Open Access

Endoscopic full‑thickness resection with clip‑ and snare‑assisted traction for gastric submucosal tumours in the fundus: A single‑centre case series

  • Authors:
    • Liujing Ni
    • Xiaolin Liu
    • Airong Wu
    • Chenyan Yu
    • Chentao Zou
    • Guoting Xu
    • Chao Wang
    • Xin Gao
  • View Affiliations

  • Published online on: March 3, 2023     https://doi.org/10.3892/ol.2023.13737
  • Article Number: 151
  • Copyright: © Ni et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

Exposed endoscopic full‑thickness resection (Eo‑EFTR) has been recognized as a feasible therapy for gastrointestinal submucosal tumours (SMTs) originating deep in the muscularis propria layer; however, Eo‑EFTR is difficult to perform in a retroflexed fashion in the gastric fundus. As a supportive technique, clip‑ and snare‑assisted traction may help expose the surgical field and shorten the operation time in endoscopic resection of difficult regions. However, the application of clip‑ and snare‑assisted traction in Eo‑EFTR of SMTs in the gastric fundus is limited. Between April 2018 and December 2021, Eo‑EFTR with clip‑ and snare‑assisted traction was performed in 20 patients with SMTs in the gastric fundus at The First Affiliated Hospital of Soochow University. The relevant clinical data were collected retrospectively for all of the patients and analysed. All 20 patients underwent Eo‑EFTR successfully without conversion to open surgery or severe adverse events. The en bloc resection rate and R0 resection rate were both 100%. Two patients had abdominal pain and fever after the operation, and five patients had fever, which recovered with medical therapy. No complications, such as delayed bleeding or delayed perforation, were observed. The postoperative pathology indicated that 19 cases were gastrointestinal stromal tumours and one case was leiomyoma. During the follow‑up, no residual tumour, local recurrence or distant metastasis was detected by endoscopy or abdominal computed tomography. In conclusion, Eo‑EFTR with clip‑ and snare‑assisted traction appears to be a relatively safe and effective treatment for gastric SMTs in the fundus. However, prospective studies on a larger sample size are required to verify the effect of the clip‑ and snare‑assisted traction in Eo‑EFTR.
View Figures
View References

Related Articles

Journal Cover

April-2023
Volume 25 Issue 4

Print ISSN: 1792-1074
Online ISSN:1792-1082

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
x
Spandidos Publications style
Ni L, Liu X, Wu A, Yu C, Zou C, Xu G, Wang C and Gao X: Endoscopic full‑thickness resection with clip‑ and snare‑assisted traction for gastric submucosal tumours in the fundus: A single‑centre case series. Oncol Lett 25: 151, 2023
APA
Ni, L., Liu, X., Wu, A., Yu, C., Zou, C., Xu, G. ... Gao, X. (2023). Endoscopic full‑thickness resection with clip‑ and snare‑assisted traction for gastric submucosal tumours in the fundus: A single‑centre case series. Oncology Letters, 25, 151. https://doi.org/10.3892/ol.2023.13737
MLA
Ni, L., Liu, X., Wu, A., Yu, C., Zou, C., Xu, G., Wang, C., Gao, X."Endoscopic full‑thickness resection with clip‑ and snare‑assisted traction for gastric submucosal tumours in the fundus: A single‑centre case series". Oncology Letters 25.4 (2023): 151.
Chicago
Ni, L., Liu, X., Wu, A., Yu, C., Zou, C., Xu, G., Wang, C., Gao, X."Endoscopic full‑thickness resection with clip‑ and snare‑assisted traction for gastric submucosal tumours in the fundus: A single‑centre case series". Oncology Letters 25, no. 4 (2023): 151. https://doi.org/10.3892/ol.2023.13737