First submucosal endoscopic tun­nel­ling resection of a subepithelial tumour (GIST) in the Czech Republic


Authors: J. Martínek 1;  J. Špičák 1;  P. Wohl 1;  P. Štirand 1;  T. Haruštiak 2;  J. Malušková 3;  Z. Vacková 1
Authors‘ workplace: Klinika hepatogastroenterologie, Transplantcentrum, IKEM, Praha 1;  III. chirurgická klinika LF UK a FN v Motole, Praha 2;  Pracoviště klinické a transplantační patologie, Transplantcentrum, IKEM, Praha 3
Published in: Gastroent Hepatol 2016; 70(3): 226-229
Category: Digestive Endoscopy: Case Report
doi: 10.14735/amgh2016226

Overview

In this case report, we describe the first submucosal endoscopic tunneling resection of a subepithelial tumor of the esophagus in the Czech Republic. After submucosal injection and mucosal incision, we performed a submucosal tunnel towards the lesion and then removed the lesion by using special dissection knifes. After resection, the tumor was taken out with a snare. Histopathology showed GIST.

Key words:
GIST – submucosal tumor – endoscopic resection – POEM

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

 Submitted:
12. 5. 2016

 Accepted:
23. 5. 2016


Sources

1. Martínek J, Rösch T, Špičák J et al. První „POEM“ (perorální endoskopická myotomie) v České republice. Gastroent Hepatol 2012; 66(6): 475– 476.

2. Inoue H, Ikeda H, Hosoya T et al. Submucosal endoscopic tumor resection for subepithelial tumors in the esophagus and cardia. Endoscopy 2012; 44(3): 225– 230. doi: 10.1055/ s-0031-1291659.

3. Khashab MA, Saxena P, Valeshabad AK et al. Novel technique for submucosal tun­nel­ing and endoscopic resection of submucosal tumors (with video). Gastrointest Endosc 2013; 77(4): 646– 648. doi: 10.1016/ j.gie.2012.11.011.

4. Eleftheriadis N, Inoue H, Ikeda H et al. Submucosal tun­nel endoscopy: peroral endoscopic myotomy and peroral endoscopic tumor resection. World J Gastrointest Endosc 2016; 8(2): 86– 103. doi: 10.4253/ wjge.v8.i2.86.

5. Ng JJ, Chiu PW, Shabbir A et al. Removal of a large, 40- m­m, submucosal leiomyoma us­ing submucosal tun­nel­ing endoscopic resection and extraction of specimen us­ing a distal mucosal incision. Endoscopy 2015; 47 (Suppl 1): E232– E233. doi: 10.1055/ s-0034-1391904.

Labels
Paediatric gastroenterology Gastroenterology and hepatology Surgery

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