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World J Gastroenterol. Oct 14, 2014; 20(38): 13981-13986
Published online Oct 14, 2014. doi: 10.3748/wjg.v20.i38.13981
Published online Oct 14, 2014. doi: 10.3748/wjg.v20.i38.13981
Endoscopic full-thickness resection for gastric submucosal tumors arising from the muscularis propria layer
Liu-Ye Huang, Jun Cui, Shu-Juan Lin, Bo Zhang, Cheng-Rong Wu, Department of Gastroenterology, Yantai Yu Huang Ding Hospital, Yantai 264000, Shandong Province, China
Author contributions: Huang LY, Cui J and Lin SJ designed and initiated the study; Zhang B performed the literature search; Wu CR performed cross-searching; Huang LY drafted and wrote the paper; Lin SJ critically revised the paper.
Supported by Natural Science Foundation of Shandong Province, No. ZR2013HM004
Correspondence to: Dr. Shu-Juan Lin, Department of Gastroenterology, Yantai Yu Huang Ding Hospital, 20 Yuhuangding East Road, Zhifu District, Yantai 264000, Shandong Province, China. sdlsj123@126.com
Telephone: +86-535-6691999 Fax: +86-535-6240341
Received: April 13, 2014
Revised: June 13, 2014
Accepted: July 15, 2014
Published online: October 14, 2014
Revised: June 13, 2014
Accepted: July 15, 2014
Published online: October 14, 2014
Core Tip
Core tip: We used endoscopic full-thickness resection (EFR) to remove gastric submucosal tumors (SMTs) arising from muscularis propria layer. EFR removed all the 35 SMTs successfully. The mean operation time was 90 min (60-155 min). The mean hospitalization time was 6.0 d (4-10 d). The mean tumor size was 2.8 cm (2.0-4.5 cm). Pathological examination confirmed gastric stromal tumors in 25 cases, leiomyoma in 7 and Schwannomas in 2. No gastric bleeding, peritonitis or abdominal abscess occurred. EFR is efficacious, safe and minimally invasive for patients with gastric SMTs arising from the muscularis propria layer, is able to resect deep gastric lesion and provide precise pathological information about the lesion.