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Case Report Open Access

Application of NOTES combined with ESD for the treatment of an exogenous gastric stromal tumor: A case report and review of the literature

  • Authors:
    • Xiao-Bo Liu
    • Zi-Ye Gao
    • Sandeep Pandey
    • Bao-Zhen Shan
    • Ping Liu
    • Chuan-Tao Sun
    • Sheng-Bao Li
    • Shu Jin
  • View Affiliations / Copyright

    Affiliations: Department of Gastroenterology, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei 442000, P.R. China, Department of Oncology, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei 442000, P.R. China, Department of Pathology, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei 442000, P.R. China
    Copyright: © Liu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 7
    |
    Published online on: December 8, 2020
       https://doi.org/10.3892/wasj.2020.78
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Abstract

The present study aimed to investigate the safety and feasibility of natural orifice transluminal endoscopic surgery (NOTES) combined with endoscopic mucosal dissection (ESD) as a treatment for the exogenous growth of gastric stromal tumors of the serosal layer. The clinical data of one patient presenting with the growth of an exogenous gastric stromal tumor of the serosal layer admitted to the Department of Gastroenterology, Taihe Hospital, were reviewed. The patient's condition was evaluated pre‑operatively, and NOTES combined with ESD were performed under general anesthesia. PubMed, EMbase, Wanfang data, the China National Knowledge Infrastructure and other databases, combined with the published literature were also searched to evaluate the safety and feasibility of this type of treatment for gastrointestinal stromal tumors (GISTs). In the present study, the duration of the surgery was 110 min, intraoperative blood loss was approximately 5 ml, and the lesion was completely stripped. After 5 days, the patient resumed a normal diet. After 45 days, the wound healing of the gastroscope was complete. An abdominal CT scan revealed that the tumor had been completely removed. In general, the endoscopic treatment of GISTs has a number of advantages; however, large lesions limit its application. Laparoscopic and endoscopic techniques have expanded the indications for GIST surgery to reduce contamination and tumor dissemination risks. NOTES technology is a novel direction for the treatment of GISTs, and its combination combined with ESD is safe and feasible. On the whole, as demonstrated herein, NOTES combination with ESD is safe and feasible for the treatment of GISTs originating from the gastric serosa or extraluminal growth type, particularly when the lesion is <3.5 cm in diameter. This method may thus be worthy of clinical promotion.
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Copy and paste a formatted citation
Spandidos Publications style
Liu X, Gao Z, Pandey S, Shan B, Liu P, Sun C, Li S and Jin S: Application of NOTES combined with ESD for the treatment of an exogenous gastric stromal tumor: A case report and review of the literature. World Acad Sci J 3: 7, 2021.
APA
Liu, X., Gao, Z., Pandey, S., Shan, B., Liu, P., Sun, C. ... Jin, S. (2021). Application of NOTES combined with ESD for the treatment of an exogenous gastric stromal tumor: A case report and review of the literature. World Academy of Sciences Journal, 3, 7. https://doi.org/10.3892/wasj.2020.78
MLA
Liu, X., Gao, Z., Pandey, S., Shan, B., Liu, P., Sun, C., Li, S., Jin, S."Application of NOTES combined with ESD for the treatment of an exogenous gastric stromal tumor: A case report and review of the literature". World Academy of Sciences Journal 3.1 (2021): 7.
Chicago
Liu, X., Gao, Z., Pandey, S., Shan, B., Liu, P., Sun, C., Li, S., Jin, S."Application of NOTES combined with ESD for the treatment of an exogenous gastric stromal tumor: A case report and review of the literature". World Academy of Sciences Journal 3, no. 1 (2021): 7. https://doi.org/10.3892/wasj.2020.78
Copy and paste a formatted citation
x
Spandidos Publications style
Liu X, Gao Z, Pandey S, Shan B, Liu P, Sun C, Li S and Jin S: Application of NOTES combined with ESD for the treatment of an exogenous gastric stromal tumor: A case report and review of the literature. World Acad Sci J 3: 7, 2021.
APA
Liu, X., Gao, Z., Pandey, S., Shan, B., Liu, P., Sun, C. ... Jin, S. (2021). Application of NOTES combined with ESD for the treatment of an exogenous gastric stromal tumor: A case report and review of the literature. World Academy of Sciences Journal, 3, 7. https://doi.org/10.3892/wasj.2020.78
MLA
Liu, X., Gao, Z., Pandey, S., Shan, B., Liu, P., Sun, C., Li, S., Jin, S."Application of NOTES combined with ESD for the treatment of an exogenous gastric stromal tumor: A case report and review of the literature". World Academy of Sciences Journal 3.1 (2021): 7.
Chicago
Liu, X., Gao, Z., Pandey, S., Shan, B., Liu, P., Sun, C., Li, S., Jin, S."Application of NOTES combined with ESD for the treatment of an exogenous gastric stromal tumor: A case report and review of the literature". World Academy of Sciences Journal 3, no. 1 (2021): 7. https://doi.org/10.3892/wasj.2020.78
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