Back to Search
Start Over
Orthodontic rubber band traction to facilitate endoscopic resection of gastric submucosal tumor.
- Source :
-
Arab journal of gastroenterology : the official publication of the Pan-Arab Association of Gastroenterology [Arab J Gastroenterol] 2024 Aug; Vol. 25 (3), pp. 263-268. Date of Electronic Publication: 2024 May 07. - Publication Year :
- 2024
-
Abstract
- Background and Study Aims: Endoscopic submucosal excavation (ESE) and endoscopic full-thickness resection (EFTR) are common endoscopic minimally invasive methods for treatment of gastric submucosal tumors (SMTs). However, it is sometimes difficult to expose the tumor optimally. This study aimed to explore the safety and effectiveness of tumor traction using orthodontic rubber band (ORB) combined with clips to assist ESE and EFTR of gastric SMTs.<br />Patients and Methods: The data of patients with gastric SMTs who underwent ESE or EFR at the Endoscopy Center of the 900th Hospital of PLA from January 2021 to May 2022 were retrospectively analyzed. Baseline characteristics and clinical outcomes, including operation time and postoperative adverse events, were compared between patients receiving ORB-ESE/EFTR and conventional ESE/EFTR.<br />Results: A total of 52 patients were enrolled: 16 patients who underwent ORB-ESE /EFTR and 36 patients who underwent conventional ESE/EFTR. Median procedure time was significantly shorter in the ORB-ESE/EFTR group than in the conventional ESE/EFTR group (32 [IQR, 23.8, 38.0] minutes vs. 39.0 [IQR, 34.6-67.3] minutes, P = 0.002). Baseline characteristics, en bloc resection rate, incidence of postoperative adverse events, and postoperative pathology results were comparable between the two groups (P > 0.05).<br />Conclusion: Use of ORB with clips-assisted traction during ESE/EFTR of gastric SMT can shorten the surgical time. Further large prospective studies are needed to confirm the findings of this study.<br /> (Copyright © 2024 Pan-Arab Association of Gastroenterology. Published by Elsevier B.V. All rights reserved.)
- Subjects :
- Humans
Female
Male
Middle Aged
Retrospective Studies
Gastroscopy methods
Aged
Adult
Gastric Mucosa surgery
Gastric Mucosa pathology
Postoperative Complications
Treatment Outcome
Rubber
Stomach Neoplasms surgery
Stomach Neoplasms pathology
Traction methods
Traction instrumentation
Operative Time
Endoscopic Mucosal Resection methods
Endoscopic Mucosal Resection instrumentation
Subjects
Details
- Language :
- English
- ISSN :
- 2090-2387
- Volume :
- 25
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Arab journal of gastroenterology : the official publication of the Pan-Arab Association of Gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 38719665
- Full Text :
- https://doi.org/10.1016/j.ajg.2024.03.007