International Journal of General Medicine (Sep 2021)
The Value of Endoscopic Ultrasonography in the Endoscopic Resection of Gastrointestinal Stromal Tumors
Abstract
Jian-Wei Mi,1 Jia-Qi Wang,2 Jie Liu,3 Li-Xian Zhang,1 Hong-Wei Du,1 Dong-Qiang Zhao1 1Department of Gastroenterology, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, People’s Republic of China; 2Basic Medical College, Hebei Medical University, Shijiazhuang, 050000, People’s Republic of China; 3Department of Trauma Emergency, Medical Noncommissioned Officer School, Army Medical University, Shijiazhuang, 050000, People’s Republic of ChinaCorrespondence: Dong-Qiang ZhaoDepartment of Gastroenterology, The Second Hospital of Hebei Medical University, No. 215 of West Peace Road, Xinhua District, Shijiazhuang, 050000, People’s Republic of ChinaTel +86 0311 66636179Email [email protected]: This study aimed to explore the clinical value of endoscopic ultrasonography (EUS) in the endoscopic resection of gastrointestinal stromal tumors (GISTs).Methods: A retrospective study of 92 patients who were confirmed to have GISTs by endoscopic resection after EUS examination was conducted. The preoperative features of the EUS examination, ultrasound diagnosis, endoscopic resection methods, surgical procedures, complications, and complete degree of lesion resection were recorded. And 16 patients who were diagnosed by endoscopy and EUS and confirmed by surgical operation were included and analyzed in the subsequent part of the investigation (gastroscopy and EUS image analysis, EUS image and risk classification).Results: The preoperative diagnosis rate of EUS and postoperative pathological diagnosis of GISTs was 78.7% (85/108), and the presence of a non-homogeneous echo and liquid anechoic zone in GISTs often indicated higher risk (P < 0.05). There was a positive correlation between tumor size and risk (P < 0.05).Conclusion: The endoscopic resection of GISTs is feasible and safe. EUS is of great significance for the diagnosis and risk assessment of GISTs and can assist in the endoscopic resection of GISTs.Keywords: endoscopic ultrasonography, endoscopic resection, gastric stromal tumor, risk assessment, complications
