gastrointestinal subepithelial tumors within submucosa
Conditions
Interventions
endoscopic submucosal dissection:ESD
Sponsors
Kagawa University Hospital
Ehime University Hospital, Kagawa Saiseikai hospital, Kochi Medical Center, Kochi Red Cross Hospital, Shimane Prefectural Central Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1.lesion contained within the SM layer 2.all patients whom informed consents were obtained 3. symptomatic SET strongly suspected to be a benign tumor on conventional endoscopic imaging, EUS and computed tomography 4.Tumor with the increasing tendency of tumor size greater than 1.5 times the rate before 5. confirmed histological diagnosis of carcinoid tumor; carcinoid tumor 10 mm; no lymph node or distant metastasis found 6. Granular cell tumor confirmed by preoperative tissue diagnosis 7. Indefinite SMT which is suspected malignancy in the image preoperatively
Exclusion criteria
Exclusion criteria: 1.We exclude cysts, lipoma and vascular lesions with typical features in the image and asymptomatic symptoms 2.Lesions postoperative stenosis is expected, beyond the half cercumferential lumen 3.Lesions that can not check the remaining submucosa of the third layer by EUS 4.patients who do not meeting the following conditions: physical status I to II and normal complete blood cell counts and prothrombin times are excluded
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| en bloc rection rate | — |
Secondary
| Measure | Time frame |
|---|---|
| complications, procedure time, emergency,emergency surgery migration rate, additional surgery rate, recurrence rate, survival observation period | — |
Countries
Japan
Contacts
Public ContactHideki Kobara
Kagawa University Hospital Gastroenterology and Neurology
Outcome results
None listed