d8d429ca8a153675360ba282022-12-22T03:59:59ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-08-011210.3389/fonc.2022.10011121001112Advances in endoscopic resection techniques of small gastric tumors originating from the muscularis propriaSuliman Khan0Xiaona Cui1Safyan Nasir2Shoaib Mohammad Rafiq3Bo Qin4Qian Bai5Department of Cerebrovascular Diseases, the Second Affiliated hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Anesthesiaology, the Second Affiliated hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Medicine, Allied/District Headquarter Hospital Faisalabad, Faisalabad, PakistanDepartment of Medicine, District Headquarter Hospital Gujranwala, Gujranwala, PakistanTranslational Medical Center, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Anesthesiaology, the Second Affiliated hospital of Zhengzhou University, Zhengzhou, ChinaGastrointestinal stromal tumors are common gastrointestinal tumors typically originating from the muscularis propria layer of the stomach. Small gastric stromal tumors are usually detected incidentally during routine endoscopic examination. Although they may have malignant potentially, controversies remain regarding the need for endoscopic resection of small gastric stromal tumors originating from the muscularis propria. According to the guidelines of the European Society of Medical Oncology, all gastrointestinal stromal tumors >2 cm in size should be resected with endoscopic surveillance recommended for tumors <2 cm. Endoscopic resection including endoscopic mucosal dissection (EMD), endoscopic submucosal dissection (ESD), submucosal tunneling endoscopic resection and snare assisted endoscopic resection. However, EMD and ESD procedures may be accompanied with serious complications including perforation, bleeding, and abdominal infection. Snare-assisted endoscopic resection is an alternative approach and has the advantages of a shorter procedure time and a low rate of perforation or bleeding. This study summarizes the safety and feasibility of a novel snare-assisted endoscopic resection technique and highlights the pros and cons of the different endoscopic approaches currently used for subepithelia small gastric tumors.https://www.frontiersin.org/articles/10.3389/fonc.2022.1001112/fullgastric tumorsgastrointestinal stromal tumorsgastrointestinal endoscopysnare assisted endoscopic resectionendoscopic mucosal resectionendoscopic submucosal dissection |
| spellingShingle | Suliman Khan Xiaona Cui Safyan Nasir Shoaib Mohammad Rafiq Bo Qin Qian Bai Advances in endoscopic resection techniques of small gastric tumors originating from the muscularis propria Frontiers in Oncology gastric tumors gastrointestinal stromal tumors gastrointestinal endoscopy snare assisted endoscopic resection endoscopic mucosal resection endoscopic submucosal dissection |
| title | Advances in endoscopic resection techniques of small gastric tumors originating from the muscularis propria |
| title_full | Advances in endoscopic resection techniques of small gastric tumors originating from the muscularis propria |
| title_fullStr | Advances in endoscopic resection techniques of small gastric tumors originating from the muscularis propria |
| title_full_unstemmed | Advances in endoscopic resection techniques of small gastric tumors originating from the muscularis propria |
| title_short | Advances in endoscopic resection techniques of small gastric tumors originating from the muscularis propria |
| title_sort | advances in endoscopic resection techniques of small gastric tumors originating from the muscularis propria |
| topic | gastric tumors gastrointestinal stromal tumors gastrointestinal endoscopy snare assisted endoscopic resection endoscopic mucosal resection endoscopic submucosal dissection |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2022.1001112/full |
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