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Traction-assisted endoscopic ultrasound-guided fine-needle biopsy using the clip-with-thread method for small gastric subepithelial lesions: Randomized controlled trial (with video).
Dig Endosc
January 2025
Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Objectives: Endoscopic ultrasound-guided fine-needle aspiration/biopsy (EUS-FNA/B) is the gold standard for diagnosing gastric subepithelial lesions (SELs), but diagnosing lesions smaller than 20 mm remains challenging. We developed traction-assisted EUS-FNB (TA-EUS-FNB) using the clip-with-thread method to enhance diagnostic accuracy by stabilizing the lesion and providing counter-traction for easier needle access. This study evaluates the effectiveness of TA-EUS-FNB in diagnosing small gastric SELs.
View Article and Find Full Text PDFEndoscopic resection of a giant irregular leiomyoma in fundus and cardia: A case report.
World J Gastrointest Endosc
December 2024
Department of Gastroenterology, Central Hospital Affiliated to Chongqing University of Technology, Chongqing 400054, China.
Background: Endoscopic resection of giant gastric leiomyomas, particularly in the fundus and cardia regions, is infrequently documented and presents a significant challenge for endoscopic surgery.
Case Summary: Herein, a case of a 59-year-old woman with a giant gastric leiomyoma was reported. The patient presented to the department of hepatological surgery with a complaint of right upper abdominal pain for one month and worsening for one week.
Gastric glomus tumor with uncertain malignant potential: case report of a rare cause of upper gastrointestinal bleeding.
World J Surg Oncol
November 2024
Department of Surgery, Albert Szent-Györgyi Health Center, University of Szeged, Semmelweis Street 8, Szeged, H-6725, Hungary.
Article Synopsis
- Glomus tumors (GTs) are mostly benign neoplasms found in the upper gastrointestinal tract, making malignant cases exceptionally rare, which complicates diagnosis due to similarities with other tumors.
- A 52-year-old male patient experienced fatigue and bleeding, leading to the discovery of a gastric GT after multiple examinations, with histopathology confirming it as a potentially malignant tumor.
- The case highlights the need for detailed histopathological and molecular analysis for correct diagnosis and stresses the importance of surgical intervention and long-term monitoring for recurrence and malignancy risks.
Robotic-Assisted Endoluminal Resection of Gastroesophageal Junction Leiomyoma with Transoral Specimen Extraction: Technique, Outcome, and Safety.
Ann Surg Oncol
February 2025
Department of Surgery, University of California, San Francisco, CA, USA.
Background: Leiomyomas are benign smooth muscle tumors found at the gastroesophageal junction (GEJ) ( Mathew G, Osueni A, Carter YM. Esophageal Leiomyoma. StatPearls.
View Article and Find Full Text PDFDiffuse Esophageal Leiomyomatosis and the Surgical Challenges Encountered.
J Indian Assoc Pediatr Surg
August 2024
Department of Paediatrics, All India Institute of Medical Sciences, New Delhi, India.
Diffuse esophageal leiomyomatosis (DEL) is a rare condition characterized by the growth of multiple benign smooth muscle tumors (leiomyomas) in the esophagus. These tumors can cause obstruction and functional impairment of the esophagus, leading to symptoms such as difficulty swallowing, chest pain, and weight loss. The disease can present with leiomyomas or glomerular nephropathy in other body parts, hearing defects, astigmatism, or myopia (Alport's syndrome).
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