Endoscopic Resection of Gastric Submucosal Masses by a Dental Floss Traction Method
Background and Aims. ESE (endoscopic submucosal excavation) is widely used for the treatment of digestive diseases. The dental floss traction (DFT) method has been successfully used to facilitate ESE to resect mucosal lesions such as early gastric cancer. DFT has not been used in ESE to remove submu...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | Canadian Journal of Gastroenterology and Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2019/1083053 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849403414599958528 |
|---|---|
| author | Chunyan Zeng Yin Zhu Xu Shu Nonghua Lv Qiang Cai Youxiang Chen |
| author_facet | Chunyan Zeng Yin Zhu Xu Shu Nonghua Lv Qiang Cai Youxiang Chen |
| author_sort | Chunyan Zeng |
| collection | DOAJ |
| description | Background and Aims. ESE (endoscopic submucosal excavation) is widely used for the treatment of digestive diseases. The dental floss traction (DFT) method has been successfully used to facilitate ESE to resect mucosal lesions such as early gastric cancer. DFT has not been used in ESE to remove submucosal masses. This study aimed to examine the efficacy of DFT-assisted ESE (DFT- ESE) for the removal of submucous masses. Methods. From March 2017 to May 2017, a total of 12 patients with gastric submucosal masses at the First Affiliated Hospital of Nanchang University, Jiangxi, China, were enrolled. The tumor characteristics, en bloc resection rates, complications, and outcomes on follow-up were evaluated for all patients. Results. The 12 submucosal tumors were completely removed by DFT- ESE. Nine were gastrointestinal stromal tumors. Two were Schwannoma, located in the greater curvature of the gastric corpus. One was gastric ectopic pancreas. All the resected tumors were removed completely with intact tumor capsules. There was no more bleeding or perforation after the endoscopic closure of the perforation or the wound after the DFT-ESE, and no recurrences were identified at the time of follow-up. Conclusions. The DFT method efficiently and safely facilitated the ESE procedure during the resection of gastric submucosal tumors. This study was registered with Chinese Clinical Trial Registry under Registration number ChiCTR-OOC-15005833). |
| format | Article |
| id | doaj-art-8efa58dcaf734b81ac9b2fc78d3437fc |
| institution | Kabale University |
| issn | 2291-2789 2291-2797 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology and Hepatology |
| spelling | doaj-art-8efa58dcaf734b81ac9b2fc78d3437fc2025-08-20T03:37:16ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27892291-27972019-01-01201910.1155/2019/10830531083053Endoscopic Resection of Gastric Submucosal Masses by a Dental Floss Traction MethodChunyan Zeng0Yin Zhu1Xu Shu2Nonghua Lv3Qiang Cai4Youxiang Chen5Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, ChinaDepartment of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, ChinaDivision of Digestive Diseases, Emory University School of Medicine, Atlanta, GA, USADepartment of Gastroenterology, The First Affiliated Hospital of Nanchang University, Nanchang, ChinaBackground and Aims. ESE (endoscopic submucosal excavation) is widely used for the treatment of digestive diseases. The dental floss traction (DFT) method has been successfully used to facilitate ESE to resect mucosal lesions such as early gastric cancer. DFT has not been used in ESE to remove submucosal masses. This study aimed to examine the efficacy of DFT-assisted ESE (DFT- ESE) for the removal of submucous masses. Methods. From March 2017 to May 2017, a total of 12 patients with gastric submucosal masses at the First Affiliated Hospital of Nanchang University, Jiangxi, China, were enrolled. The tumor characteristics, en bloc resection rates, complications, and outcomes on follow-up were evaluated for all patients. Results. The 12 submucosal tumors were completely removed by DFT- ESE. Nine were gastrointestinal stromal tumors. Two were Schwannoma, located in the greater curvature of the gastric corpus. One was gastric ectopic pancreas. All the resected tumors were removed completely with intact tumor capsules. There was no more bleeding or perforation after the endoscopic closure of the perforation or the wound after the DFT-ESE, and no recurrences were identified at the time of follow-up. Conclusions. The DFT method efficiently and safely facilitated the ESE procedure during the resection of gastric submucosal tumors. This study was registered with Chinese Clinical Trial Registry under Registration number ChiCTR-OOC-15005833).http://dx.doi.org/10.1155/2019/1083053 |
| spellingShingle | Chunyan Zeng Yin Zhu Xu Shu Nonghua Lv Qiang Cai Youxiang Chen Endoscopic Resection of Gastric Submucosal Masses by a Dental Floss Traction Method Canadian Journal of Gastroenterology and Hepatology |
| title | Endoscopic Resection of Gastric Submucosal Masses by a Dental Floss Traction Method |
| title_full | Endoscopic Resection of Gastric Submucosal Masses by a Dental Floss Traction Method |
| title_fullStr | Endoscopic Resection of Gastric Submucosal Masses by a Dental Floss Traction Method |
| title_full_unstemmed | Endoscopic Resection of Gastric Submucosal Masses by a Dental Floss Traction Method |
| title_short | Endoscopic Resection of Gastric Submucosal Masses by a Dental Floss Traction Method |
| title_sort | endoscopic resection of gastric submucosal masses by a dental floss traction method |
| url | http://dx.doi.org/10.1155/2019/1083053 |
| work_keys_str_mv | AT chunyanzeng endoscopicresectionofgastricsubmucosalmassesbyadentalflosstractionmethod AT yinzhu endoscopicresectionofgastricsubmucosalmassesbyadentalflosstractionmethod AT xushu endoscopicresectionofgastricsubmucosalmassesbyadentalflosstractionmethod AT nonghualv endoscopicresectionofgastricsubmucosalmassesbyadentalflosstractionmethod AT qiangcai endoscopicresectionofgastricsubmucosalmassesbyadentalflosstractionmethod AT youxiangchen endoscopicresectionofgastricsubmucosalmassesbyadentalflosstractionmethod |