Asadzadeh Aghdaei Hamid, Sadeghi Amir, Ghorbanpour Nouri Ahmad, Nouri Gholam Reza, Dooghaie Moghadam Arash, Azizi Mohammad Reza, Eslami Pegah
Basic and Molecular Epidemiology of Gastrointestinal Disorders Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Gastroenterol Hepatol Bed Bench. 2020 Winter;13(Suppl1):S149-S153.
Although most subepithelial lesions are benign, the malignant forms could present as serious life-threating cancers. Their accurate diagnosis depends on complete surgical resection. Different endoscopic methods have been recommended for the resection. Recently, the EMR has been considered as a safe and effective technique, while various revised EMR techniques have been introduced. In this study, a new version of EMR has been evaluated in two patients. Two middle-aged cases with gastric subepithelial tumors were admitted to Taleghani gastrointestinal department. The polyps were resected via our new Endoscopic Mucosal Resection (EMR) technique. In this technique, the needle knife was used for un-roofing the mucosal surface. Then, the polyps were resected with hot snares. The hemoclips were applied for ligation too. We found no early or delayed complications. Furthermore, the microscopic margins of the lesions were free. Our study represented a safe and cost-beneficial technique for subepithelial lesions and no complications was found and the margins were free. However, further investigations are required for confirming the validity of this new EMR technique.
尽管大多数上皮下病变是良性的，但恶性形式可能表现为严重的危及生命的癌症。其准确诊断取决于完整的手术切除。已推荐使用不同的内镜方法进行切除。最近，内镜黏膜切除术（EMR）被认为是一种安全有效的技术，同时也引入了各种改良的EMR技术。在本研究中，对两名患者评估了一种新版本的EMR。两名患有胃上皮下肿瘤的中年病例被收治到塔莱哈尼胃肠科。通过我们新的内镜黏膜切除术（EMR）技术切除息肉。在该技术中，使用针刀打开黏膜表面。然后，用热圈套器切除息肉。也应用了止血夹进行结扎。我们未发现早期或延迟并发症。此外，病变的显微镜下切缘未见肿瘤组织。我们的研究表明，对于上皮下病变，该技术安全且具有成本效益，未发现并发症且切缘未见肿瘤组织。然而，需要进一步研究以证实这种新EMR技术的有效性。
