| International Session（Workshop）3(JGES・JSGE・JSGS) |
| Sat. November 2nd 9:00 - 12:00 Room 4: Portopia Hotel South Wing Portopia Hall |
Reopenable clip-over-the-line method in endoscopic full-thickness resection of gastric submucosal tumors
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| Hitoshi Mori1,2, Noriya Uedo1, Satoki Shichijo1 | |||
| 1Department of Gastrointestinal Oncology, Osaka International Cancer Institute, 2Department of Gastroenterology, Nara Medical University | |||
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| BACKGROUND: In endoscopic full-thickness resection (EFTR) of gastric submucosal tumors (SMTs), secure wound closure is crucial. METHODS: Since September 2020, EFTR for gastric SMT has been approved as an advanced medical care. The indication for EFTR was defined as histologically proven or clinically suspicious gastrointestinal stromal tumor, 11 to 30 mm in size, intraluminal growth type, and no ulceration. The initial method of the wound closure was a purse string suture method (PSSM), but a reopenable clip-over-the-line method (ROLM) was introduced later. RESULTS: 31 patients with gastric SMT underwent EFTR. Of these, one patient whose wound did not become full thickness was excluded, leaving 18 patient whose EFTR wound was closed by PSSM and 12 by the ROLM. The Median (range) tumor size for the PSSM and ROLM group was 18 (11-28) and 25 (12-29) mm, respectively. The PSSM vs. ROLM groups had median closure time of 26 (24-35) vs. 33 (31-43) min; epigastric pain score of 1 (0-5) vs. 0 (0-2); WBC of 11350 (9297.5-13552.5) vs. 9840 (8060-14680); CRP level of 3.32 (0.95-4.8) vs. 1.69 (0.95-2.9); the fasting period of 3 (3-4) vs. 2 (2-3) days (p=0.009); and the hospitalization period of 7 (7-8) vs. 6 (5.25-7) days (p=0.004). CONCLUSION: ROLM tended to reduce abdominal inflammation after EFTR and shortened fasting and hospitalization periods. |
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Index Term 1: ROLM Index Term 2: EFTR |
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