Omental Patching and Purse-String Endosuture Closure after Endoscopic Full-Thickness Resection in Patients with Gastric Gastrointestinal Stromal Tumors
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초록
Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract, primarily arisingfrom the stomach. With the widespread utilization of and technical advancements in endoscopy, gastric GISTs are being increasinglydetected at an early stage, enabling complete endoscopic resection. Endoscopic full-thickness resection (EFTR) is an advancedtechnique that has been recognized as a treatment tool for neoplasms in the digestive tract in selected patients. Although a numberof methods are available, closing large iatrogenic defects after EFTR can be a concern in clinical practice. If this potential problem isappropriately solved, patients with gastric GISTs would be suitable candidates for resection utilizing this technique. To our knowledge,this is the first study to propose omental patching and purse-string endosuture closure following EFTR as a feasible endoscopic optionin patients with gastric GISTs.
Abstract
Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract, primarily arisingfrom the stomach. With the widespread utilization of and technical advancements in endoscopy, gastric GISTs are being increasinglydetected at an early stage, enabling complete endoscopic resection. Endoscopic full-thickness resection (EFTR) is an advancedtechnique that has been recognized as a treatment tool for neoplasms in the digestive tract in selected patients. Although a numberof methods are available, closing large iatrogenic defects after EFTR can be a concern in clinical practice. If this potential problem isappropriately solved, patients with gastric GISTs would be suitable candidates for resection utilizing this technique. To our knowledge,this is the first study to propose omental patching and purse-string endosuture closure following EFTR as a feasible endoscopic optionin patients with gastric GISTs.
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