Capacity of flexible endoscopy in subepithelial esophageal tumors
Aim of the study was to investigate the results of endoscopic diagnostics and peroral operative endoscopy in subepithelial esophageal tumors. Material and methods. Data of 21 patients underwent flexible endoscopic interventions for subepithelial esophageal tumors (SET) from 2016 till 2019 were analy...
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| Format: | Article |
| Language: | Russian |
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Russian Academy of Sciences, Siberian Branch Publishing House
2020-07-01
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| Series: | Сибирский научный медицинский журнал |
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| Online Access: | https://sibmed.elpub.ru/jour/article/view/427 |
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| author | I. E. Sudovykh E. A. Drobyazgin Yu. V. Chikinev |
| author_facet | I. E. Sudovykh E. A. Drobyazgin Yu. V. Chikinev |
| author_sort | I. E. Sudovykh |
| collection | DOAJ |
| description | Aim of the study was to investigate the results of endoscopic diagnostics and peroral operative endoscopy in subepithelial esophageal tumors. Material and methods. Data of 21 patients underwent flexible endoscopic interventions for subepithelial esophageal tumors (SET) from 2016 till 2019 were analyzed. Main endoscopic methods to reveal and characterize tumors preoperatively are examination in white light, narrow light spectrum imaging, radial endoscopic ultrasonographic scanning. Tumors from 8 till 40 mm in maximal dimension removed by endoscopic mucosal resection (2 tumors in 1 patient), tunnel dissection (13 cases) or endoscopic submucosal dissection (7 cases). The additional endoscopic ultrasonography was demanded intraoperatively in 2 cases of difficult tumor location and blurry visualization. Results and discussion. Subepithelial esophageal tumors are mainly diagnosed occasionally in patients without symptoms related to tumor. Suspicion of the tumor was based on routine esophagogastroduodenoscopy. Following endoscopic ultrasonography of planned esophageal segment allowed rejecting or confirming the lesion (21 patients), evaluating its echoscopic structure, size, growth direction, intramural location and connection to wall layers to make an assumption related to tumor morphology, to plan way of tumor removal. We choose interventions in depends on combination of available tumor features. Technical success of endoscopic interventions with use of flexible endoscope under this approach is noted in all the patients. So endoscopic methods are important for primary and detailed diagnostics and also effective for operative treatment in cases of appropriate indications. |
| format | Article |
| id | doaj-art-426f4bce3266484bb62cacdcdb5f65ef |
| institution | Kabale University |
| issn | 2410-2512 2410-2520 |
| language | Russian |
| publishDate | 2020-07-01 |
| publisher | Russian Academy of Sciences, Siberian Branch Publishing House |
| record_format | Article |
| series | Сибирский научный медицинский журнал |
| spelling | doaj-art-426f4bce3266484bb62cacdcdb5f65ef2025-08-20T03:50:43ZrusRussian Academy of Sciences, Siberian Branch Publishing HouseСибирский научный медицинский журнал2410-25122410-25202020-07-01403697410.15372/SSMJ20200310271Capacity of flexible endoscopy in subepithelial esophageal tumorsI. E. Sudovykh0E. A. Drobyazgin1Yu. V. Chikinev2State Novosibirsk Regional Clinical HospitalState Novosibirsk Regional Clinical Hospital; Novosibirsk State Medical University of Minzdrav of RussiaNovosibirsk State Medical University of Minzdrav of RussiaAim of the study was to investigate the results of endoscopic diagnostics and peroral operative endoscopy in subepithelial esophageal tumors. Material and methods. Data of 21 patients underwent flexible endoscopic interventions for subepithelial esophageal tumors (SET) from 2016 till 2019 were analyzed. Main endoscopic methods to reveal and characterize tumors preoperatively are examination in white light, narrow light spectrum imaging, radial endoscopic ultrasonographic scanning. Tumors from 8 till 40 mm in maximal dimension removed by endoscopic mucosal resection (2 tumors in 1 patient), tunnel dissection (13 cases) or endoscopic submucosal dissection (7 cases). The additional endoscopic ultrasonography was demanded intraoperatively in 2 cases of difficult tumor location and blurry visualization. Results and discussion. Subepithelial esophageal tumors are mainly diagnosed occasionally in patients without symptoms related to tumor. Suspicion of the tumor was based on routine esophagogastroduodenoscopy. Following endoscopic ultrasonography of planned esophageal segment allowed rejecting or confirming the lesion (21 patients), evaluating its echoscopic structure, size, growth direction, intramural location and connection to wall layers to make an assumption related to tumor morphology, to plan way of tumor removal. We choose interventions in depends on combination of available tumor features. Technical success of endoscopic interventions with use of flexible endoscope under this approach is noted in all the patients. So endoscopic methods are important for primary and detailed diagnostics and also effective for operative treatment in cases of appropriate indications.https://sibmed.elpub.ru/jour/article/view/427subepithelial esophageal tumorsendoscopic ultrasoundoperative flexible endoscopy |
| spellingShingle | I. E. Sudovykh E. A. Drobyazgin Yu. V. Chikinev Capacity of flexible endoscopy in subepithelial esophageal tumors Сибирский научный медицинский журнал subepithelial esophageal tumors endoscopic ultrasound operative flexible endoscopy |
| title | Capacity of flexible endoscopy in subepithelial esophageal tumors |
| title_full | Capacity of flexible endoscopy in subepithelial esophageal tumors |
| title_fullStr | Capacity of flexible endoscopy in subepithelial esophageal tumors |
| title_full_unstemmed | Capacity of flexible endoscopy in subepithelial esophageal tumors |
| title_short | Capacity of flexible endoscopy in subepithelial esophageal tumors |
| title_sort | capacity of flexible endoscopy in subepithelial esophageal tumors |
| topic | subepithelial esophageal tumors endoscopic ultrasound operative flexible endoscopy |
| url | https://sibmed.elpub.ru/jour/article/view/427 |
| work_keys_str_mv | AT iesudovykh capacityofflexibleendoscopyinsubepithelialesophagealtumors AT eadrobyazgin capacityofflexibleendoscopyinsubepithelialesophagealtumors AT yuvchikinev capacityofflexibleendoscopyinsubepithelialesophagealtumors |