Ozdil Burhan, Akkiz Hikmet, Kece Can, Sandikci Macit
Faculty of Medicine, Department of Gastroenterology, Cukurova University, Yuregir, Adana, Turkey.
Can J Gastroenterol. 2010 Sep;24(9):533-5. doi: 10.1155/2010/936936.
Leiomyomas are the most common benign mesenchymal tumours of the upper gastrointestinal tract. They rarely cause symptoms when they are smaller than 5 cm in diameter. Observation with repeated endoscopies is recommended in asymptomatic patients with small lesions. Surgical resection remains the main therapy option for symptomatic and complicated patients. The treatment of esophageal leiomyoma has been enhanced by improvements in diagnostic and therapeutic endoscopic techniques; however, the same cannot be said for gastric leiomyoma management. The present article describes the management of two cases involving giant gastric leiomyomas that were successfully treated using endoscopic injection of alcohol. To the authors' knowledge, the present study is the first report of the treatment of such hemorrhagic gastric tumours using this alternative and low-cost technique. Endoscopic local ethanol injection may be the treatment of choice in carefully selected patients with hemorrhagic leiomyomas of the upper gastrointestinal tract.
平滑肌瘤是上消化道最常见的良性间叶组织肿瘤。直径小于5厘米时很少引起症状。对于无症状的小病灶患者，建议通过重复内镜检查进行观察。手术切除仍然是有症状和复杂病情患者的主要治疗选择。诊断和治疗性内镜技术的改进提高了食管平滑肌瘤的治疗水平；然而，胃平滑肌瘤的管理情况并非如此。本文描述了两例巨大胃平滑肌瘤病例的管理，这两例病例通过内镜下注射酒精成功治疗。据作者所知，本研究是使用这种替代且低成本技术治疗此类出血性胃肿瘤的首例报告。内镜下局部乙醇注射可能是精心挑选的上消化道出血性平滑肌瘤患者的治疗选择。
