Examine the Availability and Safety of Mucosal Cutting Biopsy Technique for Diagnosis of Gastric Submucosal Tumor
Joint Authors
Mizukami, Kazuhiro
Murakami, Kazunari
Matsunari, Osamu
Ogawa, Ryo
Hirashita, Yuka
Okamoto, Kazuhisa
Fukuda, Kensuke
Sonoda, Akira
Akiyama, Hidetoshi
Ozaka, Sotaro
Kawahara, Yoshinari
Okimoto, Tadayoshi
Kodama, Masaaki
Source
Gastroenterology Research and Practice
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-05-02
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objectives.
Differentiating gastrointestinal stromal tumor (GIST) from other submucosal tumors (SMTs) is important in diagnosing SMT.
GIST is an immunohistological diagnosis that cannot be made from images alone.
Tissue sampling of tumor sites is thus becoming increasingly important.
In this study, the utility and associated complications of mucosal cutting biopsy (MCB) for gastric SMTs were investigated.
Methods.
This was a case series study.
The subjects were patients aged ≥20 years old in whom an SMT was seen on esophagogastroduodenography and who underwent MCB between January 2012 and December 2016.
Patient information, endoscopy findings, gastric SMT size, pathological diagnosis, and other information were gathered from medical records.
The SMT size was the maximum diameter that could be visualized on EUS.
The pathological diagnosis was made with hematoxylin-eosin staining, with immunostaining added to diagnose GIST.
The endpoint was the histopathological diagnostic yield.
Risk assessment using the Miettinen classification and modified Fletcher classification was also done for GISTs treated with surgery.
Results.
The mean tumor diameter was 15.4 mm.
The tumor diameter was ≥20 mm in seven patients and <20 mm in 23 patients.
The tissue-acquiring rate was 93.3%.
A histological diagnosis could not be made in two patients.
The only complication was that bleeding required endoscopic hemostasis during the procedure in one patient, but no subsequent bleeding or no postoperative bleeding was seen.
Conclusions.
MCB is an appropriate and safe procedure in the diagnosis of gastric SMTs.
Many hospitals will be able to perform MCB if they have the environment, including skills and equipment, to perform endoscopic submucosal dissection.
American Psychological Association (APA)
Mizukami, Kazuhiro& Matsunari, Osamu& Ogawa, Ryo& Hirashita, Yuka& Okamoto, Kazuhisa& Fukuda, Kensuke…[et al.]. 2019. Examine the Availability and Safety of Mucosal Cutting Biopsy Technique for Diagnosis of Gastric Submucosal Tumor. Gastroenterology Research and Practice،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1154997
Modern Language Association (MLA)
Mizukami, Kazuhiro…[et al.]. Examine the Availability and Safety of Mucosal Cutting Biopsy Technique for Diagnosis of Gastric Submucosal Tumor. Gastroenterology Research and Practice No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1154997
American Medical Association (AMA)
Mizukami, Kazuhiro& Matsunari, Osamu& Ogawa, Ryo& Hirashita, Yuka& Okamoto, Kazuhisa& Fukuda, Kensuke…[et al.]. Examine the Availability and Safety of Mucosal Cutting Biopsy Technique for Diagnosis of Gastric Submucosal Tumor. Gastroenterology Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1154997
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1154997