J Gastroenterol Hepatol Endosc | Volume 3, Issue 1 | Short Communication | Open Access

Retrospective Study on the Treatment of Submucous Tumor by conventional ESD and Complete Removal of Mucous and Submucous Tissue of the Lesion Mucous and Submucous Tissue of Cross Incision Method

Yue Yuan Wang¹, Ya Ping Weng¹, Fei Da¹, Sensen Tang¹, Zhiyong Wang^2*, Guo Dong Li², Jian Liang Wu², Li Wei Sun², Zhi Guo Lai² and Ting Xu²

Department of Gastroenterology, Hospital of Hangzhou Normal University, China

^*Correspondance to: Zhiyong Wang 

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Abstract

During the past 2015-2017 years, patients with gastric submucosal tumor were hospitalized in the Affiliated Hospital of Hangzhou Normal University.
Method: The treatment of submucous tumor by conventional ESD and Complete removal of mucous and submucous tissue of the lesion and mucous and submucous tissue of cross-incision method.
Results: In 40 patients, 37 cases of complete endoscopic gastric submucosal tumor resection, tumor diameter 1.0 cm - 5.0 cm, complete resection of the tumor with success rate of 92.5%; intraoperative transit surgery in 3 cases, 1 cases of extracellular growth of tumor and diameter 3.0 cm × 4.0 cm. 1 cases of lesions of capsule with bean curd residue, and cannot be completely stripped, bleeding in 1 cases and no effective hemostasis; in 37 cases, endoscopic resection of tumor tissue of gastric mucosa under send pathology, including 30 patients with gastric stromal tumors, 5 cases of gastric ectopic pancreas, 2 cases of angiomyolipoma
Conclusion: Conventional ESD technology for large gastric submucosal tumor complete resection of gastric mucosa and submucosa, such as perforation wound closure is often difficult; "dispel top" method, the utility model has the advantages of gastric submucosal tumors, first complete resection of gastric mucosa and submucosa tissue to fully exposed tumor, direct discovery of tumor, increase tumor stripping efficiency; the "cross incision" method, the utility model has the advantages of the first lesions of the mucosa and submucosa of cross incision, and complete reservative gastric mucosa and submucosa, reduce trauma and for large submucosal lesions, for titanium clips closed the wound and reduce bleeding, perforation and postoperative complications.

Citation:

Wang YY, Weng YP, Da F, Tang S, Wang Z, Li GD, et al. Retrospective Study on the Treatment of Submucous Tumor by conventional ESD and Complete Removal of Mucous and Submucous Tissue of the Lesion Mucous and bmucous Tissue of Cross Incision Method. J Gastroenterol Hepatol Endosc. 2018;3(1):1036.