A case of endoscopic full‐thickness resection for gastric gastrointestinal stromal tumor in the submucosal tunnel

Abstract The patient was a 49‐year‐old female with a submucosal tumor (12×12 mm) located in the lesser curvature side of the stomach. The diagnosis by endoscopic ultrasound fine‐needle aspiration was of a gastrointestinal stromal tumor. Computed tomography and endoscopic ultrasound showed gastrointe...

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Main Authors: Hironari Shiwaku, Hiroki Okada, Akio Shiwaku, Hiroshi Kusaba, Kenji Maki, Hideki Shimaoka, Yasuhiro Hashimoto, Teppei Yamada, Fumihiro Yoshimura, Suguru Hasegawa
Format: Article
Language:English
Published: Wiley 2024-04-01
Series:DEN Open
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Online Access:https://doi.org/10.1002/deo2.282
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author Hironari Shiwaku
Hiroki Okada
Akio Shiwaku
Hiroshi Kusaba
Kenji Maki
Hideki Shimaoka
Yasuhiro Hashimoto
Teppei Yamada
Fumihiro Yoshimura
Suguru Hasegawa
author_facet Hironari Shiwaku
Hiroki Okada
Akio Shiwaku
Hiroshi Kusaba
Kenji Maki
Hideki Shimaoka
Yasuhiro Hashimoto
Teppei Yamada
Fumihiro Yoshimura
Suguru Hasegawa
author_sort Hironari Shiwaku
collection DOAJ
description Abstract The patient was a 49‐year‐old female with a submucosal tumor (12×12 mm) located in the lesser curvature side of the stomach. The diagnosis by endoscopic ultrasound fine‐needle aspiration was of a gastrointestinal stromal tumor. Computed tomography and endoscopic ultrasound showed gastrointestinal stromal tumor with an intra‐luminal growth type. Endoscopic full‐thickness resection was then performed. To achieve good counter traction, enough safety margin, and minimal defect of muscle, full‐thickness resection via creating a submucosal tunnel was performed as a new technique. The final histological diagnosis was gastrointestinal stromal tumor with R0 resection.
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institution Kabale University
issn 2692-4609
language English
publishDate 2024-04-01
publisher Wiley
record_format Article
series DEN Open
spelling doaj-art-90fd80f9798344409d7b331bcc06c1492025-08-20T03:38:54ZengWileyDEN Open2692-46092024-04-0141n/an/a10.1002/deo2.282A case of endoscopic full‐thickness resection for gastric gastrointestinal stromal tumor in the submucosal tunnelHironari Shiwaku0Hiroki Okada1Akio Shiwaku2Hiroshi Kusaba3Kenji Maki4Hideki Shimaoka5Yasuhiro Hashimoto6Teppei Yamada7Fumihiro Yoshimura8Suguru Hasegawa9Department of Gastroenterological Surgery Fukuoka University Faculty of Medicine Fukuoka JapanDepartment of Gastroenterological Surgery Fukuoka University Faculty of Medicine Fukuoka JapanDepartment of Gastroenterological Surgery Fukuoka University Faculty of Medicine Fukuoka JapanDepartment of Gastroenterological Surgery Fukuoka University Faculty of Medicine Fukuoka JapanDepartment of Gastroenterological Surgery Fukuoka University Faculty of Medicine Fukuoka JapanDepartment of Gastroenterological Surgery Fukuoka University Faculty of Medicine Fukuoka JapanDepartment of Gastroenterological Surgery Fukuoka University Faculty of Medicine Fukuoka JapanDepartment of Gastroenterological Surgery Fukuoka University Faculty of Medicine Fukuoka JapanDepartment of Gastroenterological Surgery Fukuoka University Faculty of Medicine Fukuoka JapanDepartment of Gastroenterological Surgery Fukuoka University Faculty of Medicine Fukuoka JapanAbstract The patient was a 49‐year‐old female with a submucosal tumor (12×12 mm) located in the lesser curvature side of the stomach. The diagnosis by endoscopic ultrasound fine‐needle aspiration was of a gastrointestinal stromal tumor. Computed tomography and endoscopic ultrasound showed gastrointestinal stromal tumor with an intra‐luminal growth type. Endoscopic full‐thickness resection was then performed. To achieve good counter traction, enough safety margin, and minimal defect of muscle, full‐thickness resection via creating a submucosal tunnel was performed as a new technique. The final histological diagnosis was gastrointestinal stromal tumor with R0 resection.https://doi.org/10.1002/deo2.282endoscopic full‐thickness resectionendoscopic suturinggastrointestinal stromal tumorpocket‐creation methodthird space endoscopy
spellingShingle Hironari Shiwaku
Hiroki Okada
Akio Shiwaku
Hiroshi Kusaba
Kenji Maki
Hideki Shimaoka
Yasuhiro Hashimoto
Teppei Yamada
Fumihiro Yoshimura
Suguru Hasegawa
A case of endoscopic full‐thickness resection for gastric gastrointestinal stromal tumor in the submucosal tunnel
DEN Open
endoscopic full‐thickness resection
endoscopic suturing
gastrointestinal stromal tumor
pocket‐creation method
third space endoscopy
title A case of endoscopic full‐thickness resection for gastric gastrointestinal stromal tumor in the submucosal tunnel
title_full A case of endoscopic full‐thickness resection for gastric gastrointestinal stromal tumor in the submucosal tunnel
title_fullStr A case of endoscopic full‐thickness resection for gastric gastrointestinal stromal tumor in the submucosal tunnel
title_full_unstemmed A case of endoscopic full‐thickness resection for gastric gastrointestinal stromal tumor in the submucosal tunnel
title_short A case of endoscopic full‐thickness resection for gastric gastrointestinal stromal tumor in the submucosal tunnel
title_sort case of endoscopic full thickness resection for gastric gastrointestinal stromal tumor in the submucosal tunnel
topic endoscopic full‐thickness resection
endoscopic suturing
gastrointestinal stromal tumor
pocket‐creation method
third space endoscopy
url https://doi.org/10.1002/deo2.282
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