دورية أكاديمية
أعرض في EDS

An aberrant growth after endoscopic submucosal dissection: A recurrence?

التفاصيل البيبلوغرافية
العنوان: An aberrant growth after endoscopic submucosal dissection: A recurrence?
المؤلفون: Ho JL; Department of Gastroenterology and Hepatology, Fiona Stanley Hospital, Western Australia, Australia; Department of Gastroenterology and Hepatology, Woodlands Health, Singapore., Ma MX; Department of Gastroenterology and Hepatology, Fiona Stanley Hospital, Western Australia, Australia; Department of Gastroenterology, St John of God Midland Public and Private Hospitals, Western Australia, Australia; Curtin University Medical School, Western Australia, Australia.
المصدر: Gastrointestinal endoscopy [Gastrointest Endosc] 2024 Jul 02. Date of Electronic Publication: 2024 Jul 02.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Mosby Yearbook Country of Publication: United States NLM ID: 0010505 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-6779 (Electronic) Linking ISSN: 00165107 NLM ISO Abbreviation: Gastrointest Endosc Subsets: MEDLINE
أسماء مطبوعة: Publication: St Louis, Mo : Mosby Yearbook
Original Publication: Denver.
مستخلص: Competing Interests: Disclosure Both authors disclosed no financial relationships. Commentary In the past decade there has been significant advancement and research to help refine endoscopic resection techniques for precancerous and cancerous GI lesions. This case highlights the importance of understanding the postresection healing process and identification of benign and malignant lesions at previous resection sites. Not all post-ESD defects heal into homogeneous and flat epithelized scars. The development of aberrant and protuberant nodules in post-ESD scars creates concern for neoplastic recurrence. After curative gastric ESD, ≤10% of scars can have a nodular or polypoid appearance, an entity described as PNS. This is more frequently observed in mucosal resections or dissections performed in the gastric antrum and may have an association with the use of histamine-2 receptor antagonists and proton pump inhibitors during the healing phase. Biopsy specimens taken from these scars show regenerative mucosa without neoplastic recurrence, and in most cases the nodular granulation tissue disappears after scarring without any long-term clinical implications. It is important for endoscopists to recognize such benign post-ESD scars and to avoid unnecessary closer follow-up care or aggressive reinterventions. Muhammad Arslan Baig, MD, Interventional Gastroenterologist, Clinical Assistant Professor of Medicine, University of Texas Health Sciences Center at Tyler, Tyler, Texas, USA Amy Tyberg, MD, FASGE, FACG, Associate Editor for Focal Points
تواريخ الأحداث: Date Created: 20240704 Latest Revision: 20240904
رمز التحديث: 20240904
DOI: 10.1016/j.gie.2024.06.036
PMID: 38964481
قاعدة البيانات: MEDLINE
الوصف
تدمد:1097-6779
DOI:10.1016/j.gie.2024.06.036