Abstract
Although endoscopic resection is an accepted technique for upper gastrointestinal subepithelial tumors (SETs) originating from the muscularis propria (MP) layer, published data regarding its complications are highly variable and limited to small data series. This study aimed to analyze the safety of endoscopic resection in a large case series. A total of 726 consecutive patients with 733 upper gastrointestinal SETs originating from the MP layer underwent endoscopic resection from June 2005 to December 2014. The complete resection rate, perioperative perforation rate, and perioperative bleeding rate were the main outcome measurements. The complete resection rate was 97.1%. Ninety-four patients had complications (12.9%), including 88 with perioperative perforations (12.1%), 13 with perioperative bleeding (1.8%), 5 with localized peritonitis (0.7%), and one with delayed bleeding (0.1%). Eleven patients required surgery; the others were treated endoscopically. Risk factors for incomplete resection were extensive connection of the tumor to the MP layer (P=0.007) and extraluminal growth (P=0.048). Risk factors for perioperative perforation were larger tumor size (≤2.0 cm vs. 2.1-3.0 cm vs. >3.0 cm, P=0.021), extraluminal growth (P=0....Continue Reading
References
Oct 24, 2006·Endoscopy·I-L LeeC-S Wu
Oct 2, 2008·Endoscopy·V LépilliezJ C Saurin
Aug 12, 2009·Endoscopy·F YoshizumiS Kitano
Oct 1, 2009·Surgical Endoscopy·Seong Woo JeonChang Hun Yang
May 18, 2010·Journal of the National Comprehensive Cancer Network : JNCCN·George D DemetriJeffrey D Wayne
Oct 4, 2011·Gastrointestinal Endoscopy·Qiang ShiPing Wang
Oct 29, 2011·Gastrointestinal Endoscopy·Andrzej BiałekTeresa Starzyńska
Mar 31, 2012·Gastrointestinal Endoscopy·Quan-Lin LiWen-Zheng Qin
Sep 20, 2012·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Li-Ping YeXiang Jin
Dec 29, 2012·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Filippo CatalanoAntonello Trecca
Mar 23, 2013·Surgical Endoscopy·Seung Yeon ChunMi Jung Kwon
May 2, 2013·Journal of Clinical Gastroenterology·Yu ZhangQin Huang
Jul 17, 2013·The American Journal of Gastroenterology·Yutaka TomizawaKenneth K Wang
Aug 21, 2013·Surgical Endoscopy·Lei WangYuankun Song
Sep 10, 2013·Surgical Endoscopy·Li-Ping YeJi-Ya Chen
Oct 18, 2013·Scandinavian Journal of Gastroenterology·Zhankun HeBangmao Wang
Mar 29, 2014·Surgical Endoscopy·Hai-Yan DongYan-Qing Li
Apr 18, 2014·Clinical and Experimental Gastroenterology·Hideki KobaraTsutomu Masaki
Jul 19, 2014·Gastrointestinal Endoscopy·Zhiguo LiuKaichun Wu
Aug 6, 2014·Journal of Clinical Gastroenterology·Jiaoyang LuMinhua Zheng
Sep 12, 2014·Annals of Oncology : Official Journal of the European Society for Medical Oncology·UNKNOWN ESMO/European Sarcoma Network Working Group
Feb 24, 2015·Surgical Endoscopy·Jintao GuoYafei Qi
Mar 6, 2015·Surgical Endoscopy·Quan-Lin LiMei-Dong Xu
Apr 1, 2015·Endoscopy·Yoshiki TsujiiTetsuo Takehara
Jul 1, 2015·Gastrointestinal Endoscopy·Amit MaydeoVinay Dhir
Jul 28, 2015·Gastrointestinal Endoscopy·Mouen A KhashabJohn O Clarke
Citations
Aug 25, 2016·Surgical Endoscopy·Tae Wook KimGeun Am Song
Dec 29, 2017·Surgical Endoscopy·Wouter F W KappelleFrank P Vleggaar
Jan 14, 2020·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·D M LiY P Jiang
Feb 22, 2017·Journal of Gastroenterology and Hepatology·Yan MengYue Li
Jul 25, 2018·World Journal of Gastroenterology : WJG·Yu ZhangLi-Ping Ye
Apr 12, 2019·Surgical Endoscopy·Yingtong ChenZhining Fan
Mar 20, 2020·Surgical Endoscopy·Shou-Jiang TangShengyu Zhang
Sep 17, 2017·Surgical Endoscopy·Iman AndalibShahzad Iqbal
Sep 30, 2020·Surgical Endoscopy·Yu ZhangLi-Ping Ye
Dec 10, 2019·Scandinavian Journal of Gastroenterology·Hui XiuXi-Shuang Liu
Nov 3, 2020·The American Journal of Gastroenterology·Yuan Chu, Meidong Xu
Mar 12, 2021·Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi·Osamu GotoKatsuhiko Iwakiri
Mar 21, 2021·Surgical Endoscopy·Chen DuPing Tang
May 25, 2021·Gastroenterology Report·Qiang ZhangZhen Wang
Aug 28, 2021·Endoscopy International Open·Hiromu FukudaSatoki Shichijo