The Results of Endoscopic Interventions for Superficial Neo-plasms of the Upper Gastrointestinal Tract
Abstract
The article highlights the results of endoscopic treatment of polypoid neoplasms of the upper gastrointestinal tract. A method for endoscopic removal of polyps has been proposed, which involves the use of submucosal injection of a gel substance into the base of the formation and laser excision. Analysis of the long-term results of endoscopic removal of superficial neoplasms of the upper gastrointestinal tract made it possible to determine that excision using a diode laser, due to the technical features of the method, reduced the risk of recurrence of pathology from 17.4% to 3.1%, while this trend was noted as with en bloc removal (from 5.0% to 0.9%), and with fragmented excision (from 28.0% to 7.7%), in turn, depending on the initial size of the polyps, the proportion of relapses decreased from 7.8% to 0 .9% for formations up to 1 cm, from 33.3% to 4.5% for formations 1-2 cm and from 60.0% to 8.3% for formations more than 2 cm.
References
Lesur G. Gastric polyps: how to recognize? Which to resect? Gastroenterol Clin Biol. 2009;33(4):233–239. doi: 10.1016/j.gcb.2009.02.001.
Voutilainen M, Mantynen T, Kunnamo I, Juhola M, Mecklin JP, Farkkila M. Impact of clinical symptoms and referral volume on endoscopy for detecting peptic ulcer and gastric neoplasms. Scand J Gastroenterol. 2003;38(1):109–113. doi: 10.1080/00365521.2018.12027894.
Barbosa SHB, Lazaro GCF, Franco LM, Valenca JTJ, Nobre SMA, Souza M. Agreement between different pathologists in histopathologic diagnosis of 128 gastric polyps. Arq Gastroenterol. 2017;54(3):263–266. doi: 10.1590/s0004-2803.201700000-29.
Elhanafi S, Saadi M, Lou W, Mallawaarachchi I, Zuckerman AM, Othman MO. Gastric polyps: a association with Heli-cobacter pylori status and the pathology of the surrounding mucosa, a cross sectional study. World J Gastrointest Endosc. 2015;7:995–1002. doi: 10.4253/wjge.v7.i10.995.
Stolte M. Clinical consequences of the endoscopic diagnosis of gastric polyps. Endoscopy. 1995;27:32–37. doi: 10.1055/s-2007-1005629.
ZHU Haizhen, CHEN Zhifen. Clinicopathological features of 2 178 cases of gastric polyps [J]. Medical Journal of Wuhan University, 2016, 37(1): 145-148.
Evans JA, Chandrasekhara V, Chathadi KV, Decker GA, Early DS, Fisher DA, et al. ASGE guideline: the role of endoscopy in the management of premalignant and malignant conditions of the stomach. Gastrointest Endosc. 2015;82:1–8. doi: 10.1016/j.gie.2015.03.1967.
QIN Shumei, XU Yang. Progress in clinical diagnosis and treatment for gastric polyps[J]. Journal of Central South University. Medical Science, 2020, 45(1): 74-78. DOI:10. 11817/j.issn.1672-7347.2020.180521.
Choi CW, Kang DH, Kim HW, et al. Endoscopic submucosal dissection as a treatment for gastric adenomatous polyps: predictive factors for early gastric cancer[J]. Scand J Gastroenterol, 2012, 47(10): 1218-1225.
Jiang Q, Yan X, Wang D, Zhang S, Zhang Y, Feng Y, Yang A, Wu D. Endoscopic mucosal resection using cold snare versus hot snare in treatment for 10-19 mm non-pedunculated colorectal polyps: protocol of a non-inferiority randomised controlled study. BMJ Open. 2023 May 22;13(5):e070321. doi: 10.1136/bmjopen-2022-070321. PMID: 37217262; PMCID: PMC10230935.
Sumeyye Yilmaz, Emre Gorgun, Endoscopic Mucosal Resection and Endoscopic Submucosal Dissection, Clinics in Colon and Rectal Surgery, 10.1055/s-0043-1770941, (2023).
Kim SY, Sung JK, Moon HS, et al. Is endoscopic mucosal resection a sufficient treatment for low-grade gastric epithelial dysplasia?[J]. Gut Liver, 2012, 6(4): 446-451.
Yacoub H, Bibani N, Sabbah M, Bellil N, Ouakaa A, Trad D, Gargouri D. Gastric polyps: a 10-year analysis of 18,496 upper endoscopies. BMC Gastroenterol. 2022 Feb 19;22(1):70. doi: 10.1186/s12876-022-02154-8. PMID: 35183117; PMCID: PMC8857847.
Pimentel-Nunes P, Libânio D, Marcos-Pinto R et al. Management of epithelial precancerous conditions and lesions in the stomach (MAPS II): European Society of Gastrointestinal Endoscopy (ESGE), European Helicobacter and Microbiota Study Group (EHMSG), European Society of Pathology (ESP), and Sociedade Portuguesa de Endoscopia Digestiva (SPED) guideline update 2019. Endoscopy. 2019;51(4):365-388.
Pattarajierapan S, Takamaru H, Khomvilai S. Difficult colorectal polypectomy: Technical tips and recent advances. World J Gastroenterol. 2023 May 7;29(17):2600-2615. doi: 10.3748/wjg.v29.i17.2600. PMID: 37213398; PMCID: PMC10198056.
Yanai Y, Yokoi C, Watanabe K, Akazawa N, Akiyama J. Endoscopic resection for gastrointestinal tumors (esophageal, gastric, colorectal tumors): Japanese standard and future prospects. Glob Health Med. 2021 Dec 31;3(6):365-370. doi: 10.35772/ghm.2020.01116. PMID: 35036617; PMCID: PMC8692093.
LI Xiaofang, XU Junrong, NIU Jian. Clinicopathological characteristics and risk factors of postoperative recurrence of different types of gastric polyps [J]. Journal of Gastro-enterology and Hepatology, 2016, 25(10): 1156-1160.
ZHU Ming, NING Shoubin, Bu Xiaohua, et al. Clinicopathological features and endoscopic treatment of gastric polyps[J]. Gastroenterology, 2009, 14(12): 751-753.
ZHONG Xuhui, XU Angao. Endoscopic treatment and follow-up of adenomatous gastric polyps[J]. Journal of Practical Medicine, 2002, 18(6): 635-636.
Kim SY, Sung JK, Moon HS, et al. Is endoscopic mucosal resection a sufficient treatment for low-grade gastric epithelial dysplasia?[J]. Gut Liver, 2012, 6(4): 446-451.
Belderbos TD, Leenders M, Moons LM, Siersema PD. Local recurrence after endoscopic mucosal resection of nonpedunculated colorectal lesions: systematic review and meta-analysis. Endoscopy. 2014;46:388–402.
Kang DH, Choi CW, Kim HW, et al. Predictors of upstage diagnosis after endoscopic resection of gastric low-grade dysplasia[J]. Surg Endosc, 2018, 32(6): 2732-2738.
QIN Shumei, XU Yang. Progress in clinical diagnosis and treatment for gastric polyps[J]. Journal of Central South University. Medical Science, 2020, 45(1): 74-78. DOI:10. 11817/j.issn.1672-7347.2020.180521.
Yakubov F.R., Sadykov R.A., Mardonov J.N., Erniyazov E.A., Sapaev D.S. Evaluation of Hemostatic Efficacy of Hemoben Gel in Ruptures Of The Gastric Mucosa in An Experiment. Bull. Env. Pharmacol. Life Sci., Vol 12 [8] July 2023: 56-66.
Yakubov, F., Ruzibaev, R., Erniyazov,E., & Sapaev, D. (2023). Improvement of methods of endoscopic hemostasis in Mallory-Weiss syndrome. International Bulletin of Medical Sciences and Clinical Research, 3(10), 26–32. https://researchcitations.com/index.php/ibmscr/article/view/2762