Summary
Our two-step technique for endoscopic treatment of gastric leiomyomas is illustrated. From January 1979 to June 1991, nine symptomatic patients with sessile leiomyomas of the stomach were treated at the Endoscopy Division of Istituto Nazionale Tumori, Milan.
The diagnosis was achieved by means of endoscopic observation of the lesion and, when possible, by ultrasound endoscopy.
This new technique consists of first removing superficial portion of the tumor by electrosurgical snare. Second, a cleavage plane is found within the proper muscle layer; the tumor is enucleated as much as possible by tightening the snare around it and creating a pseudo-stalk. No major complication occurred nor were any recurrences observed at 21.8 months in the 7/9 patients treated by endoscopy alone. Endoscopic therapy was performed on an outpatient basis and only large lesions required short hospitalization.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Blackstone MO (1986) Interpretazione Endoscopica (Italian ed.) Cortina Verona, vol 2. pp 158–169
Davis GR (1983): Neoplasms of the stomach. In: MH Sleisinger, JS Fordtran (eds) Gastrointestinal disease. WB Saunders, Philadelphia, 3rd ed. pp 578–601
Fujisaki J, Mine T, Akimoto K, Yoshida S, Hasegawa Y, Ogata E (1988) Enucleation of a gastric leiomyoma by a combined laser and snare electrocutting technique. Gastrointest Endosc 34: 128–130
Ghazi A, Ferstenberg H, Shinya H (1984) Endoscopic gastroduodenal polypectomy. Ann Surg 200: 175–180
Morson BC, Dawson IMP (1990) Non-epithelial tumours. In: Gastrointestinal pathology. Blackwell Scientific, Oxford, 3rd ed. pp 170–187
Spandre M, Cavallero M, Pennazio M, Gemme C, Loverci C, Bertone A, Coverlizza S, Risio M, Rossini FP (1990) Needle biopsy of submucosal lesions of gastrointestinal tract. Surg Endosc 4: 161–163
Yasuda K, Nakajima M, Yoshida S, Kiyota K, Kawai K (1989) The diagnosis of submucosal tumors of the stomach by endoscopic ultrasonography. Gastrointest Endosc 35: 10–15
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Spinelli, P., Cerrai, F.G., Cambareri, A.R. et al. Two-step endoscopic resection of gastric leiomyomas. Surg Endosc 7, 90–92 (1993). https://doi.org/10.1007/BF00704385
Issue Date:
DOI: https://doi.org/10.1007/BF00704385