ESE (Endoscopic Submucosal excavation) para resecar un Gist rectal de la muscular propia rectal

2021 ◽  
Author(s):  
Pedro J. Rosón ◽  
Francisco Fernandez ◽  
Luis Vazquez ◽  
Judit Cota ◽  
Josefa Calle ◽  
...  
Keyword(s):  
Endoscopic Submucosal Excavation

scholarly journals Endoscopic resection of giant gastrointestinal stromal tumor at the esophagogastric junction: a case report

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Feng Xue ◽  
Wei Wang ◽  
Ning Shi ◽  
Xing-Bin Ma ◽  
Cheng-Xia Liu
Keyword(s):  
Endoscopic Resection ◽  
Esophagogastric Junction ◽  
Submucosal Tumor ◽  
Stromal Tumor ◽  
Upper Gastrointestinal Endoscopy ◽  
Case Presentation ◽  
Invasive Method ◽  
Endoscopic Submucosal Excavation ◽  
Upper Gastrointestinal ◽  
Abdominal Fullness

Abstract Background Gastrointestinal stromal tumors (GISTs) at the esophagogastric junction are rare and its treatment is complicated and challenging. Endoscopic resection has advantages with less complications compared to open and laparoscopic surgery. Case presentation We report a 33-year-old male patient who was admitted to our department complaining of abdominal fullness for 20 days. A huge submucosal tumor at the esophagogastric junction was found by upper gastrointestinal endoscopy. We successfully resected the lesion through endoscopic submucosal excavation without complications, which was pathologically confirmed to be a GIST. The patient was discharged 5 days after operation and has been doing well, and there was no recurrence 8 months after the operation. Conclusion ESE is possibly an effective and minimally invasive method of giant esophagogastric junction stromal tumor.

scholarly journals Antibiotics for fever in patients without perforation after gastric endoscopic submucosal dissection and endoscopic submucosal excavation may be unnecessary: a propensity score-matching analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yongkang Lai ◽  
Qian Zhang ◽  
Xiaolin Pan ◽  
Zhenhua Zhu ◽  
Shunhua Long ◽  
...  
Keyword(s):  
Propensity Score ◽  
Endoscopic Submucosal Dissection ◽  
Propensity Score Matching ◽  
Inclusion Criteria ◽  
Propensity Score Matching Analysis ◽  
Submucosal Dissection ◽  
Submucosal Lesions ◽  
Antibiotic Group ◽  
Baseline Characteristics ◽  
Endoscopic Submucosal Excavation

Abstract Background Endoscopic submucosal dissection (ESD) and endoscopic submucosal excavation (ESE) have been widely used and have gradually become the main endoscopic treatment for gastrointestinal mucosal and submucosal lesions. Whether antibiotics are necessary for fever after gastric ESD and ESE remain unclear. The aim of this study was to analyse the value of using antibiotics in patients without perforation after ESD or ESE with fever. Methods In this retrospective study, patients with fever without perforation after ESD or ESE from January 2014 to January 2019 were included and divided into 2 groups: the antibiotic group and the non-antibiotic group. Fever and hospitalization time were compared between the 2 groups after propensity score matching. Results Overall, 253 patients meeting the inclusion criteria were enrolled in the present study, with 186 patients in the non-antibiotic group and 67 patients in the antibiotic group before matching, 55 patients in the non-antibiotic group and 55 patients in the antibiotic group after matching with all baseline characteristics balanced (p > 0.05). The duration of fever was not significantly different between the 2 groups (p = 0.12). However, the median hospitalization stay in the antibiotic group was longer than that in the non-antibiotic group (8 vs 7, p = 0.007). Conclusions Antibiotics may be unnecessary for fever in patients without perforation and without serious co-morbidities after gastric ESD or ESE.

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