结合内镜黏膜下切除术和内镜全厚切除术切除模仿胃肠道间质瘤的胃许旺瘤

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2024-07-20 eCollection Date: 2024-07-01 DOI:10.14309/crj.0000000000001440

Stefan Kormann, Gian-Marco Semadeni, Matthias Weber, Stephan Brand, Jan Borovicka, Remus Frei

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引用次数: 0

摘要

胃上皮下肿瘤是一项诊断难题。通过内镜超声可以进行鉴别。起源于粘膜下层的病变可通过内镜粘膜下剥离术（ESD）切除。手术或内镜下全层切除（EFTR）技术是替代方法。我们介绍了一位胃窦部 11 × 8 毫米粘膜下肿瘤患者，该肿瘤提示为胃肠道间质瘤，起源于固有肌。最终，结合ESD和EFTR（ESD-EFTR混合术）进行了内镜下切除。与预期相反，组织学检查发现是胃分裂瘤。本病例展示了一种高效、安全的内镜混合技术，用于切除粘膜下胃病变。

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Combining Endoscopic Submucosa Dissection and Endoscopic Full-Thickness Resection for Resection of a Gastric Schwannoma Mimicking Gastrointestinal Stroma Tumor.

Subepithelial gastric tumors are a diagnostic challenge. Endoscopic ultrasound allows differentiation. Lesions originating from the submucosal layer can be resected using endoscopic submucosal dissection (ESD). Surgery or endoscopic full-thickness resection (EFTR) techniques are alternatives. We present a patient with an 11 × 8 mm submucosal tumor in the gastric antrum suggestive of a gastrointestinal stromal tumor, originating from the muscularis propria. Eventually endoscopic resection was performed, combining ESD and EFTR (hybrid ESD-EFTR). Contrary to expectations, histology revealed a gastric schwannoma. This case illustrates an efficient and safe endoscopic hybrid technique for the removal of submucosal gastric lesions.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.