A promising Forcep Strip Method for gastrointestinal subepithelial tumors originating from the muscularis propria

In Kyung Yoo, Hyuk Soon Choi, Hoon-Jai Chun, Seung Han Kim, Jae Min Lee, Eun-Sun Kim, Bora Keum, Hong Sik Lee, Yoon Tae Jeen, Chang Duck Kim

Research output: Contribution to journalArticle

Abstract

Background: Subepithelial tumors (SETs) originating from the muscularis propria layer are unlikely to be resected completely and safely. We developed the Forcep Strip Method (FSM) for the resection of SETs in the stomach. Aims: This study aimed to evaluate the feasibility and safety of the FSM. Methods: Endoscopic SET resection using electrical forceps was performed in 11 consecutive patients with clinical indications for lesion removal. Following injection around the tumor, the adjacent mucosa or submucosa was grasped with the hot forceps and pulled away to form a "tent". The tumor was dissected from the muscularis propria layer and carefully removed using coagulating forceps. Results: The FSM was successful in 10 of the 11 patients in the series; one patient required surgery due to respiratory depression during the procedure. The complete resection rate was 100% and no major complications including bleeding and perforation occurred. Mean procedure time was 39.3 ± 14.7 min, mean hospitalization time was 5.0 ± 1.2 days, and mean tumor size was 17.1 ± 4.7 mm. Conclusion: FSM was found to be an easy, safe, and effective procedure for the treatment of gastric SETs originating from the muscularis propria layer.

Original languageEnglish
JournalDigestive and Liver Disease
DOIs
Publication statusAccepted/In press - 2018 Jan 1

Fingerprint

Surgical Instruments
Neoplasms
Stomach
Respiratory Insufficiency
Mucous Membrane
Hospitalization
Hemorrhage
Safety
Injections

Keywords

  • Endoscopy
  • Forceps
  • Gastrointestinal subepithelial tumor
  • Muscularis propria

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

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title = "A promising Forcep Strip Method for gastrointestinal subepithelial tumors originating from the muscularis propria",
abstract = "Background: Subepithelial tumors (SETs) originating from the muscularis propria layer are unlikely to be resected completely and safely. We developed the Forcep Strip Method (FSM) for the resection of SETs in the stomach. Aims: This study aimed to evaluate the feasibility and safety of the FSM. Methods: Endoscopic SET resection using electrical forceps was performed in 11 consecutive patients with clinical indications for lesion removal. Following injection around the tumor, the adjacent mucosa or submucosa was grasped with the hot forceps and pulled away to form a {"}tent{"}. The tumor was dissected from the muscularis propria layer and carefully removed using coagulating forceps. Results: The FSM was successful in 10 of the 11 patients in the series; one patient required surgery due to respiratory depression during the procedure. The complete resection rate was 100{\%} and no major complications including bleeding and perforation occurred. Mean procedure time was 39.3 ± 14.7 min, mean hospitalization time was 5.0 ± 1.2 days, and mean tumor size was 17.1 ± 4.7 mm. Conclusion: FSM was found to be an easy, safe, and effective procedure for the treatment of gastric SETs originating from the muscularis propria layer.",
keywords = "Endoscopy, Forceps, Gastrointestinal subepithelial tumor, Muscularis propria",
author = "Yoo, {In Kyung} and Choi, {Hyuk Soon} and Hoon-Jai Chun and Kim, {Seung Han} and Lee, {Jae Min} and Eun-Sun Kim and Bora Keum and Lee, {Hong Sik} and Jeen, {Yoon Tae} and Kim, {Chang Duck}",
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doi = "10.1016/j.dld.2017.12.005",
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TY - JOUR

T1 - A promising Forcep Strip Method for gastrointestinal subepithelial tumors originating from the muscularis propria

AU - Yoo, In Kyung

AU - Choi, Hyuk Soon

AU - Chun, Hoon-Jai

AU - Kim, Seung Han

AU - Lee, Jae Min

AU - Kim, Eun-Sun

AU - Keum, Bora

AU - Lee, Hong Sik

AU - Jeen, Yoon Tae

AU - Kim, Chang Duck

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background: Subepithelial tumors (SETs) originating from the muscularis propria layer are unlikely to be resected completely and safely. We developed the Forcep Strip Method (FSM) for the resection of SETs in the stomach. Aims: This study aimed to evaluate the feasibility and safety of the FSM. Methods: Endoscopic SET resection using electrical forceps was performed in 11 consecutive patients with clinical indications for lesion removal. Following injection around the tumor, the adjacent mucosa or submucosa was grasped with the hot forceps and pulled away to form a "tent". The tumor was dissected from the muscularis propria layer and carefully removed using coagulating forceps. Results: The FSM was successful in 10 of the 11 patients in the series; one patient required surgery due to respiratory depression during the procedure. The complete resection rate was 100% and no major complications including bleeding and perforation occurred. Mean procedure time was 39.3 ± 14.7 min, mean hospitalization time was 5.0 ± 1.2 days, and mean tumor size was 17.1 ± 4.7 mm. Conclusion: FSM was found to be an easy, safe, and effective procedure for the treatment of gastric SETs originating from the muscularis propria layer.

AB - Background: Subepithelial tumors (SETs) originating from the muscularis propria layer are unlikely to be resected completely and safely. We developed the Forcep Strip Method (FSM) for the resection of SETs in the stomach. Aims: This study aimed to evaluate the feasibility and safety of the FSM. Methods: Endoscopic SET resection using electrical forceps was performed in 11 consecutive patients with clinical indications for lesion removal. Following injection around the tumor, the adjacent mucosa or submucosa was grasped with the hot forceps and pulled away to form a "tent". The tumor was dissected from the muscularis propria layer and carefully removed using coagulating forceps. Results: The FSM was successful in 10 of the 11 patients in the series; one patient required surgery due to respiratory depression during the procedure. The complete resection rate was 100% and no major complications including bleeding and perforation occurred. Mean procedure time was 39.3 ± 14.7 min, mean hospitalization time was 5.0 ± 1.2 days, and mean tumor size was 17.1 ± 4.7 mm. Conclusion: FSM was found to be an easy, safe, and effective procedure for the treatment of gastric SETs originating from the muscularis propria layer.

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