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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 dissectio...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8004383/ https://www.ncbi.nlm.nih.gov/pubmed/33828588 http://dx.doi.org/10.1155/2021/4578191 |
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author | Li, Xin Wei, Rongfen Qin, Jianfu Qin, Fei Peng, Peng Qin, Mengbin Liu, Shiquan Huang, Jiean |
author_facet | Li, Xin Wei, Rongfen Qin, Jianfu Qin, Fei Peng, Peng Qin, Mengbin Liu, Shiquan Huang, Jiean |
author_sort | Li, Xin |
collection | PubMed |
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 | Online Article Text |
id | pubmed-8004383 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-80043832021-04-06 Over-the-Scope Clip-Associated Endoscopic Muscular Dissection for Seven Cases of Small Gastric Submucosal Tumor: A Video-Based Case Series Li, Xin Wei, Rongfen Qin, Jianfu Qin, Fei Peng, Peng Qin, Mengbin Liu, Shiquan Huang, Jiean Gastroenterol Res Pract Research Article 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. Hindawi 2021-03-19 /pmc/articles/PMC8004383/ /pubmed/33828588 http://dx.doi.org/10.1155/2021/4578191 Text en Copyright © 2021 Xin Li et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Li, Xin Wei, Rongfen Qin, Jianfu Qin, Fei Peng, Peng Qin, Mengbin Liu, Shiquan Huang, Jiean Over-the-Scope Clip-Associated Endoscopic Muscular Dissection for Seven Cases of Small Gastric Submucosal Tumor: A Video-Based Case Series |
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 |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8004383/ https://www.ncbi.nlm.nih.gov/pubmed/33828588 http://dx.doi.org/10.1155/2021/4578191 |
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