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

doi:10.1016/j.dld.2017.12.005

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 journal › Article › peer-review

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 language	English
Pages (from-to)	360-365
Number of pages	6
Journal	Digestive and Liver Disease
Volume	50
Issue number	4
DOIs	https://doi.org/10.1016/j.dld.2017.12.005
Publication status	Published - 2018 Apr

Bibliographical note

Funding Information:
This research was supported by the grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute, funded by the Ministry of Health & Welfare, Republic of Korea (Grant number: HI14C3477). These data were presented on May 24, 2016 at the ASGE's World Cup of Endoscopy as part of Digestive Disease Week in San Diego, CA, USA.

Funding Information:
This research was supported by the grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute, funded by the Ministry of Health & Welfare, Republic of Korea (Grant number: HI14C3477 ). These data were presented on May 24, 2016 at the ASGE’s World Cup of Endoscopy as part of Digestive Disease Week in San Diego, CA, USA.

Publisher Copyright:
© 2017 Editrice Gastroenterologica Italiana S.r.l.

Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.

Keywords

Endoscopy
Forceps
Gastrointestinal subepithelial tumor
Muscularis propria

ASJC Scopus subject areas

Hepatology
Gastroenterology

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10.1016/j.dld.2017.12.005

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 Chun, {Hoon Jai} and Kim, {Seung Han} and Lee, {Jae Min} and Kim, {Eun Sun} and Bora Keum and Lee, {Hong Sik} and Jeen, {Yoon Tae} and Kim, {Chang Duck}",

note = "Funding Information: This research was supported by the grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute, funded by the Ministry of Health & Welfare, Republic of Korea (Grant number: HI14C3477). These data were presented on May 24, 2016 at the ASGE's World Cup of Endoscopy as part of Digestive Disease Week in San Diego, CA, USA. Funding Information: This research was supported by the grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute, funded by the Ministry of Health & Welfare, Republic of Korea (Grant number: HI14C3477 ). These data were presented on May 24, 2016 at the ASGE{\textquoteright}s World Cup of Endoscopy as part of Digestive Disease Week in San Diego, CA, USA. Publisher Copyright: {\textcopyright} 2017 Editrice Gastroenterologica Italiana S.r.l. Copyright: Copyright 2018 Elsevier B.V., All rights reserved.",

year = "2018",

month = apr,

doi = "10.1016/j.dld.2017.12.005",

language = "English",

volume = "50",

pages = "360--365",

journal = "Digestive and Liver Disease",

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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

N1 - Funding Information: This research was supported by the grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute, funded by the Ministry of Health & Welfare, Republic of Korea (Grant number: HI14C3477). These data were presented on May 24, 2016 at the ASGE's World Cup of Endoscopy as part of Digestive Disease Week in San Diego, CA, USA. Funding Information: This research was supported by the grant from the Korea Health Technology R&D Project through the Korea Health Industry Development Institute, funded by the Ministry of Health & Welfare, Republic of Korea (Grant number: HI14C3477 ). These data were presented on May 24, 2016 at the ASGE’s World Cup of Endoscopy as part of Digestive Disease Week in San Diego, CA, USA. Publisher Copyright: © 2017 Editrice Gastroenterologica Italiana S.r.l. Copyright: Copyright 2018 Elsevier B.V., All rights reserved.

PY - 2018/4

Y1 - 2018/4

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.

KW - Endoscopy

KW - Forceps

KW - Gastrointestinal subepithelial tumor

KW - Muscularis propria

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

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

Access to Document

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