scholarly journals Heterotopic Gastric Mucosa in Gastric Propria Muscularis Treated by Endoscopic Submucosal Dissection: A Case Report and Literature Review.

2021 ◽  
Author(s):  
Yuting Jia ◽  
Erfeng Li ◽  
Zhen Zhang ◽  
Bin Guo ◽  
Xing Chen
Keyword(s):  
Gastric Mucosa ◽  
Endoscopic Submucosal Dissection ◽  
Submucosal Tumor ◽  
Anatomical Variation ◽  
Abdominal Distension ◽  
Normal Mucosa ◽  
Heterotopic Gastric Mucosa ◽  
Upper Gastrointestinal Endoscopy ◽  
Submucosal Dissection ◽  
Mucosal Glands

Abstract Background: Heterotopic gastric mucosa（HGM）is a congenital anatomical variation. It can occur in various tissues and organs of the gastrointestinal tract. Part of the HGM appeared as a solitary, sessile submucosal lesions covered with normal mucosa, and because it was relatively rare, thereby resulting in some HGM to be easily missed or misdiagnosed. We report on a case of heterotopic gastric mucosa in gastric propria muscularis.Case presentation: A 32-year-old man with abdominal distension for one month. Upper gastrointestinal endoscopy revealed hemispherical lesion covered with smooth mucosa located in gastric antrum. Endoscopic ultrasound (EUS) revealed that it might be derived from the submucosa, with no echogenic nodules, and a partition is visible inside. Endoscopic submucosal dissection (ESD) was performed and histological examination revealed scattered heterotopic mucosal glands (HGG) located in the propria muscularis. Regular follow-up, the patient's abdominal distension was significantly relieved.Conclusion: HGM of the type of submucosal tumor-like lesion is rare. EUS is a well-established method for submucosal lesion. On EUS, these lesions showed cystic anechoic central core in the submucosa with no solid component,which is similar to gastric cyst. Therefore, this requires us to be alert to the possibility of HGM in order to further evaluate and treat, and if necessary, it can be removed by ESD.

scholarly journals Cervical esophageal adenocarcinoma arising from heterotopic gastric mucosa, treated with endoscopic submucosal dissection

Endoscopy ◽  
2018 ◽  
Vol 51 (02) ◽  
pp. E28-E29 ◽  
Author(s):  
Yasuhiro Oono ◽  
Shinmura Kensuke ◽  
Yusuke Yoda ◽  
Keisuke Hori ◽  
Hiroaki Ikematsu ◽  
...  
Keyword(s):  
Gastric Mucosa ◽  
Endoscopic Submucosal Dissection ◽  
Esophageal Adenocarcinoma ◽  
Heterotopic Gastric Mucosa ◽  
Submucosal Dissection

scholarly journals Magnetic beads-assisted endoscopic submucosal dissection of duodenal heterotopic gastric mucosa with fibrosis

Endoscopy ◽  
2019 ◽  
Vol 51 (05) ◽  
pp. E113-E115 ◽  
Author(s):  
Lin Jie Guo ◽  
Liansong Ye ◽  
Zhi Ying Huang ◽  
Xiaoxue Yin ◽  
Bing Hu
Keyword(s):  
Gastric Mucosa ◽  
Endoscopic Submucosal Dissection ◽  
Magnetic Beads ◽  
Heterotopic Gastric Mucosa ◽  
Submucosal Dissection

scholarly journals Heterotopic gastric mucosa in the anus and rectum: first case report of endoscopic submucosal dissection and systematic review

2016 ◽  
Vol 4 (3) ◽  
pp. 196-205 ◽  
Author(s):  
Federico Iacopini ◽  
Takuji Gotoda ◽  
Walter Elisei ◽  
Patrizia Rigato ◽  
Fabrizio Montagnese ◽  
...  
Keyword(s):  
Systematic Review ◽  
Case Report ◽  
Gastric Mucosa ◽  
Endoscopic Submucosal Dissection ◽  
Heterotopic Gastric Mucosa ◽  
Submucosal Dissection ◽  
First Case

scholarly journals Advanced Colon Cancer after Curative Resection of Intramucosal Adenocarcinoma with Endoscopic Submucosal Dissection

2021 ◽  
pp. 603-609
Author(s):  
Akiko Sasaki ◽  
Chikamasa Ichita ◽  
Chihiro Sumida ◽  
Karen Kimura ◽  
Takashi Nishino ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Endoscopic Submucosal Dissection ◽  
Advanced Cancer ◽  
Curative Resection ◽  
Submucosal Tumor ◽  
R0 Resection ◽  
Surveillance Colonoscopy ◽  
Epithelial Tumor ◽  
Submucosal Dissection ◽  
Intramucosal Adenocarcinoma

Endoscopic resection, particularly endoscopic submucosal dissection (ESD), for colorectal cancers enables a precise pathological diagnosis and safe R0 resection. The recurrence rate after ESD is generally extremely low, with annual surveillance colonoscopy recommended. However, surveillance may not be considered for super-elderly patients owing to their condition. This is a case report of an 85-year-old man in whom curative resection was achieved for an intramucosal adenocarcinoma with ESD. The patient presented with a hypoechoic mass located in his lower right abdomen, diagnosed via surveillance abdominal ultrasound. He had undergone curative ESD for intramucosal cecal cancer 2 years prior. Colonoscopy revealed a type 2 epithelial tumor at the proximal aspect of the ESD scar. Ileocolic resection with lymph node dissection was performed. An epithelial tumor and well-differentiated adenocarcinoma but not a submucosal tumor was detected in the mucosal layer. The lesion was diagnosed not as a local recurrence after ESD but as a newly emerged original advanced cancer. After ESD for colorectal cancer, a newly developed advanced cancer may occur at the site of the ESD scar in a shorter term than usual. Surveillance colonoscopy after ESD is necessary even for super-elderly patients.

scholarly journals Submucosal cavernous hemangioma of the esophagus. the rare clinical case of endoscopic diagnosis and treatment by the endoscopic submucosal dissection method (esd)

2019 ◽  
Vol 1 (7) ◽  
pp. 33-40
Author(s):  
V.A. Yakovenko ◽  
A.M. Kiosov ◽  
A.A. Denisenko ◽  
V.P. Kovalenko ◽  
S.V. Fen
Keyword(s):  
Endoscopic Submucosal Dissection ◽  
Cavernous Hemangioma ◽  
Clinical Case ◽  
Submucosal Tumor ◽  
Integrated Approach ◽  
University Hospital ◽  
Vascular Neoplasm ◽  
Submucosal Dissection ◽  
Endoscopic Method ◽  
Upper Third

The cavernous esophagus hemangiomais a rare, benign vascular neoplasm of the esophagus, which is asymptomatic and can be detected by chance during diagnostic video gastroscopy.The aim ofthe study is to describe in the rare clinical case of diagnosis and an integrated approach in choosing an endoscopic method of treating a submucosal benign vascular neoplasm of the esophagus (cavernous hemangioma).Material and method. A 46-year-old patient was sent to the University Hospital of ZSMU to conduct video esophagogastroduodenoscopy in order to examine and select the treatment method for the submucosaltumor of the upper third of the esophagus found in one of the city’s clinics.Results. A comprehensive examination of the patient with a submucosal neoplasm of the upper third of the esophagus, including video esophagogastroscopy with high-resolution endoscopes (EGD), endoscopic ultrasonography (EUS), and computer-aided tomography (CT) were performed. At the EGD a submucosal tumor was reviled in the upper third of the esophagus. It was bluish in color, had a wide base, 3cm in length and 2cm in height, movable, with soft-elastic consistency. EUS revealed that the tumor is not associated with the muscular layer, has many small vessels. The structure of the neoplasm was hypoechoic, inhomogeneous due to the inclusion of calcinates. On CT scan a rounded tumor was found in the lumen of the upper third of the esophagus, 20x15x30mm in size, with clear and even margins, homogeneous structure with a single calcinate in the structure was found. The patient was underwent of endoscopic surgery. The tumor was removed by the endoscopic submucosal dissection (ESD).Conclusion. Cavernous esophagus hemangioma is a rare vascular submucosal neoplasm of the esophagus, which is usually asymptomatic, but has a great potential for complications such as bleeding, which is sometimes fatal. Timely diagnosis and minimally invasive endoscopic treatment methods are the prevention of complications and the treatment of choice for the treatment of esophageal submucoustumors.

scholarly journals Usefulness of the Modified Clip-with-Line Method for Endoscopic Mucosal Treatment Procedure

2018 ◽  
Vol 27 (3) ◽  
pp. 317-320 ◽  
Author(s):  
Koichi Soga ◽  
Takahito Shimomura ◽  
Toshio Suzuki ◽  
Tesshin Tei ◽  
Tomohiko Usui ◽  
...  
Keyword(s):  
Endoscopic Submucosal Dissection ◽  
Normal Mucosa ◽  
Submucosal Layer ◽  
Procedure Time ◽  
Treatment Procedure ◽  
Dental Floss ◽  
Line Method ◽  
Submucosal Dissection ◽  
Cutting Line ◽  
Experienced Endoscopists

Endoscopic submucosal dissection (ESD) might be difficult to perform in some cases even for experienced endoscopists. Recently, various traction methods have been introduced to facilitate ESD procedures, such as clip-with-line (CL), external forceps, clip and snare, internal traction, double scope, and magnetic anchor.The traction procedure using the CL method enhances the visibility of the operation field during ESD. The original CL method is performed as follows: the clip with the line (e.g., dental floss) is attached to the edge of the lesion. Traction can be produced by pulling the line gently, thus achieving a sufficient visualization of the submucosal layer to identify an accurate cutting line. Herein, we present a useful modified two-CL method by pulling the appropriate normal mucosa to enhance the visibility of the operation field during ESD procedure. Thus, the traction methods, including our modified CL technique, might reduce the procedure time and complications.

Endscopic Submucosal Dissection of a Heterotopic Gastric Mucosa in the Stomach: Report of a Case

2012 ◽  
Vol 24 (4) ◽  
pp. 327-333
Author(s):  
Yuusaku SUGIHARA ◽  
Shin-ei KUDO ◽  
Tomokazu HISAYUKI ◽  
Toshihisa HOSOYA ◽  
Hideyuki MIYACHI ◽  
...  
Keyword(s):  
Gastric Mucosa ◽  
Heterotopic Gastric Mucosa ◽  
Submucosal Dissection

scholarly journals Status of the Gastric Mucosa with Endoscopically Diagnosed Gastrointestinal Stromal Tumor

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Kouichi Nonaka ◽  
Shinichi Ban ◽  
Yoshimitsu Hiejima ◽  
Rei Narita ◽  
Michio Shimizu ◽  
...  
Keyword(s):  
Gastric Mucosa ◽  
Gastrointestinal Stromal Tumor ◽  
Submucosal Tumor ◽  
Stromal Tumor ◽  
Upper Gastrointestinal Endoscopy ◽  
Submucosal Tumors ◽  
Gastric Gists ◽  
Mri Features ◽  
H Pylori ◽  
Ct And Mri

Background. Since gastrointestinal stromal tumor (GIST) is a mesenchymal submucosal tumor, the endosonographic, CT, and MRI features of gastric GISTs have been widely investigated. However, the GIST-bearing gastric mucosa status has not been reported. Objective. To characterize the GIST-bearing gastric mucosa status in terms of the degree of inflammation and atrophy, assessed endoscopically. Subjects and Methods. The subjects were 46 patients with submucosal tumors (histologically proven gastric GISTs) who had undergone upper gastrointestinal endoscopy in our hospital between April 2007 and September 2012. They were retrospectively evaluated regarding clinicopathological features, the endoscopically determined status of the entire gastric mucosa (presence or absence and degree of atrophy), presence or absence and severity of endoscopic gastritis/atrophy (A-B classification) at the GIST site, and presence or absence of H. pylori infection. Results. Twenty-three patients had no mucosal atrophy, but 17 and 6 had closed- and open-type atrophy, respectively. Twenty-six, 5, 12, 1, 1, and 1 patients had grades B0, B1, B2, B3, A0, and A1 gastritis/atrophy at the lesion site, respectively, with no grade A2 gastritis/atrophy. Conclusion. The results suggest that gastric GISTs tend to arise in the stomach wall with H. pylori-negative, nonatrophic mucosa or H. pylori-positive, mildly atrophic mucosa.

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