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Luo CY, Sun Z, Jiang C, Zhang PC, Wu ZF, Yao XQ, Cao QH. Multidisciplinary treatment of synchronous primary advanced gastric adenocarcinoma and esophageal squamous cell carcinoma-a retrospective single-institution study. J Gastrointest Surg 2024; 28:751-753. [PMID: 38704209 DOI: 10.1016/j.gassur.2024.01.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/30/2023] [Accepted: 01/27/2024] [Indexed: 05/06/2024]
Affiliation(s)
- Chun-Yang Luo
- Department of Surgical Oncology, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China; No.1 Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, China
| | - Zheng Sun
- Department of Surgical Oncology, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China
| | - Chao Jiang
- Department of Surgical Oncology, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China
| | - Pei-Chan Zhang
- Department of Surgical Oncology, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China; No.1 Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing, China
| | - Zhen-Feng Wu
- Department of Surgical Oncology, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China
| | - Xue-Quan Yao
- Department of Surgical Oncology, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China
| | - Qin-Hong Cao
- Department of Surgical Oncology, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China.
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Lu D, Lv L, Gu Q, Jain A, Berglund B, Ji F. Extraction of Fish Bones Embedded in the Esophagus via Endoscopic Submucosal Dissection: Two Case Reports and Literature Review. Front Med (Lausanne) 2021; 8:746720. [PMID: 34778309 PMCID: PMC8585761 DOI: 10.3389/fmed.2021.746720] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2021] [Accepted: 10/08/2021] [Indexed: 11/13/2022] Open
Abstract
Foreign body ingestion is a common problem encountered at gastroenterology clinics and emergency rooms which can cause serious complications. Usually, foreign bodies are directly visible with flexible endoscopes and can be readily removed. However, when foreign bodies migrate into the deeper tissue of the esophagus, surgery is typically required. There is currently no consensus regarding the best treatment. In this report, we present two cases in which fish bones embedded in the submucosal and muscularis propria of the esophagus were successfully removed via endoscopic submucosal dissection (ESD). Both patients were discharged without any complications.
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Affiliation(s)
- Dan Lu
- Department of Endoscopy Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China
| | - Lu Lv
- Department of Gastroenterology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China
| | - Qing Gu
- Department of Endoscopy Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China
| | - Ajay Jain
- Meridian Medical Group, Indiana University Health Methodist Hospital, Indianapolis, IN, United States
| | - Björn Berglund
- Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.,State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China
| | - Feng Ji
- Department of Gastroenterology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China
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Zhu Y, Xu MD, Xu C, Zhang XC, Chen SY, Zhong YS, Zhang YQ, Chen WF, Chen TY, Xu JX, Yao LQ, Li QL, Zhou PH. Microscopic positive tumor margin does not increase the rate of recurrence in endoscopic resected gastric mesenchymal tumors compared to negative tumor margin. Surg Endosc 2019; 34:159-169. [DOI: 10.1007/s00464-019-06744-8] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2018] [Accepted: 03/06/2019] [Indexed: 02/07/2023]
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Shi Q, Li B, Qi ZP, Yao LQ, Xu MD, Cai SL, Sun D, Zhou PH, Zhong YS. Clinical Values of Dental Floss Traction Assistance in Endoscopic Full-Thickness Resection for Submucosal Tumors Originating from the Muscularis Propria Layer in the Gastric Fundus. J Laparoendosc Adv Surg Tech A 2018; 28:1261-1265. [PMID: 29873625 DOI: 10.1089/lap.2018.0030] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND Endoscopic full-thickness resection (EFTR) derived from endoscopic submucosal dissection has gradually been accepted and even promoted for the treatment of submucosal tumors (SMTs) originating from the muscularis propria (MP) layer. However, there are some difficulties when EFTR is used to treat MP lesions in the gastric fundus. This study intends to explore whether EFTR can be made simpler, safer, and more effective with the traction assistance of dental floss. METHODS The clinical data of patients (trial group) with lesions in the MP layer in the gastric fundus undergoing EFTR with traction assistance of dental floss at Zhongshan Hospital, in 2016, were reviewed retrospectively. The control group was matched with the trial group according to tumor size. The differences in tumor resection time, patient hospitalization time, and complication rate were evaluated. RESULTS There was no significant difference in the average age of the two groups, each of which comprised 24 cases (58.7 ± 11.8 years versus 56.6 ± 7.9 years, t = 0.663, P = .511). However, there was a statistically significant difference in the operative time between the two groups (10.8 ± 2.8 minutes versus 19.0 ± 4.7 minutes, t = 7.298, P < .05). There was no statistically significant difference in the length of the postoperative hospital stay (3.2 ± 0.5 days versus 3.2 ± 0.5 days, t = 0.291, P = .772). In the trial group, there were 19 cases of gastrointestinal stromal tumors (group 1) and 5 cases of leiomyoma. The control group had similar results. Neither group experienced postoperative delayed bleeding, perforation, or other complications. CONCLUSIONS When EFTR is used to treat SMTs originating from the MP in the gastric fundus, dental floss traction assistance can relieve the tumor boundary to simplify the surgical procedure and save the operation time.
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Affiliation(s)
- Qiang Shi
- 1 Endoscopy Center, Zhongshan Hospital of Fudan University , Shanghai, China .,2 Endoscopy Research Institute of Fudan University , Shanghai, China
| | - Bing Li
- 1 Endoscopy Center, Zhongshan Hospital of Fudan University , Shanghai, China .,2 Endoscopy Research Institute of Fudan University , Shanghai, China
| | - Zhi-Peng Qi
- 1 Endoscopy Center, Zhongshan Hospital of Fudan University , Shanghai, China .,2 Endoscopy Research Institute of Fudan University , Shanghai, China
| | - Li-Qing Yao
- 1 Endoscopy Center, Zhongshan Hospital of Fudan University , Shanghai, China .,2 Endoscopy Research Institute of Fudan University , Shanghai, China
| | - Mei-Dong Xu
- 1 Endoscopy Center, Zhongshan Hospital of Fudan University , Shanghai, China .,2 Endoscopy Research Institute of Fudan University , Shanghai, China
| | - Shi-Lun Cai
- 1 Endoscopy Center, Zhongshan Hospital of Fudan University , Shanghai, China .,2 Endoscopy Research Institute of Fudan University , Shanghai, China
| | - Di Sun
- 1 Endoscopy Center, Zhongshan Hospital of Fudan University , Shanghai, China .,2 Endoscopy Research Institute of Fudan University , Shanghai, China
| | - Ping-Hong Zhou
- 1 Endoscopy Center, Zhongshan Hospital of Fudan University , Shanghai, China .,2 Endoscopy Research Institute of Fudan University , Shanghai, China
| | - Yun-Shi Zhong
- 1 Endoscopy Center, Zhongshan Hospital of Fudan University , Shanghai, China .,2 Endoscopy Research Institute of Fudan University , Shanghai, China
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Shi Q, Sun D, Cai SL, Xu MD, Qi ZP, Li B, Yao LQ, Zhong YS, Zhou PH. Clinical Analysis of Endoscopic Submucosal Dissection for the Synchronous Multiple Primary Early Cancers in Esophagus and Stomach: 12 Cases Report. J Laparoendosc Adv Surg Tech A 2018; 28:1068-1073. [PMID: 29620969 DOI: 10.1089/lap.2018.0028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE With the improvement of endoscopic diagnosis, the discovery rate of the synchronous multiple primary early cancers in esophagus and stomach is gradually increased, while the traditional surgery bringing serious damages. Endoscopic submucosal dissection (ESD) has become the first treatment option of early cancer in the digestive tract partly. This study intends to explore the feasibility, safety, and effectiveness of ESD in the treatment of the synchronous multiple early gastric cancer or precancerous lesions in the esophagus and stomach. METHODS From January 2008 to December 2016, data of 12 patients with early esophageal cancer and early gastric cancer treated by ESD in the Endoscopy Center of Zhongshan Hospital, Fudan University were reviewed. We analyzed the patient's history, the size of esophageal and gastric lesions, pathological results, the results of complete or curative resection, and so on. RESULTS Among the 12 patients described in this study, all were diagnosed with synchronous multiple primary early cancers in the esophagus and stomach. Lesions were removed by ESD in 10 cases at the same time and were removed by stage in 2 cases. The complete resection rate was 100% (24/24), and the curative resection rate was 100% (24/24). Postoperative esophageal stricture occurred in 2 cases, which improved after dilation. Median follow-up time was 30 (8-115) months, when 9 patients survived and 3 patients died. However, the cause of death was not associated with treatment of this disease. CONCLUSION ESD is a minimally invasive endoscopic surgery, which can be used as a method of treating synchronous multiple primary early cancers in the esophagus and stomach.
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Affiliation(s)
- Qiang Shi
- 1 Department of Endoscopy Center, Zhongshan Hospital, Fudan University , Shanghai, China .,2 Shanghai Center of Engineering Technology , Diagnosis, and Treatment in Endoscopy, Shanghai, China
| | - Di Sun
- 1 Department of Endoscopy Center, Zhongshan Hospital, Fudan University , Shanghai, China .,2 Shanghai Center of Engineering Technology , Diagnosis, and Treatment in Endoscopy, Shanghai, China
| | - Shi-Lun Cai
- 1 Department of Endoscopy Center, Zhongshan Hospital, Fudan University , Shanghai, China .,2 Shanghai Center of Engineering Technology , Diagnosis, and Treatment in Endoscopy, Shanghai, China
| | - Mei-Dong Xu
- 1 Department of Endoscopy Center, Zhongshan Hospital, Fudan University , Shanghai, China .,2 Shanghai Center of Engineering Technology , Diagnosis, and Treatment in Endoscopy, Shanghai, China
| | - Zhi-Peng Qi
- 1 Department of Endoscopy Center, Zhongshan Hospital, Fudan University , Shanghai, China .,2 Shanghai Center of Engineering Technology , Diagnosis, and Treatment in Endoscopy, Shanghai, China
| | - Bing Li
- 1 Department of Endoscopy Center, Zhongshan Hospital, Fudan University , Shanghai, China .,2 Shanghai Center of Engineering Technology , Diagnosis, and Treatment in Endoscopy, Shanghai, China
| | - Li-Qing Yao
- 1 Department of Endoscopy Center, Zhongshan Hospital, Fudan University , Shanghai, China .,2 Shanghai Center of Engineering Technology , Diagnosis, and Treatment in Endoscopy, Shanghai, China
| | - Yun-Shi Zhong
- 1 Department of Endoscopy Center, Zhongshan Hospital, Fudan University , Shanghai, China .,2 Shanghai Center of Engineering Technology , Diagnosis, and Treatment in Endoscopy, Shanghai, China
| | - Ping-Hong Zhou
- 1 Department of Endoscopy Center, Zhongshan Hospital, Fudan University , Shanghai, China .,2 Shanghai Center of Engineering Technology , Diagnosis, and Treatment in Endoscopy, Shanghai, China
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Take I, Shi Q, Qi ZP, Cai SL, Yao LQ, Zhou PH, Zhong YS. Endoscopic resection of colorectal granular cell tumors. World J Gastroenterol 2015; 21:13542-13547. [PMID: 26730166 PMCID: PMC4690184 DOI: 10.3748/wjg.v21.i48.13542] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2015] [Revised: 09/09/2015] [Accepted: 10/20/2015] [Indexed: 02/07/2023] Open
Abstract
AIM: To determine the feasibility and effectiveness of endoscopic resection for the treatment of colorectal granular cell tumors (GCTs).
METHODS: This was a retrospective study performed at a single institution. From January 2008 to April 2015, we examined a total of 11 lesions in 11 patients who were treated by an endoscopic procedure for colorectal GCTs in the Endoscopy Center, Zhongshan Hospital of Fudan University, Shanghai, China. Either endoscopic mucosal resection or endoscopic submucosal dissection (ESD) was performed by three surgeons with expertise in endoscopic treatment. The pre- and post-operative condition and follow-up of these patients were evaluated by colonoscopy and endoscopic ultrasonography (EUS).
RESULTS: Of these 11 lesions, 2 were located in the cecum, 3 were in the ileocecal junction, 5 were in the ascending colon, and 1 was in the rectum. The median maximum diameter of the tumors was 0.81 cm (range 0.4-1.2 cm). The en bloc rate was 100%, and the complete resection rate was 90.9% (10/11). Post-operative pathology in one patient showed a tumor at the cauterization margin. However, during ESD, this lesion was removed en bloc, and no tumor tissue was seen in the wound. No perforations or delayed perforations were observed and emergency surgery was not required for complications. All patients were followed up to May 2015, and none had recurrence, metastasis, or complaints of discomfort.
CONCLUSION: Endoscopic treatment performed by endoscopists with sufficient experience appears to be feasible and effective for colorectal GCTs.
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Harmath C, Horowitz J, Berggruen S, Hammond N, Nikolaidis P, Miller F, Goodhartz L, Teitlebaum E, Hungness E, Yaghmai V. Fluoroscopic findings post-peroral esophageal myotomy. ACTA ACUST UNITED AC 2014; 40:237-45. [DOI: 10.1007/s00261-014-0209-7] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
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