ArticleAnnals of gastroenterology
Endoscopic full-thickness resection of gastric gastrointestinal stromal tumor: a Japanese case series.
Article in Annals of gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 29 citations in OpenAlex.
- Feasibility of embryonic-natural orifice transluminal endoscopic surgery for submucosal tumors with mucosal preservation in beagle model.Frontiers in surgery · 2026Article
- Development and validation of an intraoperative perforation prediction scoring system for endoscopic resection of gastric gastrointestinal stromal tumors.Surgical endoscopy · 2025Article
- Endoscopic resection for gastric submucosal tumors: A single-center experience in Japan.DEN open · 2025Article
- Reopenable clip over-the-line method in endoscopic full-thickness resection of gastric submucosal tumors: A historical control study.DEN open · 2025Article
- Adaptation of endoscopic submucosal dissection techniques for endoscopic full-thickness resection: a review of key steps and technical aspects.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2024Review
- Endoscopic resection and suturing methods for non-ampullary duodenal submucosal tumors: "mini-invasive" treatments that should never be underestimated.Surgical endoscopy · 2023Observational
- Clinical outcomes of endoscopic resection for the treatment of esophageal gastrointestinal stromal tumors: a ten-year experience from a large tertiary center in China.Surgical endoscopy · 2023Article
- Risk factors of perforation in gastric stromal tumors during endoscopic resection: a retrospective case-control study.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2023Article
- Lap-Endo cooperative surgery (LECS) in gastric GIST: updates and future advances.Surgical endoscopy · 2023Review
- Advances of endoscopic and surgical management in gastrointestinal stromal tumors.Frontiers in surgery · 2023Review
- Modified line-assisted complete closure of the defect after gastric endoscopic full-thickness resection: a pilot study in porcine models.Endoscopy international open · 2022Article
- Comparative Study on the Clinical Effects of Different Surgical Methods in the Treatment of Gastrointestinal Stromal Tumors.Evidence-based complementary and alternative medicine : eCAM · 2022Article
- On the Track of New Endoscopic Alternatives for the Treatment of Selected Gastric GISTs-A Pilot Study.Medicina (Kaunas, Lithuania) · 2021Article
- Modified endoscopic full-thickness resection of gastric stromal tumor originating from the muscularis propria layer.Journal of gastrointestinal oncology · 2020Article
- Real-world outcomes of collaborative surgery for gastrointestinal tumors by endoscopists and surgeons: a single-center retrospective analysis of 131 patients.Annals of gastroenterologyArticle
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Authors and funding
22 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundGastrointestinal stromal tumors (GISTs) are potentially malignant and are indicated for resection. The standard treatment for resectable GISTs is surgery, although endoscopic resection has been reported outside Japan. This study retrospectively analyzed the results of endoscopic resection of GISTs in Japan.
methodWe identified patients with GISTs treated only by endoscopic resection in our institute between January 2016 and December 2018, and analyzed their clinical and pathological characteristics.
resultsDuring the study period, 8 GISTs were resected only by endoscopy: 7 were located in the upper third of the stomach and 1 in the middle. All were intraluminal growth type. Median (range) tumor diameter was 20 (10-35) mm. All tumors were resected en bloc with a median (range) operation time of 67.5 (50-166) min. Complete perforation occurred in 5 cases, but the serosa remained in 2 and the outer layer of the muscularis propria remained in 1. The defect was endoscopically closed with clip-and-endoloop purse-string suturing (n=3), simple endoclipping (n=2), or over-the-scope clipping (n=2), and 1 did not require closure because the outer longitudinal muscle was preserved. Oral feeding was commenced on postoperative day (POD) 3 (median; range 2-4), and the patient was discharged on POD 6 (median; range 4-11). No serious adverse event developed after the procedures.
conclusionEndoscopic resection for selected cases of small intraluminal GISTs is feasible, making it a viable alternative treatment option to laparoscopic surgery.
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