单钳道内镜下荷包缝合术在胃底剥离术并发穿孔中的应用

Purse-string suture with single channel gastroscopy for the gastric wall perforation during endoscopic submucosal dissection of gastric fundus

目的观察使用单钳道内镜下荷包缝合法处理胃底间质瘤剥离时发生穿孔的闭合效果。方法 15例来源胃底固有肌层的间质瘤病例,瘤体长径1.5~3.0 cm,行内镜黏膜下剥离术(ESD)中发生穿孔,单钳道内镜下荷包缝合法闭合创面。结果 15例患者均成功闭合创面,耗时10~15 min,未出现严重并发症。结论单钳道内镜下荷包缝合法处理胃底ESD伴随的穿孔,方法简便有效。

Objective To evaluate the perforation repair method of purse-string suture with single channel after gastroscopy endoscopic submucosal resection （ESD） in treating gastric submucosalal stromal tumor originating from muscularis propria lay of gastric fundus. Methods 15 patients with GIST from gastric fundus muscularis propria were treated with ESD. The diameters of tumors were from 1.5 - 3.5 cm. Purse-string suture with single channel gastroscopy was performed for the gastric wall perforation during ESD. Results All patients underwent repair successfully. The procedure time was 10 - 15 min. No severe complications occurred. Conclusion Purse-string suture with single channel gastroscopy is a feasible and effective perforation repair method during ESD of gastric fundus.