Editorial
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Jan 16, 2024; 16(1): 5-10
Published online Jan 16, 2024. doi: 10.4253/wjge.v16.i1.5
Nomogram to predict gas-related complications during transoral endoscopic resection of upper gastrointestinal submucosal lesions: Clinical significance
Xu-Peng Wen, Qi-Quan Wan
Xu-Peng Wen, Department of Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai 200030, China
Qi-Quan Wan, Department of Transplant Surgery, The Third Xiangya Hospital of Central South University, Changsha 410013, Hunan Province, China
Author contributions: Wan QQ designed the overall concept and outline of the manuscript; Wen XP contributed to the discussion and design of the manuscript; all authors read and approved the final manuscript.
Conflict-of-interest statement: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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: Qi-Quan Wan, MD, Associate Professor, Department of Transplant Surgery, The Third Xiangya Hospital of Central South University, No. 138 Tongzipo Road, Changsha 410013, Hunan Province, China. 13548685542@163.com
Received: November 4, 2023
Peer-review started: November 4, 2023
First decision: November 30, 2023
Revised: December 13, 2023
Accepted: December 29, 2023
Article in press: December 29, 2023
Published online: January 16, 2024
Abstract

Transoral endoscopic resections in treating upper gastrointestinal submucosal lesions have the advantages of maintaining the integrity of the gastrointestinal lumen, avoiding perforation and reducing gastrointestinal fistulae. They are becoming more widely used in clinical practice, but, they may also present a variety of complications. Gas-related complications are one of the most common, which can be left untreated if the symptoms are mild, but in severe cases, they can lead to rapid changes in the respiratory and circulatory systems in a short period, which can be life-threatening. Therefore, it is important to predict the occurrence of gas-related complications early and take preventive measures actively. Based on the authors' results in the prepublication of the article “Nomogram to predict gas-related complications during transoral endoscopic resection of upper gastrointestinal submucosal lesions,” and in conjunction with our evaluation and additions to the relevant content, radiographs may help screen patients at high risk for gas-related complications. Controlling blood glucose levels, shortening the duration of surgery, and choosing the most appropriate surgical resection may positively impact the prognosis of patients at high risk for gas-related complications during transoral endoscopic resection of upper gastrointestinal submucosal lesions.

Keywords: Complications, Endoscopy, Upper gastrointestinal tract, Nomogram, Clinical significance

Core Tip: Transoral endoscopic resection of upper gastrointestinal submucosal lesions is associated with gas-related complications, which are unavoidable and may increase patient burden and prolong the duration of hospitalization. A four-variable nomogram predicts the risk of gas-related complications after transoral endoscopic resection of upper gastrointestinal submucosal lesions, guiding endoscopists during clinical operations.