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Precutting Endoscopic Band Ligation-Assisted Resection Is Safe and Effective for Treating Gastric Submucosal Tumors from the Muscularis Propria

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Abstract

Background

We previously treated small gastric submucosal tumors originating from the muscularis propria layer by precutting endoscopic band ligation but lacked precise pathological results. Then, precutting endoscopic band ligation was modified by additional snare resection after ligation to obtain tumor specimens, termed precutting endoscopic band ligation-assisted resection.

Aims

In this study, we aimed to explore the safety, feasibility, and efficacy of precutting endoscopic band ligation-assisted resection.

Methods

From 2021 to 2022, a total of 16 consecutive patients underwent precutting endoscopic band ligation-assisted resection to treat small gastric submucosal tumors originating from the muscularis propria. The clinical demography, perioperative data, and follow-up outcomes were retrospectively collected.

Results

With a mean operative time of 21.3 min, all lesions were successfully and completely resected, and no severe adverse events or local recurrences occurred postoperatively. More importantly, en bloc and R0 resection were achieved in all 16 patients.

Conclusion

Precutting endoscopic band ligation-assisted resection is a safe, effective, and time-saving endoscopic technique for managing gastric small gastric submucosal tumors originating from the muscularis propria for both diagnosis and eradication.

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Funding

This study was supported by the Joint Project Foundation of Chongqing Health Commission and Chongqing Scientific and Technological Commission (Grant No. 2021MSXM103). This study was also supported by the Chongqing Science and Technology Commission Foundation (cstc2020jcyj-msxmX0045).

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Authors and Affiliations

  1. Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China

    Shan Li, Mingfeng Liu, Ke Zhan, Rui Yuan, Yichun Yang & Liang Deng

  2. Department of Pathology, College of Basic Medicine, Chongqing Medical University, Chongqing, China

    Qingshu Li

  3. Diagnostic and Testing Center, Chongqing Medical University, Chongqing, China

    Qingshu Li

  4. Department of Pathology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China

    Qingshu Li

  5. College of Laboratory Medicine, Chongqing Medical University, Chongqing, China

    Xiong Lan

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  1. Shan Li
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  4. Ke Zhan
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Correspondence to Liang Deng.

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Supplementary file1 (AVI 48425 KB) Video 1: The entire procedure for precutting EBLR

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Li, S., Li, Q., Liu, M. et al. Precutting Endoscopic Band Ligation-Assisted Resection Is Safe and Effective for Treating Gastric Submucosal Tumors from the Muscularis Propria. Dig Dis Sci 69, 1762–1769 (2024). https://doi.org/10.1007/s10620-024-08381-1

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