The Shengjing Hospital, China Medical University, No. 36 Sanhao Street, Shenyang, Liaoning 110004, China.
Biomed Res Int. 2014;2014:247602. doi: 10.1155/2014/247602. Epub 2014 May 7.
Endoscopic ultrasonography- (EUS-) assisted band ligation has been proven to be a safe and effective procedure for the treatment of small gastrointestinal stromal tumors (GISTs) apart from the relatively high risk of the postligation perforation of the gastric fundus. The aim of this study is to investigate the efficacy of hemoclip reinforcement in treating small GISTs in the gastric fundus.
During a standard endoscopy, a transparent cap attached to the endoscopic tip was placed over the lesion to exert sustained maximal aspiration before a rubber band was released. Once a definite ligation was confirmed by EUS, the tumor was enucleated. Four to 6 hemoclips were placed on the folds around the ligation band to reduce the tension of the ligation site.
The small GISTs were resected completely in 192 patients. Two cases of delayed perforation were found 72 hours after the procedure and successfully treated with an ordinary conservative method.
Hemoclip-reinforced endoscopic band ligation with systematic follow-up using EUS appears to be a simple and effective technique for the resection of small GISTs in the gastric fundus.
内镜超声辅助（EUS）辅助套扎已被证明是一种安全有效的治疗小胃肠间质瘤（GIST）的方法，除了胃底结扎后穿孔的相对高风险外。本研究旨在探讨用止血夹加强治疗胃底小 GIST 的疗效。
在标准内镜检查中，将内镜尖端上的透明帽置于病变部位上方，施加持续的最大抽吸，然后释放橡胶带。一旦 EUS 确认明确的结扎，肿瘤就被剜除。在结扎带周围的褶皱上放置 4 到 6 个止血夹，以减少结扎部位的张力。
192 例患者小 GIST 完全切除。术后 72 小时发现 2 例迟发性穿孔，采用普通保守方法成功治疗。
EUS 系统随访的夹加强内镜套扎术似乎是一种简单有效的胃底小 GIST 切除技术。
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