Cheng Anthony Wing Kay, Chiu Philip Wai Yan, Chan Peter Chi Moon, Lam Siu Ho
Department of Surgery and Endoscopy Center, United Christian Hospital, Hong Kong S. A. R., China.
J Laparoendosc Adv Surg Tech A. 2004 Jun;14(3):169-71. doi: 10.1089/1092642041255522.
In the past, numerous reports have advocated primary surgical resection as a treatment of choice for bleeding gastric stromal tumors (GIST). There were scarce reports on primary hemostasis with endoscopic therapy. We encountered two patients who presented to our unit with acute bleeding from gastric fundal stromal tumor, in whom we were able to achieved successful endoscopic hemostasis with hemoclip therapy. We describe the management of these cases and reviewed the current management strategies in bleeding gastric stromal tumor.
过去,众多报告都主张将原发性手术切除作为出血性胃间质瘤(GIST)的首选治疗方法。关于内镜治疗原发性止血的报告很少。我们遇到了两名因胃底间质瘤急性出血前来我院就诊的患者,我们通过钛夹治疗成功实现了内镜止血。我们描述了这些病例的处理过程,并回顾了目前出血性胃间质瘤的治疗策略。