scholarly journals Factors Associated with Operation Time of Laparoscopic Gastric Wedge Resection for Gastric Subepithelial Tumors

2020 ◽  
Vol 23 (3) ◽  
pp. 139-143
Author(s):  
Dong-Hyeon Oh ◽  
Yong-Eun Park ◽  
Sang-Woon Kim ◽  
Jung-Min Bae
Keyword(s):  
Wedge Resection ◽  
Operation Time ◽  
Factors Associated ◽  
Gastric Subepithelial Tumors ◽  
Subepithelial Tumors

Efficacy and safety of endoscopic resection for gastric subepithelial tumors.

2016 ◽  
Vol 34 (4_suppl) ◽  
pp. 107-107
Author(s):  
Kyoungwon Jung ◽  
Ji Yong Ahn ◽  
Do Hoon Kim ◽  
Eun Jeong Gong ◽  
Charles J. Cho ◽  
...  
Keyword(s):  
Endoscopic Resection ◽  
Medical Center ◽  
Wedge Resection ◽  
Endoscopic Management ◽  
Severe Bleeding ◽  
Related Factors ◽  
Pathologic Evaluation ◽  
Gastric Subepithelial Tumors ◽  
The Mean ◽  
Subepithelial Tumors

107 Background: Because small gastric subepithelial tumors (SETs) less than 2.0 cm might have malignant potential, ambiguous cases should be removed for optimal diagnosis and treatment. With the recent advances in endoscopic technique, endoscopic resection (ER) has been attempted for pathologic confirmation of gastric SETs. Herein, we aim to investigate the clinical usefulness and safety of ER of gastric SETs. Methods: A total of 115 subjects who underwent ER for gastric SETs from January 2005 to December 2014 were eligible for the study at the Asan Medical Center, Seoul, Korea. Patient’s demographic status, tumor related factors, procedure related factors, and clinical outcomes were retrospectively reviewed by using electronic medical record. Results: Among the 115 patients, 53 were male (46.1%) and the mean age was 51.59 ± 14.59 years. The mean size of all tumors was 18.58 ± 10.71 mm. Complete endoscopic resection was achieved in 108 of 115 tumors (93.9%). The final histopathologic diagnoses included 38 gastrointestinal stromal tumors (GISTs) (33.0%), 21 heterotopic pancreas (18.3%), 18 neuroendocrine tumors (15.7%), 11 leiomyoma (9.6%), 10 inflammatory fibroid polyp (8.7%), and others tumors (n = 17, 14.8%). Perforations occurred in 12 patients (10.4%) and they were successfully managed with endoscopic clipping. Severe bleeding during endoscopic resection occurred in 13 patients (11.3%) and they were treated by endoscopic management. Six patients underwent sequential wedge resection or gastrectomy of stomach because of non-curative resection and the pathologic evaluation revealed residual tumors in 3 patients. There was no recurrence or metastasis during mean follow-up of 44.96 ± 32.62 months (range 3-120.7 months). The rate for complete resection in relation to the final pathology was lower in GISTs (86.8%) than others (97.4%, p = 0.026). The rate of perforation was significantly higher for the fundus (66.7%) than for other locations (0% for the cardia, 16.7% for high body, 8.3% for mid body and 8.3% for antrum) (p < 0.001). Conclusions: ER of gastric SETs may be feasible and safe method for pathologic confirmation and further strategy.

Su1549 EUS-Guided Needle Sampling for Gastric Subepithelial Tumors: Factors Associated With Higher Diagnostic Yield

2013 ◽  
Vol 77 (5) ◽  
pp. AB364
Author(s):  
Hee Kyong Na ◽  
Ho June Song ◽  
M.I-Young Kim ◽  
Ji Yong Ahn ◽  
Jeong Hoon Lee ◽  
...  
Keyword(s):  
Diagnostic Yield ◽  
Factors Associated ◽  
Gastric Subepithelial Tumors ◽  
Needle Sampling ◽  
Subepithelial Tumors

scholarly journals A Minimally-Invasive, Simple, Rapid, and Effective Surgical Technique for the Treatment of Ingrown Toenails: A Reminder of the Original Winograd Procedure

2021 ◽  
Vol 18 (1) ◽  
pp. 278
Author(s):  
Jahyung Kim ◽  
Sanghyeon Lee ◽  
Jeong Seok Lee ◽  
Sung Hun Won ◽  
Dong Il Chun ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
Simple Procedure ◽  
Wedge Resection ◽  
Operation Time ◽  
University Hospital ◽  
Wound Infections ◽  
Germinal Matrix ◽  
One Year ◽  
Ingrown Toenails

(1) Background: Ingrown toenail is a common disorder of the toe that induces severe toe pain and limits daily activities. The Winograd method, the most widely used operative modality for ingrown toenails, has been modified over years to include wedge resection of the nail fold and complete ablation of the germinal matrix. We evaluated the outcomes of original Winograd procedure without wedge resection with electrocautery-aided matrixectomy. (2) Methods: We retrospectively analyzed the outcomes of patients who underwent surgery for ingrown toenails at a university hospital for two years from November 2015 to October 2017. Surgery was performed in 76 feet with a mean operation time of 9.34 min. (3) Results: The minimal interval from surgery to return to regular activities was 13.26 (range 7 to 22) days. Recurrence and postoperative wound infections were found in 3 (3.95%) and 2 (2.63%) patients, respectively. Evaluation of patient satisfaction at one-year follow-up showed that 40 (52.63%) patients were very satisfied, 33 (43.42%) were satisfied, 3 (3.95%) were dissatisfied, and none of them were very dissatisfied. The average follow-up duration was 14.66 (range 12 to 25) months. (4) Conclusions: Therefore, it is believed that this less-invasive and simple procedure could be easily performed by clinicians, with satisfactory patient outcomes.

scholarly journals Endoscopic ultrasound without tissue acquisition has poor accuracy for diagnosing gastric subepithelial tumors

Medicine ◽  
2016 ◽  
Vol 95 (44) ◽  
pp. e5246 ◽  
Author(s):  
Tae Won Lim ◽  
Cheol Woong Choi ◽  
Dae Hwan Kang ◽  
Hyung Wook Kim ◽  
Su Bum Park ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Tissue Acquisition ◽  
Gastric Subepithelial Tumors ◽  
Subepithelial Tumors

Endoscopic enucleation for gastric subepithelial tumors originating in the muscularis propria layer

2010 ◽  
Vol 25 (2) ◽  
pp. 468-474 ◽  
Author(s):  
In Du Jeong ◽  
Seok Won Jung ◽  
Sung-Jo Bang ◽  
Jung Woo Shin ◽  
Neung Hwa Park ◽  
...  
Keyword(s):  
Muscularis Propria ◽  
Muscularis Propria Layer ◽  
Gastric Subepithelial Tumors ◽  
Endoscopic Enucleation ◽  
Subepithelial Tumors

Endoscopic ultrasound-guided needle-based confocal laser endomicroscopy for diagnosis of gastric subepithelial tumors: a pilot study

Endoscopy ◽  
2018 ◽  
Vol 51 (06) ◽  
pp. 560-565 ◽  
Author(s):  
Ming-Ming Zhang ◽  
Ning Zhong ◽  
Xiao Wang ◽  
Chang-Qing Li ◽  
Rui Ji ◽  
...  
Keyword(s):  
Image Quality ◽  
Endoscopic Ultrasound ◽  
Diagnostic Yield ◽  
Confocal Laser Endomicroscopy ◽  
Confocal Laser ◽  
Ultrasound Guided ◽  
Diagnostic Efficacy ◽  
Gastric Subepithelial Tumors ◽  
The Mean ◽  
Subepithelial Tumors

Abstract Background The diagnostic yield of current techniques for gastric subepithelial tumors (SETs) is suboptimal. This prospective study aimed to develop diagnostic criteria for needle-based confocal laser endomicroscopy (nCLE) of gastric SETs, and to evaluate the diagnostic efficacy, feasibility, and safety of endoscopic ultrasound-guided nCLE (EUS-nCLE). Methods Eligible patients were prospectively recruited to undergo EUS-nCLE. Four unblinded investigators evaluated nCLE videos and corresponding histopathology to develop the nCLE criteria. The recorded nCLE videos were reviewed off-line by one endoscopist 3 months later. Image quality (five-point scale, 1 = poor and 5 = very good) and the interobserver agreements were assessed. Results All 33 patients underwent successful EUS-nCLE procedures. The nCLE criteria for gastric SETs were established. Overall accuracy of off-line nCLE was significantly higher than that of EUS alone (87.9 % vs. 63.6 %; P = 0.02). The mean image quality score was 3.9. The kappa values of the interobserver agreements were 0.66 for gastrointestinal stromal tumor, 0.89 for ectopic pancreas, 0.58 for leiomyoma, and 0.72 for carcinoma. Conclusions EUS-nCLE was feasible and safe to accurately diagnose gastric SETs.

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