ArticleWorld journal of gastrointestinal endoscopy2026
Retrospective comparison of precutting endoscopic band ligation and endoscopic submucosal dissection for small gastric muscularis propria tumors.
Article in World journal of gastrointestinal endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
backgroundThe clinical management of small gastric submucosal tumors originating from the muscularis propria layer is a non-negligible challenge. We have proposed a safe and simple method called precutting endoscopic band ligation (EBL).
aimTo assess the long-term viability of endoscopic submucosal dissection (ESD) and precutting EBL and clarify precutting EBL's safety and efficacy.
methodsIn this retrospective study, 94 patients with small gastric muscularis propria tumors underwent ESD or precutting EBL at a tertiary hospital. Patient demographics, tumor characteristics, procedure details, adverse events (AEs), and long-term follow-up data were collected. The number of participants was determined to provide sufficient statistical power for the analyses. Continuous variables were analyzed using
resultsWe reviewed 94 patients with gastric submucosal tumors originating from the muscularis propria layer (< 20 mm), including 48 treated by ESD and 46 by precutting EBL. No local recurrences were detected in either group during follow-up, and the median follow-up period was 48.60 months (interquartile range: 48.00-60.00) in the ESD group and 52.00 months (interquartile range: 36.00-84.00) in the precutting EBL group. However, precutting EBL was significantly superior in terms of operative time (46 minutes
conclusionPrecutting EBL had a shorter operative time than ESD and was associated with no AEs. Future randomized controlled studies are required to confirm the feasibility of this approach.
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