Title: Therapeutic effect of the pre-purse-string suture on gastric lesions of external growth under endoscopy
Abstract: Objective
To investigate the clinical effect ofpre-purse-stringsuture on submucous gastric lesions of external growth type in endoscopic patients.
Methods
Clinical data of 27 patients with gastric lesions of external growth type admitted to the digestive endoscopy center of Renmin Hospital of Wuhan University from August 2016 to October 2016 for endoscopic submucosal dissection (ESD) were analyzed. Patients were randomly divided into two groups, the experiment group receiving thepre-purse-stringsuture, the control group receiving purse-string suture after ESD. Mean size of the lesions, procedure time, withdrawal time of gastric decompression, and hospitalization time were compared.
Results
In the 15 patients of the experiment group, there were 3 cases whose lesions were located in gastric antrum, 6 in gastric body and 6 in gastric fundus. In the 12 cases of the control group, 3 lesions were located in gastric antrum, 5 in gastric body and 4 in gastric fundus. All procedures were successfully completed in endoscopy. No obvious postoperative complications occurred. The mean size of lesions was 2.5 cm×3.2 cm in the experiment group, and 2.4 cm×3.0 cm in the control group (P=0.63). The operation time was 28.0-43.0 min (35.8±6.1 min) in the experiment group, and 45.6-68.8 min (48.8±5.3 min) in control group(P<0.01).
Conclusion
Pre-purse-stringtechnique is of clinical effect on gastric submucosal tumor of external growth.
Key words:
Stomach neoplasms; Endoscopic submucosal dissection; Purse-string suture
Publication Year: 2017
Publication Date: 2017-08-20
Language: en
Type: article
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