Gel immersion endoscopic mucosal resection for early gastric neoplasms: a multicenter case series study
| Autor: | Hidenori Kimura, Yoichi Yamamoto, Yohei Yabuuchi, Kohei Shigeta, Masao Yoshida, Soichiro Nagao, Akito Noguchi, Yukihiro Morita, Shuhei Shintani, Osamu Inatomi, Hiroyuki Ono, Akira Andoh |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Endoscopy International Open, Vol 12, Iss 03, Pp E435-E439 (2024) |
| Druh dokumentu: | article |
| ISSN: | 2364-3722 2196-9736 |
| DOI: | 10.1055/a-2271-2411 |
| Popis: | Several cases have been reported that suggest the efficacy of gel immersion endoscopic mucosal resection (GI-EMR) for gastric neoplasms. However, no study has evaluated treatment outcomes of GI-EMR for gastric neoplasms. This study aimed to investigate the efficacy and safety of GI-EMR for early gastric neoplasms. Nine patients (17 lesions) undergoing gastric GI-EMR were included, with a median lesion size of 10 mm (interquartile range [IQR] 5–13 mm). All lesions were protruding or flat elevated. The median procedure time was 3 minutes (IQR 2–5) and en bloc resection was achieved in all cases. Among 15 neoplastic lesions, the R0 resection rate was 86.7% (13/15 lesions). Adverse events included immediate bleeding requiring hemostasis in two cases, which was controlled endoscopically. No delayed bleeding or perforation occurred. In conclusion, GI-EMR may be a safe and effective treatment for early, small gastric neoplasms. However, due to the small sample in the present study, further investigation is required regarding the indication for this technique. |
| Databáze: | Directory of Open Access Journals |
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