Endoscopic Alcohol Injection Therapy of Giant Gastric Leiomyomas: An Alternative Method to Surgery
Leiomyomas are the most common benign mesenchymal tumours of the upper gastrointestinal tract. They rarely cause symptoms when they are smaller than 5 cm in diameter. Observation with repeated endoscopies is recommended in asymptomatic patients with small lesions. Surgical resection remains the main...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/2010/936936 |
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| author | Burhan Ozdil Hikmet Akkiz Can Kece Macit Sandikci |
| author_facet | Burhan Ozdil Hikmet Akkiz Can Kece Macit Sandikci |
| author_sort | Burhan Ozdil |
| collection | DOAJ |
| description | Leiomyomas are the most common benign mesenchymal tumours of the upper gastrointestinal tract. They rarely cause symptoms when they are smaller than 5 cm in diameter. Observation with repeated endoscopies is recommended in asymptomatic patients with small lesions. Surgical resection remains the main therapy option for symptomatic and complicated patients. The treatment of esophageal leiomyoma has been enhanced by improvements in diagnostic and therapeutic endoscopic techniques; however, the same cannot be said for gastric leiomyoma management. The present article describes the management of two cases involving giant gastric leiomyomas that were successfully treated using endoscopic injection of alcohol. To the authors’ knowledge, the present study is the first report of the treatment of such hemorrhagic gastric tumours using this alternative and low-cost technique. Endoscopic local ethanol injection may be the treatment of choice in carefully selected patients with hemorrhagic leiomyomas of the upper gastrointestinal tract. |
| format | Article |
| id | doaj-art-cacc0b1c9861468e9bd96dabe8bf6d86 |
| institution | Kabale University |
| issn | 0835-7900 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology |
| spelling | doaj-art-cacc0b1c9861468e9bd96dabe8bf6d862025-02-03T06:11:38ZengWileyCanadian Journal of Gastroenterology0835-79002010-01-0124953353510.1155/2010/936936Endoscopic Alcohol Injection Therapy of Giant Gastric Leiomyomas: An Alternative Method to SurgeryBurhan Ozdil0Hikmet Akkiz1Can Kece2Macit Sandikci3Faculty of Medicine, Department of Gastroenterology, Cukurova University, Adana, TurkeyFaculty of Medicine, Department of Gastroenterology, Cukurova University, Adana, TurkeyDepartment of Gastroenterologic Surgery, Research Hospital, Trabzon, TurkeyFaculty of Medicine, Department of Gastroenterology, Cukurova University, Adana, TurkeyLeiomyomas are the most common benign mesenchymal tumours of the upper gastrointestinal tract. They rarely cause symptoms when they are smaller than 5 cm in diameter. Observation with repeated endoscopies is recommended in asymptomatic patients with small lesions. Surgical resection remains the main therapy option for symptomatic and complicated patients. The treatment of esophageal leiomyoma has been enhanced by improvements in diagnostic and therapeutic endoscopic techniques; however, the same cannot be said for gastric leiomyoma management. The present article describes the management of two cases involving giant gastric leiomyomas that were successfully treated using endoscopic injection of alcohol. To the authors’ knowledge, the present study is the first report of the treatment of such hemorrhagic gastric tumours using this alternative and low-cost technique. Endoscopic local ethanol injection may be the treatment of choice in carefully selected patients with hemorrhagic leiomyomas of the upper gastrointestinal tract.http://dx.doi.org/10.1155/2010/936936 |
| spellingShingle | Burhan Ozdil Hikmet Akkiz Can Kece Macit Sandikci Endoscopic Alcohol Injection Therapy of Giant Gastric Leiomyomas: An Alternative Method to Surgery Canadian Journal of Gastroenterology |
| title | Endoscopic Alcohol Injection Therapy of Giant Gastric Leiomyomas: An Alternative Method to Surgery |
| title_full | Endoscopic Alcohol Injection Therapy of Giant Gastric Leiomyomas: An Alternative Method to Surgery |
| title_fullStr | Endoscopic Alcohol Injection Therapy of Giant Gastric Leiomyomas: An Alternative Method to Surgery |
| title_full_unstemmed | Endoscopic Alcohol Injection Therapy of Giant Gastric Leiomyomas: An Alternative Method to Surgery |
| title_short | Endoscopic Alcohol Injection Therapy of Giant Gastric Leiomyomas: An Alternative Method to Surgery |
| title_sort | endoscopic alcohol injection therapy of giant gastric leiomyomas an alternative method to surgery |
| url | http://dx.doi.org/10.1155/2010/936936 |
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