Article Abstract

Endoscopic resection of gastric submucosal tumor

Authors: Fion S. Chan, Zhong-Hui Liu, Jun-Wen Wu, Xue-Fei Yang, Simon Law

Abstract

Background: With advances in oesophagogastroduodenoscopy (OGD), incidental finding of submucosal tumor (SMT) in upper gastrointestinal tract is increasingly reported. These lesions are usually small and the patients are generally asymptomatic, conservative management is commonly practiced before the era of endoscopic surgery. Nonetheless, with the rapid development in endoscopic instruments and techniques, endoscopic resection of SMT is frequently performed worldwide. We herein present a patient with endoscopic resection of an antral SMT.
Method: A 68-year-old woman presented with upper abdominal pain for 3 months. Upper endoscopy showed a 3 cm SMT at the antero-superior part of the antrum. Endoscopic ultrasound and CT scan were performed and the preliminary diagnosis was gastric wall lipoma. Endoscopic resection of the SMT was performed and the procedure was described.
Results: The operation was performed under general anesthesia uneventfully. The patient resumed fluid diet on the first post-operative day and was discharged on the fourth day after the procedure.
Conclusions: Endoscopic resection of gastric SMT can be performed safely. This is as-sociated with quick recovery and definitive histopathological diagnosis can be obtained.

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