Endoscopic Resection of Gastric Submucosal Masses by a Dental Floss Traction Method

Background and Aims. ESE (endoscopic submucosal excavation) is widely used for the treatment of digestive diseases. The dental floss traction (DFT) method has been successfully used to facilitate ESE to resect mucosal lesions such as early gastric cancer. DFT has not been used in ESE to remove submu...

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Bibliographic Details
Published in:Canadian journal of gastroenterology & hepatology 2019-01, Vol.2019 (2019), p.1-5
Main Authors: Cai, Qiang, Lv, Nonghua, Shu, Xu, Zhu, Yin, Zeng, Chunyan, Chen, Youxiang
Format: Article
Language:English
Subjects:
Antibiotics
Cancer research
Care and treatment
Clinical Study
Dental floss
Dissection
Endoscopy
Gastric cancer
Gastrointestinal cancer
Methods
Methylene blue
Patients
Stomach cancer
Studies
Surgical techniques
Titanium
Tumors
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Summary:Background and Aims. ESE (endoscopic submucosal excavation) is widely used for the treatment of digestive diseases. The dental floss traction (DFT) method has been successfully used to facilitate ESE to resect mucosal lesions such as early gastric cancer. DFT has not been used in ESE to remove submucosal masses. This study aimed to examine the efficacy of DFT-assisted ESE (DFT- ESE) for the removal of submucous masses. Methods. From March 2017 to May 2017, a total of 12 patients with gastric submucosal masses at the First Affiliated Hospital of Nanchang University, Jiangxi, China, were enrolled. The tumor characteristics, en bloc resection rates, complications, and outcomes on follow-up were evaluated for all patients. Results. The 12 submucosal tumors were completely removed by DFT- ESE. Nine were gastrointestinal stromal tumors. Two were Schwannoma, located in the greater curvature of the gastric corpus. One was gastric ectopic pancreas. All the resected tumors were removed completely with intact tumor capsules. There was no more bleeding or perforation after the endoscopic closure of the perforation or the wound after the DFT-ESE, and no recurrences were identified at the time of follow-up. Conclusions. The DFT method efficiently and safely facilitated the ESE procedure during the resection of gastric submucosal tumors. This study was registered with Chinese Clinical Trial Registry under Registration number ChiCTR-OOC-15005833).
ISSN:2291-2789
2291-2797
DOI:10.1155/2019/1083053