The efficacy of dental floss and a hemoclip as a traction method for the endoscopic full-thickness resection of submucosal tumors in the gastric fundus

Surgical Endoscopy
Bing LiYun-Shi Zhong

Abstract

Endoscopic full-thickness resection (EFTR) provides a significant advancement to the treatment of gastrointestinal submucosal tumors (SMTs). However, technological challenges, particularly in the gastric fundus, hinder its wider application. Here, we investigated the efficacy of a simple traction method that used dental floss and a hemoclip (DFC) to facilitate EFTR. Between July 2014 and December 2016, we retrospectively reviewed data from all patients with SMTs in the gastric fundus originating from the muscularis propria layer that were treated by EFTR at Zhongshan Hospital of Fudan University. Baseline characteristics and clinical outcomes, including procedure time and complications rate, were compared between groups of patients receiving DFC-EFTR and conventional EFTR. A total of 192 patients were included in our analysis (64 in the DFC-EFTR group and 128 in the conventional EFTR group). Baseline characteristics for the two groups were similar. The mean time for DFC-EFTR and conventional EFTR was 44.2 ± 24.4 and 54.2 ± 33.2 min, respectively (P = 0.034). Although no serious adverse events presented in any of our cases, post-EFTR electrocoagulation syndrome (PEECS), as a minor complication, was less frequent in the DFC-EFTR ...Continue Reading

References

Oct 30, 2010·Gastrointestinal Endoscopy·Chung-Hsien LiTsai-Yuan Hsieh
Apr 30, 2011·Chinese Journal of Cancer·Jheri DupartJonathan C Trent
Jul 16, 2011·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Hyuk LeeYong Chan Lee
Dec 27, 2011·Gastrointestinal Endoscopy·Yael KopelmanDoron Kopelman
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Apr 17, 2018·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Ming-Yan CaiPing-Hong Zhou

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Citations

May 18, 2021·Gastrointestinal Endoscopy·Bing LiPing-Hong Zhou
Aug 28, 2021·Endoscopy International Open·Hiromu FukudaSatoki Shichijo

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