[Esophagogastric fibroleiomyomas].

Prensa Med Argent

Published: December 1960

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Background: Leiomyomas are benign smooth muscle tumors found at the gastroesophageal junction (GEJ) ( Mathew G, Osueni A, Carter YM. Esophageal Leiomyoma. StatPearls.

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Article Synopsis
  • A study was conducted to evaluate the safety and effectiveness of endoscopic submucosal dissection using a clutch cutter (ESD-CC) for removing subepithelial lesions in the esophagogastric area.
  • The research involved 15 patients with 18 lesions, showing a high en bloc resection rate of 94.4% and an R0 resection rate of 88.9%, with no major complications reported during the procedure.
  • The final diagnoses included various types of tumors, indicating that ESD-CC could be a promising and safe treatment option for these specific lesions.
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Gastric leiomyomas are rare, benign smooth muscle tumors that arise from the muscularis propria and can be found in any part of the stomach. The American College of Gastroenterologists recommends resection only for symptomatic leiomyomas, which can often present with bleeding, abdominal pain, or dyspepsia. Notably, symptomatic leiomyomas that arise at the gastroesophageal (GE) junction, especially those that are large, pose unique challenges.

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Esophageal tumors: The keys to diagnosis by pneumo-computed tomography.

Radiologia (Engl Ed)

January 2024

Servicio de Diagnóstico por Imágenes, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.

Objective: To review and describe the most characteristic radiological findings of the most frequent esophageal tumor lesions, with emphasis on the esophago-gastric distention technique pneumo-computed tomography performed in our institution. To know the main advantage of this distension technique.

Conclusion: Malignant tumor lesions (predominantly squamous cell carcinoma in the mid esophagus and adenocarcinoma in the distal esophagus) present as asymmetric wall thickening, mucosal irregularity, or mass extending into adjacent organs with lymph node involvement.

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The usefulness of laparoscopic and endoscopic cooperative surgery (LECS) for gastric submucosal tumors in the cardiac region has been reported in recent years. However, LECS for submucosal tumors at the esophagogastric junction with hiatal sliding esophageal hernia has not been reported, and its validity as a treatment method is unknown. The patient was a 51-year-old man with a growing submucosal tumor in the cardiac region.

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