Skip to main content
SpringerLink
Log in

Submucosal Tunneling Endoscopic Resection

  • Chapter
  • First Online:
Therapeutics of Digestive Endoscopic Tunnel Technique

  • 198 Accesses

Abstract

Submucosal tunneling endoscopic resection (STER) is another branch of DETT. STER maintains the integrity of digestive tract mucosa through establishing a tunnel between mucosa and MP which enables resection of SMTs. This chapter introduces the procedures in different parts of gastrointestinal tract, preoperative preparation and postoperative treatment, related complications and treatment, and efficacy of STER.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Linghu E, Zhang Y. Experimental study on resection of the esophageal muscular propria layer by endoscopic tunneltechnique. Chin J Laparosc Surg (Electronic Edition). 2011;4(5):392–3.

    Google Scholar 

  2. Xu M, Cai M, Zhou P, et al. Submucosal tunneling endoscopic resection: a new technique for treating upper GI submucosal tumors originating from the muscularis propria layer (with videos). Gastrointest Endosc. 2012;75:195–9.

    Article  PubMed  Google Scholar 

  3. Wang X, Xu M, Yao L, et al. Submucosal tunneling endoscopic resection for submucosal tumors of the esophagogastric junction originating from the muscularis propria layer: a feasibility study (with videos). Surg Endosc. 2014;28:1971–7.

    Article  PubMed  Google Scholar 

  4. Wang H, Tan Y, Zhou Y, et al. Submucosal tunneling endoscopic resection for upper gastrointestinal submucosal tumors originating from the muscularis propria layer. Eur J Gastroenterol Hepatol. 2015;27:776–80.

    Article  PubMed  Google Scholar 

  5. Mao X, Ye L, Zheng H, et al. Submucosal tunneling endoscopic resection using methylene-blue guidance for cardial subepithelial tumors originating from the muscularis propria layer. Dis Esophagus. 2017;30:1–7.

    Article  PubMed  Google Scholar 

  6. Zhou D, Dai Z, Wells MM, et al. Submucosal tunneling and endoscopic resection of submucosal tumors at the esophagogastric junction. World J Gastroenterol. 2015;21:578–83.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Zhang C, Hu J, Chen T, et al. Submucosal tunneling endoscopic resection for upper gastrointestinal multiple submucosal tumors originating from the muscular propria layer: a feasibility study. Indian J Cancer. 2015;51(Suppl 2):e52–5.

    PubMed  Google Scholar 

  8. Chen T, Zhou P, Chu Y, et al. Long-term outcomes of submucosal tunneling endoscopic resection for upper gastrointestinal submucosal tumors. Ann Surg. 2017;265:363–9.

    Article  PubMed  Google Scholar 

  9. Ye L, Zhang Y, Mao X, et al. Submucosal tunneling endoscopic resection for small upper gastrointestinal subepithelial tumors originating from the muscularis propria layer. Surg Endosc. 2014;28:524–30.

    Article  PubMed  Google Scholar 

  10. Hu J, Zhou P, Yao L, et al. Submucosal tunneling endoscopic resection in the treatment of rectal submucosal tumors originating from muscularis propria. Chin J Gastrointes Surg. 2013;16:1155–8.

    Google Scholar 

  11. Wang Y. The exist character and function of Laimer fibers whichwere found through digestive endoscopic tunnel techniquestudy of laimer fibers discovered by digestive endoscopic tunneling technique. Nan Kai Da Xue. 2014:1–59.

    Google Scholar 

  12. Liebermann-Meffert D, Allgower M, Schmid P, et al. Muscular equivalent of the lower esophageal sphincter. Gastroenterology. 1979;76:31–8.

    Article  CAS  PubMed  Google Scholar 

  13. Fletcher CD, Berman JJ, Corless C, et al. Diagnosis of gastrointestinal stromal tumors: A consensus approach. Hum Pathol. 2002;33:459–65.

    Article  PubMed  Google Scholar 

  14. Chen T, Zhang C, Yao L, et al. Management of the complications of submucosal tunneling endoscopic resection for upper gastrointestinal submucosal tumors. Endoscopy. 2016;48:149–55.

    PubMed  Google Scholar 

  15. Tan Y, Lv L, Duan T, et al. Comparison between submucosal tunneling endoscopic resection and video-assisted thoracoscopic surgery for large esophageal leiomyoma originating from the muscularis propria layer. Surg Endosc. 2016;30:3121–7.

    Article  PubMed  Google Scholar 

  16. Liu H, Wei L, Zhang Y, et al. Submucosal tunnelling endoscopic resection (STER) for the treatment of a case of huge esophageal tumor arising in the muscularis propria: a case report and review of literature. Int J Clin Exp Med. 2015;8:15846–51.

    PubMed  PubMed Central  Google Scholar 

  17. Maydeo A, Sharma A, Bhandari S, et al. Submucosal tunneling and endoscopic resection of a large, esophageal leiomyoma. Gastrointest Endosc. 2015;82:954.

    Article  PubMed  Google Scholar 

  18. Tan Y, Liu D. En bloc submucosal tunneling endoscopic resection for a giant esophageal leiomyoma. Gastrointest Endosc. 2015;82:399.

    Article  PubMed  Google Scholar 

  19. Liu B, Song J, Kong L, et al. Tunneling endoscopic muscularis dissection for subepithelial tumors originating from the muscularis propria of the esophagus and gastric cardia. Surg Endosc. 2013;27:4354–9.

    Article  PubMed  Google Scholar 

  20. Du C, Ma L, Chai N, et al. Factors affecting the effectiveness and safety of submucosal tunneling endoscopic resection for esophageal submucosal tumors originating from the muscularis propria layer. Surg Endosc. 2017;32(3):1255–64.

    Article  PubMed  Google Scholar 

  21. Li Q, Chen W, Zhang C, et al. Clinical impact of submucosal tunneling endoscopic resection for the treatment of gastric submucosal tumors originating from the muscularis propria layer (with video). Surg Endosc. 2015;29:3640–6.

    Article  PubMed  Google Scholar 

  22. Mekaroonkamol P, Li L, Dacha S, et al. Gastric peroral endoscopic pyloromyotomy (G-POEM) as a salvage therapy for refractory gastroparesis: a case series of different subtypes. Neurogastroenterol Motil. 2016;28:1272–7.

    Article  CAS  PubMed  Google Scholar 

  23. Demetri GD, von Mehren M, Antonescu CR, et al. NCCN Task Force report: update on the management of patients with gastrointestinal stromal tumors. J Natl Compr Canc Netw. 2010;(8 Suppl 2):S1–41; quiz S42–4.

    Google Scholar 

  24. Zhao H, Sheng H, Huang L, et al. Submucosal tunneling endoscopic resection in the treatment of esophagel submucosal tumors originating from muscularis propria layer. Chin J Gastrointest Surg. 2015;5:478–82.

    Google Scholar 

  25. Tan Y, Tang Y, Liu D. Submucosal tunneling endoscopic resection for gastrointestinal submucosal tumors originating from the muscularis propria layer. World Chin J Digestol. 2016;24:1625–31.

    Google Scholar 

  26. Inoue H, Ikeda H, Hosoya T, et al. Submucosal endoscopic tumor resection for subepithelial tumors in the esophagus and cardia. Endoscopy. 2012;44:225–30.

    Article  CAS  PubMed  Google Scholar 

  27. Gong W, Xiong Y, Zhi F, et al. Preliminary experience of endoscopic submucosal tunnel dissection for upper gastrointestinal submucosal tumors. Endoscopy. 2012;44:231–5.

    Article  CAS  PubMed  Google Scholar 

  28. Lu J, Jiao T, Zheng M, et al. Endoscopic resection of submucosal tumors in muscularis propria: the choice between direct excavation and tunneling resection. Surg Endosc. 2014;28:3401–7.

    Article  PubMed  Google Scholar 

  29. Lu J, Zheng M, Jiao T, et al. Transcardiac tunneling technique for endoscopic submucosal dissection of gastric fundus tumors arising from the muscularis propria. Endoscopy. 2014;46:888–92.

    Article  PubMed  Google Scholar 

  30. Li Q, Meng Y, Xu Y, et al. Comparison of endoscopic submucosal tunneling dissection and thoracoscopic enucleation for the treatment of esophageal submucosal tumors. Gastrointest Endosc. 2017;86:485–91.

    Article  PubMed  Google Scholar 

  31. Liu B, Song J. Submucosal tunneling endoscopic resection (STER) and other novel applications of submucosal tunneling in humans. Gastrointest Endosc Clin N Am. 2016;26:271–82.

    Article  PubMed  Google Scholar 

  32. Li B, Liu J, Lu Y, et al. Submucosal tunneling endoscopic resection for tumors of the esophagogastric junction. Minim Invasive Ther Allied Technol. 2016;25:141–7.

    Article  PubMed  Google Scholar 

  33. Lv X, Wang C, Xie Y. Efficacy and safety of submucosal tunneling endoscopic resection for upper gastrointestinal submucosal tumors: a systematic review and meta-analysis. Surg Endosc. 2017;31:49–63.

    Article  PubMed  Google Scholar 

  34. Chen T, Lin Z, Zhang Y, et al. Submucosal tunneling endoscopic resection vs thoracoscopic enucleation for large submucosal tumors in the esophagus and the esophagogastric junction. J Am Coll Surg. 2017;225:806–16.

    Article  PubMed  Google Scholar 

  35. Tang X, Ren Y, Huang S, et al. Endoscopic submucosal tunnel dissection for upper gastrointestinal submucosal tumors originating from the Muscularis Propria layer: a single-center study. Gut Liver. 2017;11:620–7.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Li Z, Gao Y, Chai N, et al. Effect of submucosal tunneling endoscopic resection for submucosal tumors at esophagogastric junction and risk factors for failure of en bloc resection. Surg Endosc. 2018;32(3):1326–35.

    Article  PubMed  Google Scholar 

  37. Tan Y, Hu C, Zhou Y, et al. Submucosal tunneling endoscopic resection for multiple esophageal leiomyomas. Endoscopy. 2016;48(Suppl 1):E234–5.

    PubMed  Google Scholar 

  38. Chen H, Xu Z, Huo J, et al. Submucosal tunneling endoscopic resection for simultaneous esophageal and cardia submucosal tumors originating from the muscularis propria layer (with video). Dig Endosc. 2015;27:155–8.

    Article  PubMed  Google Scholar 

  39. Wang YN, Li YM, Lu XF. Clinical value of submucosal tunneling endoscopic resection in the treatment of muscularis propria tumors of the upper gastrointestinal tract. World Chin J Digestol. 2015;39:793–9.

    Google Scholar 

  40. Chai N, Du C, Gao Y, et al. Comparison between submucosal tunneling endoscopic resection and video-assisted thoracoscopic enucleation for esophageal submucosal tumors originating from the muscularis propria layer: a randomized controlled trial. Surg Endosc. 2018;32(7):3364–72.

    Article  PubMed  Google Scholar 

  41. Abe N, Takeuchi H, Ooki A, et al. Recent developments in gastric endoscopic submucosal dissection: towards the era of endoscopic resection of layers deeper than the submucosa. Dig Endosc. 2013;25(Suppl 1):64–70.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Gastroenterology and Hepatology, First Medical Center of Chinese PLA General Hospital, Beijing, China

    Chen Du, Lisen Zhong, Xiao Li, Ningli Chai & Enqiang Linghu

Authors
  1. Chen Du
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Lisen Zhong
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Xiao Li
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ningli Chai
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Enqiang Linghu
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Gastroenterology and Hepatology, First Medical Center of Chinese PLA General Hospital, Beijing, China

    Enqiang Linghu

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Du, C., Zhong, L., Li, X., Chai, N., Linghu, E. (2020). Submucosal Tunneling Endoscopic Resection. In: Linghu, E. (eds) Therapeutics of Digestive Endoscopic Tunnel Technique. Springer, Singapore. https://doi.org/10.1007/978-981-15-1998-7_10

Download citation

  • DOI: https://doi.org/10.1007/978-981-15-1998-7_10

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-0000-8

  • Online ISBN: 978-981-15-1998-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation