Endoscopic Full-Thickness Resection for Gastric Subepithelial Lesions Arising from the Muscularis Propria
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초록
Most cases of gastric subepithelial lesions follow a good clinical course; however, some lesions progress to malignant tumors,and treatment of tumors with a high risk of malignancy is essential. Surgical excision has been the primary treatment for tumorsoriginating from the propria muscle layer, but it has the disadvantages of being invasive and causing postoperative functionalabnormalities. With the development of endoscopic techniques and instruments, the role of endoscopic resection, which is a lessinvasive method for the removal of gastric subepithelial lesions, has been attracting attention. We performed an endoscopic fullthicknessresection for 8 patients with gastric subepithelial lesions originating from the muscularis propria. No fatal complicationsoccurred. Our findings suggest the need to develop various devices for resection and closure and to accumulate further experiencethrough additional studies to prevent complications and specimen loss.
Abstract
Most cases of gastric subepithelial lesions follow a good clinical course; however, some lesions progress to malignant tumors,and treatment of tumors with a high risk of malignancy is essential. Surgical excision has been the primary treatment for tumorsoriginating from the propria muscle layer, but it has the disadvantages of being invasive and causing postoperative functionalabnormalities. With the development of endoscopic techniques and instruments, the role of endoscopic resection, which is a lessinvasive method for the removal of gastric subepithelial lesions, has been attracting attention. We performed an endoscopic fullthicknessresection for 8 patients with gastric subepithelial lesions originating from the muscularis propria. No fatal complicationsoccurred. Our findings suggest the need to develop various devices for resection and closure and to accumulate further experiencethrough additional studies to prevent complications and specimen loss.
참고문헌 (13)
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