进镜胃体反转法在胃底间质瘤治疗中的应用(含视频)

Application of forward-return way in endoscopic resection for gastric fundus stromal tumor(with video)

为评价进镜胃体反转法在胃底间质瘤治疗中的应用价值, 前瞻性纳入2020年6月-2021年6月在中国医科大学附属第四医院消化内镜科经胃镜及超声内镜诊断的胃底固有肌层间质瘤患者进行本次研究。所有患者在气管插管全麻下进行内镜全层切除术治疗, 记录进镜胃体反转法成功情况、内镜手术情况、操控性能评价、病理类型及并发症等相关信息。共入组患者12例, 术后病理均证实为间质瘤, 极低危险度10例, 低危险度2例。进镜胃体反转法成功9例, 失败3例, 最终内镜手术成功9例。所有患者未发生术中出血。内镜切除过程中, 内镜同向进退功能、内镜视野及镜身稳定性评分均为2.00分。进镜胃体反转法在内镜治疗胃底间质瘤方面具有一定的临床应用价值。

To evaluate the value of forward-return way in endoscopic resection for the treatment of gastric fundus stromal tumor,patients with gastric fundus stromal tumor in muscularis propria diagnosed by endoscopy and endoscopic ultrasonography at the Department of Digestive Endoscopy of the Fourth Affiliated Hospital of China Medical University from June 2020 to June 2021 were prospectively enrolled in the study.All patients were treated with endoscopic full-thickness resection under general anesthesia with endotracheal intubation.The success of forward-return way,endoscopic procedure,operation performance,pathological classifications and complications were analyzed.A total of 12 patients were enrolled.All of them were confirmed as having stromal tumor by postoperative pathology,with 10 of very low risk and 2 of low risk.Forward-return way was successful in 9 patients and failed in 3 patients.Nine patients were successfully treated with endoscopic procedure eventually.No intraoperative bleeding occurred in any patient.In endoscopic resection,the scores of same direction of forward and backward,endoscopic field of view,and endoscopic body stability were all 2.o0 points.Forward-return way has clinical application value for the endoscopic treatment of gastric fundus stromal tumor.