Endoscopy 2021; 53(S 01): S123
DOI: 10.1055/s-0041-1724579
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Endoscopic Interventions in Patients With Submucosal Tumors in the Stomach

I Khvorova
1   Moscow Clinical Scientific Center, Operative Endoscopy, Moscow, Russian Federation
,
K Shishin
1   Moscow Clinical Scientific Center, Operative Endoscopy, Moscow, Russian Federation
,
I Nedoluzhko
1   Moscow Clinical Scientific Center, Operative Endoscopy, Moscow, Russian Federation
,
N Kurushkina
1   Moscow Clinical Scientific Center, Operative Endoscopy, Moscow, Russian Federation
,
L Shumkina
1   Moscow Clinical Scientific Center, Operative Endoscopy, Moscow, Russian Federation
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Aims Currently, a laparoscopic operation is the standard treatment option in patients with submucosal tumors of the stomach. However, endoscopic technologies find their application in the treatment of submucosal gastric lesions due to the improvement of an early diagnosis.

The aim is to show the potential of endoscopic intraluminal operations in patients with submucosal tumors in the stomach.

Methods 57 patients with gastric submucosal lesions were operated on in Moscow Clinical Scientific Centre from 2013 until 2020. There was a significant predominance of females among patients. The average age was 59.6 years. The average size of the tumor was 2.6 cm. The negative endosonographic changes such as an increase of tumor size or a change of its characteristics and clinical manifestations as well (bleeding, dysphagia, and stomach pain) were the indication for an operation. The interventions included 25 endoscopic dissections in the submucosal layer and 32 endoscopic tunnel dissections.

Results All the surgical interventions were performed under endotracheal anesthesia. The average operation time was 120 minutes. No postoperative complications were encountered. According to the postoperative histological and immunohistochemical reports, 25 neoplasms appeared to be gastrointestinal stromal tumours, 10 leiomyomas, 7 removed tumours were lipomas and 12 fibroinflammatory polyps. In one case the lesion turned out to be an aberrant pancreas and in another – hemangioma. There were no relapses of diseases during the entire follow-up period.

Conclusions The endoscopic intraluminal operations are minimally invasive, radical, and safe interventions. Minimum access significantly reduces the number of postoperative complications and a recovery period.

Citation: Khvorova I, Shishin K, Nedoluzhko I et al. eP80 ENDOSCOPIC INTERVENTIONS IN PATIENTS WITH SUBMUCOSAL TUMORS IN THE STOMACH. Endoscopy 2021; 53: S123.



Publication History

Article published online:
19 March 2021

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