Orthodontic rubber band traction to facilitate endoscopic resection of gastric submucosal tumor

IF 1.1 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY Arab Journal of Gastroenterology Pub Date : 2024-08-01 DOI:10.1016/j.ajg.2024.03.007
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Abstract

Background and study aims

Endoscopic submucosal excavation (ESE) and endoscopic full-thickness resection (EFTR) are common endoscopic minimally invasive methods for treatment of gastric submucosal tumors (SMTs). However, it is sometimes difficult to expose the tumor optimally. This study aimed to explore the safety and effectiveness of tumor traction using orthodontic rubber band (ORB) combined with clips to assist ESE and EFTR of gastric SMTs.

Patients and methods

The data of patients with gastric SMTs who underwent ESE or EFR at the Endoscopy Center of the 900th Hospital of PLA from January 2021 to May 2022 were retrospectively analyzed. Baseline characteristics and clinical outcomes, including operation time and postoperative adverse events, were compared between patients receiving ORB-ESE/EFTR and conventional ESE/EFTR.

Results

A total of 52 patients were enrolled: 16 patients who underwent ORB-ESE /EFTR and 36 patients who underwent conventional ESE/EFTR. Median procedure time was significantly shorter in the ORB-ESE/EFTR group than in the conventional ESE/EFTR group (32 [IQR, 23.8, 38.0] minutes vs. 39.0 [IQR, 34.6–67.3] minutes, P = 0.002). Baseline characteristics, en bloc resection rate, incidence of postoperative adverse events, and postoperative pathology results were comparable between the two groups (P > 0.05).

Conclusion

Use of ORB with clips–assisted traction during ESE/EFTR of gastric SMT can shorten the surgical time. Further large prospective studies are needed to confirm the findings of this study.

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用正畸橡皮筋牵引促进胃黏膜下肿瘤的内窥镜切除。
背景和研究目的:内镜下黏膜下切除术(ESE)和内镜下全层切除术(EFTR)是治疗胃黏膜下肿瘤(SMT)的常见内镜微创方法。然而,有时很难最佳地暴露肿瘤。本研究旨在探讨使用正畸橡皮筋(ORB)结合夹子进行肿瘤牵引以辅助胃SMTs的ESE和EFTR的安全性和有效性:回顾性分析2021年1月至2022年5月期间在中国人民解放军第900医院内镜中心接受ESE或EFR治疗的胃SMT患者的数据。比较了接受ORB-ESE/EFTR和传统ESE/EFTR患者的基线特征和临床结果,包括手术时间和术后不良反应:结果:共有 52 名患者入选:结果:共有52名患者入选:16名患者接受了ORB-ESE/EFTR手术,36名患者接受了传统的ESE/EFTR手术。ORB-ESE/EFTR 组的中位手术时间明显短于传统 ESE/EFTR 组(32 [IQR, 23.8, 38.0] 分钟 vs. 39.0 [IQR, 34.6-67.3] 分钟,P = 0.002)。两组患者的基线特征、全灶切除率、术后不良事件发生率和术后病理结果相当(P > 0.05):结论:在胃SMT的ESE/EFTR手术中使用ORB夹辅助牵引可缩短手术时间。需要进一步的大型前瞻性研究来证实本研究的结果。
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来源期刊
Arab Journal of Gastroenterology
Arab Journal of Gastroenterology Medicine-Gastroenterology
CiteScore
2.70
自引率
0.00%
发文量
52
期刊介绍: Arab Journal of Gastroenterology (AJG) publishes different studies related to the digestive system. It aims to be the foremost scientific peer reviewed journal encompassing diverse studies related to the digestive system and its disorders, and serving the Pan-Arab and wider community working on gastrointestinal disorders.
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