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Case Report
Endoscopic Ultrasound Through-the-Needle Biopsy for the Diagnosis of an Abdominal Bronchogenic Cyst
Jessica Cassiani, Stefano Francesco Crinò, Erminia Manfrin, Matteo Rivelli, Armando Gabbrielli, Alfredo Guglielmi, Corrado Pedrazzani
Clin Endosc 2021;54(5):767-770.   Published online February 17, 2021
DOI: https://doi.org/10.5946/ce.2020.195
AbstractAbstract PDFPubReaderePub
A 57-year-old woman with epigastric pain was diagnosed with a 6-cm abdominal cystic lesion of unclear origin on cross-sectional imaging. Endoscopic ultrasound (EUS) demonstrated a unilocular cyst located between the pancreas, gastric wall, and left adrenal gland, with a regular wall filled with dense fluid with multiple hyperechoic floating spots. A 19-G needle was used to puncture the cyst, but no fluid could be aspirated. Therefore, EUS-guided through-the-needle biopsy (EUS-TTNB) was performed. Histological analysis of the retrieved fragments revealed a fibrous wall lined by “respiratory-type” epithelium with ciliated columnar cells, consistent with the diagnosis of a bronchogenic cyst. Laparoscopic excision was performed, and the diagnosis was confirmed based on the findings of the surgical specimen. Abdominal bronchogenic cysts are extremely uncommon, and a definitive diagnosis is commonly obtained after the examination of surgical specimens due to the lack of pathognomonic findings on cross-sectional imaging and poor cellularity on EUS-guided fine-needle aspiration cytology. EUS-TTNB is useful for establishing a preoperative histological diagnosis, thus supporting the decision-making process.

Citations

Citations to this article as recorded by  
  • Optimal resection of gastric bronchogenic cysts based on anatomical continuity with adherent gastric muscular layer: A case report
    Masayoshi Terayama, Koshi Kumagai, Hiroshi Kawachi, Rie Makuuchi, Masaru Hayami, Satoshi Ida, Manabu Ohashi, Takeshi Sano, Souya Nunobe
    World Journal of Gastrointestinal Surgery.2023; 15(6): 1216.     CrossRef
  • Retroperitoneal tumor finally diagnosed as a bronchogenic cyst: A case report and review of literature
    Yang-Yang Gong, Xin Qian, Bo Liang, Ming-Dong Jiang, Jun Liu, Xing Tao, Jing Luo, Hong-Jian Liu, You-Gang Feng
    World Journal of Clinical Cases.2022; 10(19): 6679.     CrossRef
  • Endoscopic resection in the treatment of intramural esophageal bronchogenic cysts: A retrospective analysis of 17 cases
    Jiao Jiao, Xiaofei Fan, Lili Luo, Zhongqing Zheng, Bangmao Wang, Wentian Liu
    Digestive and Liver Disease.2022; 54(12): 1691.     CrossRef
  • Subdiaphragmatic bronchogenic cysts: Case series and literature review
    Jianchun Xiao, Xueyang Zhang, Hongru Zhou, Tao Hong, Binglu Li, Xiaodong He, Wei Liu
    Frontiers in Medicine.2022;[Epub]     CrossRef
  • 4,473 View
  • 67 Download
  • 5 Web of Science
  • 4 Crossref
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Original Article
Non-Exposure Endoscopic-Laparoscopic Cooperative Surgery for Stomach Tumors: First Experience from the Czech Republic
Jan Hajer, Lukáš Havlůj, Adam Whitley, Robert Gürlich
Clin Endosc 2018;51(2):167-173.   Published online January 4, 2018
DOI: https://doi.org/10.5946/ce.2017.076
AbstractAbstract PDFPubReaderePub
Background
/Aims: The aim of this study was to investigate the use of non-exposure endoscopic wall-inversion surgery (NEWS) and the combination of laparoscopic and endoscopic approaches to neoplasia with non-exposure technique (CLEAN-NET) in gastric tumors.
Methods
We reviewed all cases of NEWS and CLEAN-NET performed in the department of surgery of the Royal Vinohrady Teaching Hospital.
Results
Our department performed 12 gastric tumor resections (NEWS, n=10 and CLEAN-NET, n=2) between March 2016 and February 2017. The cases chosen for these resections included predominantly submucosal tumors with no signs of dissemination or local invasion and early gastric carcinomas (T1SM1 and T1M), where tumor location made it impossible to use endoscopic submucosal dissection. R0 resection margins were confirmed in all the cases.
Conclusions
NEWS and CLEAN-NET allow en bloc non-exposed full-thickness gastric wall resection in a way that uses a “close first, cut later” approach to prevent seeding of the peritoneal cavity with tumor cells. These mini-invasive techniques combine laparoscopic and endoscopic techniques, and preserve the full function of the stomach.

Citations

Citations to this article as recorded by  
  • Pure endoscopic resection versus laparoscopic assisted procedure for upper gastrointestinal stromal tumors: Perspective from a surgical endoscopist
    Hon Chi Yip, Jun Liang Teh, Anthony Y. B. Teoh, Philip Chiu
    Digestive Endoscopy.2023; 35(2): 184.     CrossRef
  • Advances of endoscopic and surgical management in gastrointestinal stromal tumors
    Lei Yue, Yingchao Sun, Xinjie Wang, Weiling Hu
    Frontiers in Surgery.2023;[Epub]     CrossRef
  • Laparoscopic and endoscopic cooperative surgery for early gastric cancer: Perspective for actual practice
    Peng-yue Zhao, Zhao-fu Ma, Ya-nan Jiao, Yang Yan, Song-yan Li, Xiao-hui Du
    Frontiers in Oncology.2022;[Epub]     CrossRef
  • The techniques of hybrid laparo-endoscopic resections for non-epithelial gastric tumors
    S.V. Dzhantukhanova, Yu.G. Starkov, R.D. Zamolodchikov, A.A. Zvereva, P.K. Kontorshchikov
    Endoskopicheskaya khirurgiya.2021; 27(4): 47.     CrossRef
  • Editors' Choice of Noteworthy Clinical Endoscopy Publications in the First Decade
    Gwang Ha Kim, Kwang An Kwon, Do Hyun Park, Jimin Han
    Clinical Endoscopy.2021; 54(5): 633.     CrossRef
  • CLEAN-NET: a modified laparoendoscopic wedge resection of the stomach to minimize the sacrifice of innocent gastric wall
    Eiji Kanehira, Aya Kamei Kanehira, Takashi Tanida, Kodai Takahashi, Yuichi Obana, Kazunori Sasaki
    Surgical Endoscopy.2020; 34(1): 290.     CrossRef
  • Clinical outcomes of non-exposed endoscopic wall-inversion surgery for gastric submucosal tumors: long-term follow-up and functional results
    Junya Aoyama, Osamu Goto, Hirofumi Kawakubo, Shuhei Mayanagi, Kazumasa Fukuda, Tomoyuki Irino, Rieko Nakamura, Norihito Wada, Hiroya Takeuchi, Naohisa Yahagi, Yuko Kitagawa
    Gastric Cancer.2020; 23(1): 154.     CrossRef
  • Application of NOTES combined with ESD for the treatment of an exogenous gastric stromal tumor: A case report and review of the literature
    Xiao-Bo Liu, Zi-Ye Gao, Sandeep Pandey, Bao-Zhen Shan, Ping Liu, Chuan-Tao Sun, Sheng-Bao Li, Shu Jin
    World Academy of Sciences Journal.2020;[Epub]     CrossRef
  • Comparison of Nonexposed Endoscopic Wall-Inversion Surgery with Endoscopic-Navigated Laparoscopic Wedge Resection for Gastric Submucosal Tumours: Results of a Two-Centre Study
    Jan Hajer, Lukáš Havlůj, Petr Kocián, Günther Klimbacher, Andreas Shamiyeh, Robert Gürlich, Adam Whitley
    Gastroenterology Research and Practice.2019; 2019: 1.     CrossRef
  • Clinical Overview of GIST and Its Latest Management by Endoscopic Resection in Upper GI: A Literature Review
    Cicilia Marcella, Rui Hua Shi, Shakeel Sarwar
    Gastroenterology Research and Practice.2018; 2018: 1.     CrossRef
  • 6,853 View
  • 113 Download
  • 12 Web of Science
  • 10 Crossref
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Case Report
Non-Exposed Endoscopic Wall-Inversion Surgery for Gastrointestinal Stromal Tumor of the Stomach: First Case Report in Korea
Da Won Kim, Joon Sung Kim, Byung-Wook Kim, Ji Yun Jung, Gi Jun Kim, Jin-Jo Kim
Clin Endosc 2016;49(5):475-478.   Published online March 15, 2016
DOI: https://doi.org/10.5946/ce.2016.002
AbstractAbstract PDFPubReaderePub
Laparoscopic wedge resection of the stomach is a widely accepted treatment for primary resectable gastrointestinal stromal tumors (GISTs). However, it is difficult to determine the appropriate incision line from outside of the stomach, and many attempts have been made to avoid unnecessary resection of unaffected gastric tissues. Recently a technique called non-exposed endoscopic wall-inversion surgery (NEWS) was introduced to avoid exposure of GIST to the peritoneum. Here, we describe the first published case of NEWS for GIST of the stomach practiced in Korea.

Citations

Citations to this article as recorded by  
  • Advances of endoscopic and surgical management in gastrointestinal stromal tumors
    Lei Yue, Yingchao Sun, Xinjie Wang, Weiling Hu
    Frontiers in Surgery.2023;[Epub]     CrossRef
  • Endoscopic Resection of Gastrointestinal Stromal Tumor: Is It Safe?
    Moon Kyung Joo
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2021; 21(3): 180.     CrossRef
  • Clinical outcomes of non-exposed endoscopic wall-inversion surgery for gastric submucosal tumors: long-term follow-up and functional results
    Junya Aoyama, Osamu Goto, Hirofumi Kawakubo, Shuhei Mayanagi, Kazumasa Fukuda, Tomoyuki Irino, Rieko Nakamura, Norihito Wada, Hiroya Takeuchi, Naohisa Yahagi, Yuko Kitagawa
    Gastric Cancer.2020; 23(1): 154.     CrossRef
  • Non-Exposure Endoscopic-Laparoscopic Cooperative Surgery for Stomach Tumors: First Experience from the Czech Republic
    Jan Hajer, Lukáš Havlůj, Adam Whitley, Robert Gürlich
    Clinical Endoscopy.2018; 51(2): 167.     CrossRef
  • Non-exposed endoscopic wall-inversion surgery for a gastrointestinal stromal tumor of the stomach: A case report
    Prasit Mahawongkajit, Ajjana Techagumpuch, Worapop Suthiwartnarueput
    Oncology Letters.2017; 14(4): 4746.     CrossRef
  • 9,433 View
  • 122 Download
  • 7 Web of Science
  • 5 Crossref
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원저 : 식도 위장관 ; 만성 간질환에서 Indocyanine Green 정맥투여 후의 복강경 검사소견 ( Original Articles : Esophagus , Stomach & Intestine ; Peritoneoscopic Examination of the Liver Disease Stained by Intravenous Injection of Indocyanine Green )
Korean J Gastrointest Endosc 1998;18(1):21-24.   Published online November 30, 1997
AbstractAbstract PDF
Background
/Aims: Peritoneoscopy allows the clinician to assess the activity of the surface of the liver and helps him to make a prognosis in cases of liver disease by judging the structural changes of the surface. In chromoperitoneoscopy using an intravenous injection of indocyanine green(ICG), hepatic parenchyme is stained after intravenous injection of ICG while interstitial connective tissue, fatty deposition and hepatoma are not. So diagnostic accuracy is, therefore believed to be elevated in chromoperitoneoscopy than conventional peritoneoscopy or blind liver biopsy. This study was performed to assess the clinical usefulness of chromoperitoneoscopy in various chronic liver diseases. Methods: Intravenous ICG was administered at 2 mg/Kg mixed with 20 cc of saline in 30 cases with several kinds of hepatic disorders during conventional peritoneoscopic examinatians. Liver surface was examined 5 minutes after ICG injection. (Korean J Gastrointest Endosc 18: 21-24, 1998)
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원저 : 담도 췌장 ; 증상이 있는 담낭결석 환자에서 내시경적역행성담도조영술의 필요성에 관한 연구 ( Original Articles : Biliary Tract & Pancreas ; The Study on Necessity of ERCP in Patients with Symptomatic Gallhladder Stones )
Korean J Gastrointest Endosc 1997;17(3):371-379.   Published online November 30, 1996
AbstractAbstract PDF
Background
/Aims: Laparoscopic cholecystectomy(LC) has become the new therapeutic gold standard in uncomplicated symptomatic gallbladder stone. However, some patients with gallstones may be associated with bile duct stones or other biliary pathology. LC is not ideal for removal and evaluation of biliary duct stones even with advocated techniques. Although ERCP is the best way to demonstrate the biliary tree, ERCP is an invasive procedure that may causes complications. The aim of this study was to predict the neeessity for ERCP and to determine the indication of ERCP before LC using noninvasive methods of biliary tree associated liver biochemistry(LB) parameters and sonography. Methods: 270 symptomatic gallbladder stone patients were studied by both sonography and LB including total bilirubin, alkaline phophatase, r-glutamyltransferase and amylase. All patients were performd ERCP for evaluation of biliary tree pathology, Patients who were already found to have either tumors or bile duct stones on sonography were excluded. Patients were classified into normal and dilated biliary tree groups by sonographic findings, normal and abnormal LB groups, negative and positive ERCP groups. Positive ERCP were defined by bile duct stones, tumors, stricture and idiopathic common bile duct dilatation over 11 mm. (Korean J Gastrointest Endosc 17: 371- 379, 1997) (continue)
  • 1,450 View
  • 4 Download
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복강경을 이용한 양성 식도 협착증 치험 례 ( Endoscopic Surgery for a Benign Esophageal Stensosis without open Thoracotomy )
Korean J Gastrointest Endosc 1993;13(1):37-39.   Published online November 30, 1992
AbstractAbstract PDF
Surgery for a mid-esophageal lesion requires an open thoracotomy, But authors resected out a stenotic thoracic esphageal lesion with laparoscopic instrument without open thoracotomy. The patient was 50 years old woman with a long history of progressive dyaphagia. A small (3 cm in diameter) smooth ovoid submucosal mass lesion was found at 26 cm distal from incisor on both esophagoscopy and esophagogram. Two 5 mm and two 10 mm trocars were inserted into the right pleural cavity under general anesthesia with double lumen endotracheal tube, An induced pneumothorax by insuffulation of CO2 gas made lung collapse and a good exposure of esophagus. Transorally introduced esophagoscope helped to demonstrate the exact location of lesion and also to give a guide at safe excision of mass with prevention of mucosal perforation. The lesion was found to be a congromeration of an inflammed hilar lympnode and hypertorphic esophageal muscle. The entire lesion was carefully dissected from esphageal mucosa and resected out en bloc. A chest tube was introduced through a trocar site. The lung was reinflated immediately. Post-operatively patient was very comfortable. Laparoscopic surgery is very effective and safe, and it could be applied for the resection of lung bullae, benign pulmonary neoplasm and for an excision of benign esophageal tumor.
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