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Endoscopic Full-Thickness Resection for Gastric Subepithelial Lesions Arising from the Muscularis Propria
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Ah Lon Jung, Sang Wook Park, Gun Young Hong, Hyeong Chul Moon, Seo Joon Eun
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Clin Endosc 2021;54(1):131-135. Published online August 21, 2020
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DOI: https://doi.org/10.5946/ce.2020.070
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Abstract
PDFPubReaderePub
- Most cases of gastric subepithelial lesions follow a good clinical course; however, some lesions progress to malignant tumors, and treatment of tumors with a high risk of malignancy is essential. Surgical excision has been the primary treatment for tumors originating from the propria muscle layer, but it has the disadvantages of being invasive and causing postoperative functional abnormalities. With the development of endoscopic techniques and instruments, the role of endoscopic resection, which is a less invasive method for the removal of gastric subepithelial lesions, has been attracting attention. We performed an endoscopic full-thickness resection for 8 patients with gastric subepithelial lesions originating from the muscularis propria. No fatal complications occurred. Our findings suggest the need to develop various devices for resection and closure and to accumulate further experience through additional studies to prevent complications and specimen loss.
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Citations
Citations to this article as recorded by
- Robotic Platforms for Therapeutic Flexible Endoscopy: A Literature Review
Naoya Tada, Kazuki Sumiyama Diagnostics.2024; 14(6): 595. CrossRef - Advances of endoscopic and surgical management in gastrointestinal stromal tumors
Lei Yue, Yingchao Sun, Xinjie Wang, Weiling Hu Frontiers in Surgery.2023;[Epub] CrossRef - Current Status of Endoscopic Full-Thickness Resection for Gastric Subepithelial Tumors: A Literature Review Over Two Decades
Naoya Tada, Hideki Kobara, Noriko Nishiyama, Shintaro Fujihara, Tsutomu Masaki, Noriya Uedo Digestion.2023; 104(6): 415. CrossRef - Endoscopic Full Thickness Resection: A Systematic Review
Partha Pal, Mohan Ramchandani, Pradev Inavolu, Duvvuru Nageshwar Reddy, Manu Tandan Journal of Digestive Endoscopy.2022; 13(03): 152. CrossRef
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A Case of Endoscopic Removal of a Giant Appendicolith Combined with Stump Appendicitis
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Du Jin Kim, Sang Wook Park, Seung Ho Choi, Jong Hoon Lee, Kyoung Wan You, Geum Soo Lee, Hyeung Cheol Moon, Gun Young Hong
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Clin Endosc 2014;47(1):112-114. Published online January 24, 2014
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DOI: https://doi.org/10.5946/ce.2014.47.1.112
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Abstract
PDFPubReaderePub
Stump appendicitis is an acute inflammation of the residual appendix and is a rare complication after appendectomy. The physician should be aware of the possibility of stump appendicitis in patients with right lower abdominal pain after appendectomy so that delayed diagnosis and treatment can be prevented. Stump appendicitis is usually treated by surgical resection, and endoscopic treatment has not been reported previously. A 48-year-old man who had undergone appendectomy 35 years earlier presented to the hospital because of right lower quadrant discomfort. A computed tomography scan showed a large stone in the residual appendix. Colonoscopic findings revealed a large, smooth, protruding lesion at the cecum with a stone inside the appendiceal orifice. Endoscopic removal after incision of the appendiceal orifice was performed successfully.
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Citations
Citations to this article as recorded by
- SpyGlass/Cholangioscope-Assisted Colonoscopic Removal of Appendicolith as a Nonsurgical Alternative for Stump Appendicitis Management
Aarushi Sudan, Dhawani Julka, Sunny A. Patel ACG Case Reports Journal.2024; 11(7): e01430. CrossRef - Routine colonoscopy with a surprise in the cecum: It’s a giant appendicolith! A Case report and review of the literature
Magnus Kock am Brink, Christa Schmidt, Thies Daniels, Guntram Lock Zeitschrift für Gastroenterologie.2024;[Epub] CrossRef - Stump appendicitis – a systematic analysis
Sajad Ahmad Salati Polish Journal of Surgery.2021; 94(1): 1. CrossRef - Giant Appendicolith: A Case Report and Review of the Literature
Robert A Pahissa, Kevin M Lin-Hurtubise Military Medicine.2020; 185(9-10): e1851. CrossRef - Colonoscopic removal of a giant appendiceal faecolith without appendectomy for acute appendicitis – a video vignette
Chao‐Wen Hsu Colorectal Disease.2018; 20(11): 1056. CrossRef - Giant Appendicolith in Acute Exacerbation of Chronic Appendicitis: Case Report and Literature Review
Alberto Manuel González Chávez, Ricardo Ray Huacuja Blanco, Mario Andrés González Chávez, Silviano Ríos Pascual, Diego Abelardo Álvarez Hernández, José de Jesús Curiel Valdés Surgical Science.2017; 08(11): 457. CrossRef - Asymptomatic giant appendicolith managed conservatively
Darren Leonard Scroggie, Maitham Al-Whouhayb Journal of Surgical Case Reports.2015; 2015(11): rjv149. CrossRef
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A Case of Enteritis Cystica Profunda in the Ampulla of Vater Mimicking Choledochocele
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Kyoung Wan You, Sang Wook Park, Geum Soo Lee, Du Jin Kim, Hyeung Cheol Moon, Gun Young Hong
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Clin Endosc 2013;46(2):178-181. Published online March 31, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.2.178
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Abstract
PDFPubReaderePub
Enteritis cystica profunda is a very rare disease in which a mucin-filled cystic space is surrounded partially with nonneoplastic columnar epithelium in the submucosa of the small intestine. Most of the cases are accompanied by intestinal diseases, and the disease usually occurs in the jejunum and the ileum and there has been no report of a case that occurred in the ampulla of Vater. A 58-year-old healthy female patient without any particular symptom visited the hospital to get additional examination for a mass found on the ampulla of Vater by accident. In esophagogastroduodenoscopy, a cystic mass showing a positive pillow sign was found on the ampulla of Vater. Endoscopic retrogradecholangiopancreatography was conducted as choledochocele was suspected, but no abnormality was found in the biliary system. In endoscopic ultrasonography, multiseptated cystic structures were detected in the submucosal layer of the duodenum. The lesion was resected completely through endoscopic snare polypectomy and the case was histologically diagnosed as enteritis cystica profunda.
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Citations
Citations to this article as recorded by
- Enteritis cystica profunda: Case report and literature review
Ricardo E. Núñez-Rocha, Felipe Girón, Mario Latiff, Carlos Eduardo Rey, Lina Rodríguez, Juan David Hernández International Journal of Surgery Case Reports.2023; 106: 108148. CrossRef - Enteritis cystica profunda with lipoma in the second portion of the duodenum: a case report
Beom Jin Shim, Seung Keun Park, Hee Ug Park, Tae Young Park Journal of Yeungnam Medical Science.2022; 39(1): 72. CrossRef - Ulcerated choledochocele: A case report
E. Ray-Offor, S.N. Elenwo, P.O. Igwe, C. Ngeribara International Journal of Surgery Case Reports.2016; 28: 42. CrossRef - A Case of Enteritis Cystica Profunda Accompanied by a Lipoma in the Duodenal Bulb
Dae Sung Lee, Hae Ryong Jeong, Jin Ok Kim, Hye Jin Tae, Ho Soon Choi, Hye In Ahn, Seung Sam Paik Korean Journal of Medicine.2014; 86(3): 314. CrossRef
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