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Endoscopic resection of gastrointestinal submucosal tumors assisted by endoscopic ultrasonography

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Abstract

Background

The resection and histologic examination of the lesions is generally considered the treatment of choice in order to achieve diagnosis in gastointestinal submucosal tumors. Moreover, the degree of malignancy of the tumor depends on certain features that can only be studied on the entire resected piece.

Methods

We revised the cases of patients who underwent endoscopic resection of gastrointestinal submucosal tumors in the period from 1997 through 2002.

Results

Fifty submucosal lesions were resected in 45 patients (64.4% men). Patient mean age was 55.31 years. Of the lesions, 52% were gastric tumors and 88% were located in the second layer. Mean size was 12.34 mm, and 54% were smaller than 10 mm. Resection with submucosal injection of saline solution and diluted adrenaline was performed on 46% of the lesions, and standard resection using polypectomy snare on 48%. Ligation was used in three cases. Resection was successful in 98% and major complications were observed in 4% (two cases of bleeding, endoscopically resolved).

Conclusions

The endoscopic resection of submucosal tumors is a safe and efficient technique: It has few associated complications and allows diagnosis in all the cases and cure of the lesion in the great majority of cases.

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References

  1. N Ando H Goto Y Niwa Y Hirooka N Ohmiya T Nagasaka T Hayakawa (2002) ArticleTitleThe diagnosis of GI stromal tumors with EUS-guided fine needle aspiration with immunohistochemical analysis Gastrointest Endosc 55 37–43 Occurrence Handle10.1067/mge.2002.120323 Occurrence Handle11756912

    Article  PubMed  Google Scholar 

  2. B Brand L Oesterhelweg KF Binmoeller PV Sriram S Bohnacker S Seewald A Weerth ParticleDe N Soehendra (2002) ArticleTitleImpact of endoscopic ultrasound for evaluation of submucosal lesions in gastrointestinal tract Dig Liver Dis 34 290–297 Occurrence Handle10.1016/S1590-8658(02)80150-5 Occurrence Handle12038814

    Article  PubMed  Google Scholar 

  3. MF Catalano (1994) ArticleTitleEndoscopic ultrasonography in the diagnosis of submucosal tumors: need for biopsy Endoscopy 26 1788–791

    Google Scholar 

  4. A Chak (2002) ArticleTitleEUS in submucosal tumors Gastrointest Endosc 56 IssueID4 Suppl S43–S48 Occurrence Handle10.1067/mge.2002.127700 Occurrence Handle12297748

    Article  PubMed  Google Scholar 

  5. A Chak MI Canto T Rosch HJ Dittler RH Hawes TL Tio CJ Lightdale HW Boyce J Scheiman SL Carpenter J Dam ParticleVan ML Kochman MV Sivak SuffixJr (1997) ArticleTitleEndosonographic differentiation of benign and malignant stromal cell tumors Gastrointest Endosc 45 468–473 Occurrence Handle9199902

    PubMed  Google Scholar 

  6. M Conio E Rajan D Sorbi I Norton L Herman R Filiberti CJ Gostout (2002) ArticleTitleComparative performance in the porcine esophagus of different solutions used for submucosal injection Gastrointest Endosc 56 513–516 Occurrence Handle10.1067/mge.2002.128107 Occurrence Handle12297766

    Article  PubMed  Google Scholar 

  7. M Giovannini JF Seitz G Monges H Perrier I Rabbia (1995) ArticleTitleFine-needle aspiration cytology guided by endoscopic ultrasonography: results in 141 patients Endoscopy 27 171–177 Occurrence Handle7601050

    PubMed  Google Scholar 

  8. F Gress C Schmitt T Savides DO Faigel M Catalano W Wassef L Roubein N Nickl D Ciaccia M Bhutani B Hoffman J Affronti (2001) ArticleTitleInterobserver agreement for EUS in the evaluation and diagnosis of submucosal masses Gastrointest Endosc 53 71–76 Occurrence Handle10.1067/mge.2001.111384 Occurrence Handle11154492

    Article  PubMed  Google Scholar 

  9. GC Hunt PP Smith DO Faigel (2003) ArticleTitleYield of tissue sampling for submucosal lesions evaluated by EUS Gastrointest Endosc 57 68–72 Occurrence Handle12518134

    PubMed  Google Scholar 

  10. JH Hyun YT Jeen HJ Chun HS Lee SW Lee CW Song JH Choi SH Um CD Kim HS Ryu (1997) ArticleTitleEndoscopic resection of submucosal tumor of the esophagus: results in 62 patients Endoscopy 29 165–170 Occurrence Handle9201464

    PubMed  Google Scholar 

  11. H Kameyama Y Niwa T Arisawa H Goto T Hayakawa (1997) ArticleTitleEndoscopic ultrasonography in the diagnosis of submucosal lesions of the largeintestine Gastrointest Endosc 46 406–411 Occurrence Handle9402113

    PubMed  Google Scholar 

  12. K Kawamoto Y Yamada N Furukawa T Utsunomiya Y Haraguchi M Mizuguchi T Oiwa H Takano K Masuda (1997) ArticleTitleEndoscopic submucosal tumorectomy for gastrointestinal submucosal tumors restricted to the submucosa: a new form of endoscopic minimal surgery Gastrointest Endosc 46 311–317 Occurrence Handle9351032

    PubMed  Google Scholar 

  13. T Kojima H Takahashi A Parra-Blanco K Kohsen R Fujita (1999) ArticleTitleDiagnosis of submucosal tumor of the upper GI tract by endoscopic resection Gastrointest Endosc 50 516–522 Occurrence Handle10502173

    PubMed  Google Scholar 

  14. A Ono T Fujii Y Saito T Matsuda DT Lee T Gotoda D Saito (2003) ArticleTitleEndoscopic submucosal resection of rectal carcinoid tumors with a ligation device Gastrointest Endosc 57 583–587 Occurrence Handle12665777

    PubMed  Google Scholar 

  15. M Palazzo G Rouseau (1998) Écho-endoscopie digestive Masson Paris 21–27

    Google Scholar 

  16. L Palazzo B Landi C Cellier E Cuillerier G Roseau JP Barbier (2000) ArticleTitleEndosonographic features predictive of benign and malignant gastrointestinal stromal cell tumours Gut 46 88–92 Occurrence Handle10.1136/gut.46.1.88 Occurrence Handle10601061

    Article  PubMed  Google Scholar 

  17. T Rosch B Kapfer U Will W Baronius M Strobel R Lorenz K; EUS Ulm German Club (2002) ArticleTitleEndoscopic ultrasonography Accuracy of endoscopic ultrasonography in upper gastrointestinal submucosal lesions a–prospective multicenter study Scand J Gastroenterol 37: 856–862

    Google Scholar 

  18. S Sun M Wang S Sun (2002) ArticleTitleUse of endoscopic ultrasound-guided injection in endoscopic resection of solid submucosal tumors Endoscopy 34 82–85 Occurrence Handle10.1055/s-2002-19386 Occurrence Handle11778135

    Article  PubMed  Google Scholar 

  19. I Waxman Y Saitoh GS Raju J Watari K Yokota AL Reeves Y Kohgo (2002) ArticleTitleHigh-frequency probe EUS-assisted endoscopic mucosal resection: a therapeutic strategy for submucosal tumors of the GI tract Gastrointest Endosc 55 44–49 Occurrence Handle10.1067/mge.2002.119871 Occurrence Handle11756913

    Article  PubMed  Google Scholar 

  20. SC Wei JM Wong MJ Shieh CT Sun CY Wang TH Wang (1998) ArticleTitleEndoscopic resection of gastrointestinal submucosal tumors Hepatogastroenterology 45 114–118 Occurrence Handle9496498

    PubMed  Google Scholar 

  21. MJ Wiersema P Vilmann M Giovannini KJ Chang LM Wiersema (1997) ArticleTitleEndosonography-guided fine-needle aspiration biopsy: diagnostic accuracy and complication assessment Gastroenterology 112 1087–1095 Occurrence Handle9097990

    PubMed  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Gastroenterology, Complejo Hospitalario Universitario Juan Canalejo-A Coruña, Spain

    D. Martínez-Ares, J. Souto-Ruzo, J. Yánez López, J. Durana Vilas & J. L. Vázquez Iglesias

  2. Centro Médico Teknom-Barcelona, Spain

    M. J. Varas Lorenzo, J. C. Espinós Pérez, R. A. Belando & J. M. Miquel Colell

Authors
  1. D. Martínez-Ares
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  2. M. J. Varas Lorenzo
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  3. J. Souto-Ruzo
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  4. J. C. Espinós Pérez
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  5. J. Yánez López
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  6. R. A. Belando
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  7. J. Durana Vilas
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  8. J. M. Miquel Colell
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  9. J. L. Vázquez Iglesias
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Corresponding author

Correspondence to D. Martínez-Ares.

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Martínez-Ares, D., Lorenzo, M.J.V., Souto-Ruzo, J. et al. Endoscopic resection of gastrointestinal submucosal tumors assisted by endoscopic ultrasonography. Surg Endosc 19, 854–858 (2005). https://doi.org/10.1007/s00464-004-9123-3

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  • DOI: https://doi.org/10.1007/s00464-004-9123-3

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