The Feasibility and Safety of the Clip-and-Snare Method with a Prelooping Technique for Gastric Submucosal Tumors Removal: A Single-Center Experience (with Video)
Aim. This study compared the efficacy and safety of endoscopic submucosal dissection (ESD) combined with clip-and-snare method and a prelooping technique (CSM-PLT) with ESD alone for the treatment of gastric submucosal tumors (gSMTs). Methods. We retrospectively enrolled a matched group of 86 patien...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
|
| Series: | Canadian Journal of Gastroenterology and Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2022/7957877 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832559400074608640 |
|---|---|
| author | Qi Tang Rui-Yue Shi Jun Yao Li-Sheng Wang De-Feng Li |
| author_facet | Qi Tang Rui-Yue Shi Jun Yao Li-Sheng Wang De-Feng Li |
| author_sort | Qi Tang |
| collection | DOAJ |
| description | Aim. This study compared the efficacy and safety of endoscopic submucosal dissection (ESD) combined with clip-and-snare method and a prelooping technique (CSM-PLT) with ESD alone for the treatment of gastric submucosal tumors (gSMTs). Methods. We retrospectively enrolled a matched group of 86 patients who received ESD combined with CSM-PLT or ESD alone from July 2010 to July 2020. The primary outcomes included complete resection, en bloc resection, and R0 resection. Results. Eighty-six patients with gSMTs were enrolled in ESD combined with CSM-PLT group and ESD group, respectively. There were no significant differences in gender, age, tumor size, tumor location, and tumor origin between the two groups. The complete resection, en bloc resection, and R0 resection rates were comparable between two groups (P=1, P=0.31, and P=0.25, respectively). There were no significant differences in terms of hospital stays, hospitalization cost, postoperative complications, and residual rate (P=0.42, P=0.74, P=0.65, and P=1, respectively) between the two groups. However, the ESD combined with CSM-PLT was associated with a shorter procedure duration and fewer intraoperative complications (P<0.001 and P=0.024, respectively). In addition, the incidence of intraoperative bleeding in ESD combined with CSM-PLT group was significantly lower than that in ESD group (P=0.04). Conclusion. Both ESD combined with CSM-PLT and ESD were effective and safe modalities for the treatment of gSMTs. However, ESD combined with CSM-PLT was associated with a shorter procedure duration and fewer intraoperative complications. |
| format | Article |
| id | doaj-art-212f414d6c8641279be0a9fa55c50e75 |
| institution | Kabale University |
| issn | 2291-2797 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology and Hepatology |
| spelling | doaj-art-212f414d6c8641279be0a9fa55c50e752025-02-03T01:30:02ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27972022-01-01202210.1155/2022/7957877The Feasibility and Safety of the Clip-and-Snare Method with a Prelooping Technique for Gastric Submucosal Tumors Removal: A Single-Center Experience (with Video)Qi Tang0Rui-Yue Shi1Jun Yao2Li-Sheng Wang3De-Feng Li4Department of GastroenterologyDepartment of GastroenterologyDepartment of GastroenterologyDepartment of GastroenterologyDepartment of GastroenterologyAim. This study compared the efficacy and safety of endoscopic submucosal dissection (ESD) combined with clip-and-snare method and a prelooping technique (CSM-PLT) with ESD alone for the treatment of gastric submucosal tumors (gSMTs). Methods. We retrospectively enrolled a matched group of 86 patients who received ESD combined with CSM-PLT or ESD alone from July 2010 to July 2020. The primary outcomes included complete resection, en bloc resection, and R0 resection. Results. Eighty-six patients with gSMTs were enrolled in ESD combined with CSM-PLT group and ESD group, respectively. There were no significant differences in gender, age, tumor size, tumor location, and tumor origin between the two groups. The complete resection, en bloc resection, and R0 resection rates were comparable between two groups (P=1, P=0.31, and P=0.25, respectively). There were no significant differences in terms of hospital stays, hospitalization cost, postoperative complications, and residual rate (P=0.42, P=0.74, P=0.65, and P=1, respectively) between the two groups. However, the ESD combined with CSM-PLT was associated with a shorter procedure duration and fewer intraoperative complications (P<0.001 and P=0.024, respectively). In addition, the incidence of intraoperative bleeding in ESD combined with CSM-PLT group was significantly lower than that in ESD group (P=0.04). Conclusion. Both ESD combined with CSM-PLT and ESD were effective and safe modalities for the treatment of gSMTs. However, ESD combined with CSM-PLT was associated with a shorter procedure duration and fewer intraoperative complications.http://dx.doi.org/10.1155/2022/7957877 |
| spellingShingle | Qi Tang Rui-Yue Shi Jun Yao Li-Sheng Wang De-Feng Li The Feasibility and Safety of the Clip-and-Snare Method with a Prelooping Technique for Gastric Submucosal Tumors Removal: A Single-Center Experience (with Video) Canadian Journal of Gastroenterology and Hepatology |
| title | The Feasibility and Safety of the Clip-and-Snare Method with a Prelooping Technique for Gastric Submucosal Tumors Removal: A Single-Center Experience (with Video) |
| title_full | The Feasibility and Safety of the Clip-and-Snare Method with a Prelooping Technique for Gastric Submucosal Tumors Removal: A Single-Center Experience (with Video) |
| title_fullStr | The Feasibility and Safety of the Clip-and-Snare Method with a Prelooping Technique for Gastric Submucosal Tumors Removal: A Single-Center Experience (with Video) |
| title_full_unstemmed | The Feasibility and Safety of the Clip-and-Snare Method with a Prelooping Technique for Gastric Submucosal Tumors Removal: A Single-Center Experience (with Video) |
| title_short | The Feasibility and Safety of the Clip-and-Snare Method with a Prelooping Technique for Gastric Submucosal Tumors Removal: A Single-Center Experience (with Video) |
| title_sort | feasibility and safety of the clip and snare method with a prelooping technique for gastric submucosal tumors removal a single center experience with video |
| url | http://dx.doi.org/10.1155/2022/7957877 |
| work_keys_str_mv | AT qitang thefeasibilityandsafetyoftheclipandsnaremethodwithapreloopingtechniqueforgastricsubmucosaltumorsremovalasinglecenterexperiencewithvideo AT ruiyueshi thefeasibilityandsafetyoftheclipandsnaremethodwithapreloopingtechniqueforgastricsubmucosaltumorsremovalasinglecenterexperiencewithvideo AT junyao thefeasibilityandsafetyoftheclipandsnaremethodwithapreloopingtechniqueforgastricsubmucosaltumorsremovalasinglecenterexperiencewithvideo AT lishengwang thefeasibilityandsafetyoftheclipandsnaremethodwithapreloopingtechniqueforgastricsubmucosaltumorsremovalasinglecenterexperiencewithvideo AT defengli thefeasibilityandsafetyoftheclipandsnaremethodwithapreloopingtechniqueforgastricsubmucosaltumorsremovalasinglecenterexperiencewithvideo AT qitang feasibilityandsafetyoftheclipandsnaremethodwithapreloopingtechniqueforgastricsubmucosaltumorsremovalasinglecenterexperiencewithvideo AT ruiyueshi feasibilityandsafetyoftheclipandsnaremethodwithapreloopingtechniqueforgastricsubmucosaltumorsremovalasinglecenterexperiencewithvideo AT junyao feasibilityandsafetyoftheclipandsnaremethodwithapreloopingtechniqueforgastricsubmucosaltumorsremovalasinglecenterexperiencewithvideo AT lishengwang feasibilityandsafetyoftheclipandsnaremethodwithapreloopingtechniqueforgastricsubmucosaltumorsremovalasinglecenterexperiencewithvideo AT defengli feasibilityandsafetyoftheclipandsnaremethodwithapreloopingtechniqueforgastricsubmucosaltumorsremovalasinglecenterexperiencewithvideo |