Over-the-Scope Clip-Associated Endoscopic Muscular Dissection for Seven Cases of Small Gastric Submucosal Tumor: A Video-Based Case Series
Objectives. To evaluate the methodology, feasibility, safety, and efficacy of a novel method called over-the-scope clip- (OTSC-) associated endoscopic muscular dissection for small GSMT. Methods. A pilot study on small GSMT diameter≤1 cm was performed. OTSC-associated endoscopic muscular dissection...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2021/4578191 |
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| author | Xin Li Rongfen Wei Jianfu Qin Fei Qin Peng Peng Mengbin Qin Shiquan Liu Jiean Huang |
| author_facet | Xin Li Rongfen Wei Jianfu Qin Fei Qin Peng Peng Mengbin Qin Shiquan Liu Jiean Huang |
| author_sort | Xin Li |
| collection | DOAJ |
| description | Objectives. To evaluate the methodology, feasibility, safety, and efficacy of a novel method called over-the-scope clip- (OTSC-) associated endoscopic muscular dissection for small GSMT. Methods. A pilot study on small GSMT diameter≤1 cm was performed. OTSC-associated endoscopic muscular dissection was based on the requirement of OTSC apparatus and ESD technique; after ligaturing the bottom of small GSMT by OTSC, ESD was performed to resect the tumors, and the wounds of ESD were closed by clips finally. All the patients were followed up for more than 3 months, and the complications during and after OTSC-associated endoscopic muscular dissection were recorded. Results. A total of 7 consecutive patients with small GSMT were included. All tumors were completely dissected without any perforation or infection during and after the procedure in all cases, while three patients had mild abdominal pain, and one experienced postoperative bleeding after the procedure which was treated by the endoscopy with titanium clips. All the patients were followed by endoscopy three months later, all the wounds healed well, and all the OTSCs were still in the gastric wall. Conclusions. OTSC-associated endoscopic muscular dissection as a novel endoscopic interventional therapy should be a convenient, safe, and effective therapy for small GSMT. The short-time outcome is excellent, whereas long-term effect is unclear, and the further follow-up is needed to schedule. |
| format | Article |
| id | doaj-art-675c4c7bcb884acba55e813391cc3838 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-675c4c7bcb884acba55e813391cc38382025-02-03T05:49:18ZengWileyGastroenterology Research and Practice1687-61211687-630X2021-01-01202110.1155/2021/45781914578191Over-the-Scope Clip-Associated Endoscopic Muscular Dissection for Seven Cases of Small Gastric Submucosal Tumor: A Video-Based Case SeriesXin Li0Rongfen Wei1Jianfu Qin2Fei Qin3Peng Peng4Mengbin Qin5Shiquan Liu6Jiean Huang7Department of Gastroenterology, The Second Affiliated Hospital of Guangxi Medical University, Nanning, 530007 Guangxi Province, ChinaDepartment of Gastroenterology, The Second Affiliated Hospital of Guangxi Medical University, Nanning, 530007 Guangxi Province, ChinaDepartment of Gastroenterology, The Second Affiliated Hospital of Guangxi Medical University, Nanning, 530007 Guangxi Province, ChinaDepartment of Gastroenterology, The Second Affiliated Hospital of Guangxi Medical University, Nanning, 530007 Guangxi Province, ChinaDepartment of Gastroenterology, The Second Affiliated Hospital of Guangxi Medical University, Nanning, 530007 Guangxi Province, ChinaDepartment of Gastroenterology, The Second Affiliated Hospital of Guangxi Medical University, Nanning, 530007 Guangxi Province, ChinaDepartment of Gastroenterology, The Second Affiliated Hospital of Guangxi Medical University, Nanning, 530007 Guangxi Province, ChinaDepartment of Gastroenterology, The Second Affiliated Hospital of Guangxi Medical University, Nanning, 530007 Guangxi Province, ChinaObjectives. To evaluate the methodology, feasibility, safety, and efficacy of a novel method called over-the-scope clip- (OTSC-) associated endoscopic muscular dissection for small GSMT. Methods. A pilot study on small GSMT diameter≤1 cm was performed. OTSC-associated endoscopic muscular dissection was based on the requirement of OTSC apparatus and ESD technique; after ligaturing the bottom of small GSMT by OTSC, ESD was performed to resect the tumors, and the wounds of ESD were closed by clips finally. All the patients were followed up for more than 3 months, and the complications during and after OTSC-associated endoscopic muscular dissection were recorded. Results. A total of 7 consecutive patients with small GSMT were included. All tumors were completely dissected without any perforation or infection during and after the procedure in all cases, while three patients had mild abdominal pain, and one experienced postoperative bleeding after the procedure which was treated by the endoscopy with titanium clips. All the patients were followed by endoscopy three months later, all the wounds healed well, and all the OTSCs were still in the gastric wall. Conclusions. OTSC-associated endoscopic muscular dissection as a novel endoscopic interventional therapy should be a convenient, safe, and effective therapy for small GSMT. The short-time outcome is excellent, whereas long-term effect is unclear, and the further follow-up is needed to schedule.http://dx.doi.org/10.1155/2021/4578191 |
| spellingShingle | Xin Li Rongfen Wei Jianfu Qin Fei Qin Peng Peng Mengbin Qin Shiquan Liu Jiean Huang Over-the-Scope Clip-Associated Endoscopic Muscular Dissection for Seven Cases of Small Gastric Submucosal Tumor: A Video-Based Case Series Gastroenterology Research and Practice |
| title | Over-the-Scope Clip-Associated Endoscopic Muscular Dissection for Seven Cases of Small Gastric Submucosal Tumor: A Video-Based Case Series |
| title_full | Over-the-Scope Clip-Associated Endoscopic Muscular Dissection for Seven Cases of Small Gastric Submucosal Tumor: A Video-Based Case Series |
| title_fullStr | Over-the-Scope Clip-Associated Endoscopic Muscular Dissection for Seven Cases of Small Gastric Submucosal Tumor: A Video-Based Case Series |
| title_full_unstemmed | Over-the-Scope Clip-Associated Endoscopic Muscular Dissection for Seven Cases of Small Gastric Submucosal Tumor: A Video-Based Case Series |
| title_short | Over-the-Scope Clip-Associated Endoscopic Muscular Dissection for Seven Cases of Small Gastric Submucosal Tumor: A Video-Based Case Series |
| title_sort | over the scope clip associated endoscopic muscular dissection for seven cases of small gastric submucosal tumor a video based case series |
| url | http://dx.doi.org/10.1155/2021/4578191 |
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