Non-exposed endoscopic wall-inversion surgery with one-step nucleic acid amplification for early gastrointestinal tumors: Personal experience and literature review

doi:10.3748/wjg.v29.i24.3883

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Jun 28, 2023; 29(24): 3883-3898
Published online Jun 28, 2023. doi: 10.3748/wjg.v29.i24.3883

Non-exposed endoscopic wall-inversion surgery with one-step nucleic acid amplification for early gastrointestinal tumors: Personal experience and literature review

Francesco Crafa, Serafino Vanella, Aristide Morante, Onofrio A Catalano, Kelsey L Pomykala, Mario Baiamonte, Maria Godas, Alexandra Antunes, Joaquim Costa Pereira, Valentina Giaccaglia

Francesco Crafa, Serafino Vanella, Mario Baiamonte, Maria Godas, Division of General and Surgical Oncology, St. Giuseppe Moscati Hospital, Center of National Excellence and High Specialty, Avellino 83100, Italy

Aristide Morante, Division of Gastorenterology and Endoscopy, St. Giuseppe Moscati Hospital, Center of National Excellence and High Specialty, Avellino 83100, Italy

Onofrio A Catalano, Department of Radiology, Athinoula A Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, United States

Kelsey L Pomykala, Department of Nuclear Medicine, Department of Radiological Sciences, University Hospital Essen, University of Duisburg-Essen, Essen 45141, Germany

Alexandra Antunes, Joaquim Costa Pereira, Department of General Surgery, Braga Hospital, Braga 4710-243, Portugal

Valentina Giaccaglia, Department of Surgery, Medclinic City Hospital, Dubai 505004, United Arab Emirates

Author contributions: Crafa F wrote and edited the manuscript and collected the clinical data; Vanella S reviewed the discussion in the manuscript; Baiamonte M, Catalano OA, Pomykala KL, Godas M, Antunes A, Costa Pereira J, and Giaccaglia V revised the manuscript for important intellectual content and provided recommendations for the clinical diagnosis paragraph; All authors read and approved the final manuscript.

Institutional review board statement: This study was conducted according to the ethical principles of the Institution following the Declaration of Helsinki and with approval by the Institutional Review Board of the St. Giuseppe Moscati Hospital, No. 201801.

Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Data sharing statement: Dataset available from the corresponding author at nekroma@yahoo.it. Participants gave informed consent for data sharing.

STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.

Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Serafino Vanella, MD, PhD, Doctor, Surgeon, Surgical Oncologist, Division of General and Surgical Oncology, St. Giuseppe Moscati Hospital, Center of National Excellence and High Specialty, C/da Amoretta, Avellino 83100, Italy. nekroma@yahoo.it

Received: March 25, 2023
Peer-review started: March 25, 2023
First decision: April 21, 2023
Revised: May 11, 2023
Accepted: May 31, 2023
Article in press: May 31, 2023
Published online: June 28, 2023

Core Tip

Core Tip: The treatment efficacy of non-exposed endoscopic wall-inversion surgery combined with sentinel lymph node (LN) biopsy and intraoperative one-step nucleic acid amplification assay remains to be fully evaluated in early gastric and colon cancers. The patients included in the experiential portion of our investigations were diagnosed with early gastric and colon cancers that were not amenable to conventional endoscopic resection techniques. We found that this approach provides essential details on LN status intraoperatively and we discuss the related literature to help guide future research studies and clinical care.