一种小的胃黏膜下肿物的快速切除方法

An endoscopic rapid resection of small gastric submucosal tumor

摘要:

目的 探讨内镜快速切除术（ERR）切除小的胃黏膜下肿物（SMT）的安全性和有效性。方法 回顾性分析2020年1月－2023年12月该院收治的133例行ERR的小的胃SMT患者的手术资料和临床结局。结果 133例患者均在同一时期完成内镜治疗。1例患者术中行主动全层切除，需住院保守治疗和禁食。17例患者出现小穿孔，转日间病房观察。115例患者在门诊完成手术，伤口闭合好。结论 ERR切除小的胃SMT快速、安全、有效，且实用。可作为内镜治疗的首选方法。

Abstract:

Objective To research the safety and efficacy of endoscopic rapid resection (ERR) for small gastric submucosal tumor (SMT).Method The surgical data and clinical outcomes of 133 patients with small gastric SMT underwent ERR from January 2020 to December 2023 were retrospectively analyzed.Result All the 133 patients completed endoscopic treatment in the same period. A patient underwent active full-thickness resection during operation, requiring hospitalization for conservative treatment and fasting. Small perforation occurred in seventeen patients and they were transferred to day ward for observation. 115 patients completed the operation in the outpatient department, and the wound closure was reliable.Conclusion ERR is fast, safe, effective and practical for small gastric SMT. It can be used as the first choice for endoscopic therapy.