{"title":"[胃和食管上皮下病变闷头活检的诊断率和实用性]。","authors":"Shoma Mizuno, Keiko Fukuoka, Takahiro Ikemura, Kaede Kurokawa, Ikumi Saito, Kei Akaji, Mai Takeda, Yoshitaka Hayashi, Fumihiro Uwamori, Soichiro Umemura, Shintaro Hino, Shintaro Murakami, Ryoko Yasumatsu, Toshinobu Izumi","doi":"10.11405/nisshoshi.121.667","DOIUrl":null,"url":null,"abstract":"<p><p>Herein, we aimed to examine the diagnostic yield and utility of boring biopsy for subepithelial lesions (SEL) of the stomach and esophagus. A total of 52 patients with SELs of the stomach or esophagus underwent boring biopsy. The diagnostic yield of boring biopsy for gastric and esophageal SELs was 50% (21/42) and 80% (8/10), and for SELs with a diameter of less than 10mm, the diagnostic yield was 67% (6/9) and 83% (5/6), respectively. Forty-three percent (9/21) of the gastric SELs were diagnosed with gastrointestinal stromal tumor (GIST), while all esophageal SELs (8/8) were leiomyomas. Ten percent (4/42) of boring biopsies for the stomach were accompanied by complications:two cases of perforation and two of bleeding.</p>","PeriodicalId":35808,"journal":{"name":"Japanese Journal of Gastroenterology","volume":"121 8","pages":"667-674"},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Diagnostic yield and utility of boring biopsy for subepithelial lesions of the stomach and esophagus].\",\"authors\":\"Shoma Mizuno, Keiko Fukuoka, Takahiro Ikemura, Kaede Kurokawa, Ikumi Saito, Kei Akaji, Mai Takeda, Yoshitaka Hayashi, Fumihiro Uwamori, Soichiro Umemura, Shintaro Hino, Shintaro Murakami, Ryoko Yasumatsu, Toshinobu Izumi\",\"doi\":\"10.11405/nisshoshi.121.667\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Herein, we aimed to examine the diagnostic yield and utility of boring biopsy for subepithelial lesions (SEL) of the stomach and esophagus. A total of 52 patients with SELs of the stomach or esophagus underwent boring biopsy. The diagnostic yield of boring biopsy for gastric and esophageal SELs was 50% (21/42) and 80% (8/10), and for SELs with a diameter of less than 10mm, the diagnostic yield was 67% (6/9) and 83% (5/6), respectively. Forty-three percent (9/21) of the gastric SELs were diagnosed with gastrointestinal stromal tumor (GIST), while all esophageal SELs (8/8) were leiomyomas. Ten percent (4/42) of boring biopsies for the stomach were accompanied by complications:two cases of perforation and two of bleeding.</p>\",\"PeriodicalId\":35808,\"journal\":{\"name\":\"Japanese Journal of Gastroenterology\",\"volume\":\"121 8\",\"pages\":\"667-674\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Japanese Journal of Gastroenterology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.11405/nisshoshi.121.667\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Japanese Journal of Gastroenterology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.11405/nisshoshi.121.667","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
摘要
在此,我们旨在研究胃和食管上皮下病变(SEL)镗孔活检的诊断率和实用性。共有 52 名胃或食道上皮下病变患者接受了镗孔活检。钝性活检对胃和食管 SEL 的诊断率分别为 50%(21/42)和 80%(8/10),对直径小于 10 毫米的 SEL 的诊断率分别为 67%(6/9)和 83%(5/6)。43%(9/21)的胃SEL被诊断为胃肠道间质瘤(GIST),而所有食管SEL(8/8)均为子宫肌瘤。10%(4/42)的胃部枯燥活检出现了并发症:两例穿孔,两例出血。
[Diagnostic yield and utility of boring biopsy for subepithelial lesions of the stomach and esophagus].
Herein, we aimed to examine the diagnostic yield and utility of boring biopsy for subepithelial lesions (SEL) of the stomach and esophagus. A total of 52 patients with SELs of the stomach or esophagus underwent boring biopsy. The diagnostic yield of boring biopsy for gastric and esophageal SELs was 50% (21/42) and 80% (8/10), and for SELs with a diameter of less than 10mm, the diagnostic yield was 67% (6/9) and 83% (5/6), respectively. Forty-three percent (9/21) of the gastric SELs were diagnosed with gastrointestinal stromal tumor (GIST), while all esophageal SELs (8/8) were leiomyomas. Ten percent (4/42) of boring biopsies for the stomach were accompanied by complications:two cases of perforation and two of bleeding.
期刊介绍:
The Journal of Gastroenterology, which is the official publication of the Japanese Society of Gastroenterology, publishes Original Articles (Alimentary Tract/Liver, Pancreas, and Biliary Tract), Review Articles, Letters to the Editors and other articles on all aspects of the field of gastroenterology. Significant contributions relating to basic research, theory, and practice are welcomed. These publications are designed to disseminate knowledge in this field to a worldwide audience, and accordingly, its editorial board has an international membership.