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Gel immersion endoscopic mucosal resection for early gastric neoplasms: a multicenter case series study.
Kimura, Hidenori; Yamamoto, Yoichi; Yabuuchi, Yohei; Shigeta, Kohei; Yoshida, Masao; Nagao, Soichiro; Noguchi, Akito; Morita, Yukihiro; Shintani, Shuhei; Inatomi, Osamu; Ono, Hiroyuki; Andoh, Akira.
Afiliação
  • Kimura H; Division of Digestive Endoscopy, Shiga University of Medical Science, Otsu, Japan.
  • Yamamoto Y; Division of Endoscopy, Shizuoka Cancer Center, Sunto-gun, Japan.
  • Yabuuchi Y; Department of Gastroenterology, Kobe City Medical Center General Hospital, Kobe, Japan.
  • Shigeta K; Division of Endoscopy, Shizuoka Cancer Center, Sunto-gun, Japan.
  • Yoshida M; Division of Endoscopy, Shizuoka Cancer Center, Sunto-gun, Japan.
  • Nagao S; Department of Gastroenterology, Kobe City Medical Center General Hospital, Kobe, Japan.
  • Noguchi A; Division of Gastroenterology, Shiga University of Medical Science, Otsu, Japan.
  • Morita Y; Division of Gastroenterology, Shiga University of Medical Science, Otsu, Japan.
  • Shintani S; Division of Gastroenterology, Shiga University of Medical Science, Otsu, Japan.
  • Inatomi O; Division of Gastroenterology, Shiga University of Medical Science, Otsu, Japan.
  • Ono H; Division of Endoscopy, Shizuoka Cancer Center, Sunto-gun, Japan.
  • Andoh A; Division of Gastroenterology, Shiga University of Medical Science, Otsu, Japan.
Endosc Int Open ; 12(3): E435-E439, 2024 Mar.
Article em En | MEDLINE | ID: mdl-38504747
ABSTRACT
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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Endosc Int Open Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Japão País de publicação: Alemanha
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Endosc Int Open Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Japão País de publicação: Alemanha