Yıl: 2020 Cilt: 21 Sayı: 1 Sayfa Aralığı: 33 - 36 Metin Dili: İngilizce DOI: 10.4274/imj.galenos.2019.48992

Endoscopic Approach to Esophageal Leiomyomas: Single Center Results

Öz:
Introduction: Leiomyoma is the most common esophagealbenign lesion. There are many treatment methods fromendoscopic treatment methods to surgery in the treatmentof leiomyoma. In this study, we evaluated the results of ourpatients who underwent endoscopic mucosal (EMR) andsubmucosal dissection (ESD) due to esophageal leiomyoma.Methods: A total of 18 patients who underwent EMR or ESDprotocol with the diagnosis of esophageal leiomyoma wereincluded in the study and age, gender, radiological imagingresults, endoscopic ultrasonography results, treatmentmethod, pathology results, and outpatient follow-up data ofthe patients were recorded following retrospective examinationof the patient files.Results: The mean age of the patients was 52.7±13.36 years,and the ratio of female/male was 1/1.25. Incidental lesionswere found during endoscopic procedures in six patients(33.3%) due to dyspeptic complaints and in three patients(16.7%) due to dysphagia and during computed tomographyin the remaining nine patients (50%) for various reasons. Fortreatment, three patients underwent EMR, and 15 patientsunderwent ESD. One patient had a hemorrhage controlled byendoscopic intervention, and no other complications wereobserved after treatment.Conclusion: It should be kept in mind that ESD and EMR,which are among the endoscopic treatment methods in thetreatment of esophageal leiomyoma, could be safely appliedin experienced hands.
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Konular:
Fen > Tıp > Tıbbi Araştırmalar Deneysel
Fen > Tıp > Genel ve Dahili Tıp

Özofagus Leyomiyomlarında Endoskopik Yaklaşım: Tek Merkez Sonuçları

Öz:
Amaç: En sık gözlenen özofagus benign lezyonları leiomiyomlardır. Leiomiyomların tedavisinde endoskopik tedavi yöntemlerinden cerrahiye kadar birçok tedavi yöntemi bulunmaktadır. Biz de bu çalışmamızda özofagus leiomiyomu sebebiyle endoskopik mukozal (EMR) ve submukozal rezeksiyon (ESD) yapılan hastalarımızın sonuçlarını değerlendirdik. Yöntemler: Özofageal leiomiyom tanısı ile EMR veya ESD protokolü uygulanan toplam 18 hasta çalışmaya dahil edilmiş olup hastaların hastane dosyalarının retrospektif olarak incelenmesi sonucunda hastaların yaşları, cinsiyetleri, radyolojik görüntüleme sonuçları, endoskopik ultrasonografi sonuçları, uygulanan tedavi yöntemi, patoloji sonuçları ve hastaların poliklinik takip notları kayıt altına alınmıştır. Bulgular: Hastaların ortalama yaşı 52,7±13,36 yıl olup kadın/ erkek oranı 1/1,25’tir. Hastaların 6’sında (%33,3) dispeptik şikayetler nedeniyle yapılan tetkiklerde, 3’ünde (%16,7) disfaji nedeniyle yapılan endoskopik girişimler sırasında, diğer 9 hastada (%50) ise çeşitli sebeplerle çekilen bilgisayarlı tomografiler sırasında insidental olarak lezyonlar bulunmuştur. Tedavi için 3 hastaya EMR, 15 hastaya ise ESD uygulanmıştır. Tedavi sonrası 1 hastada endoskopik müdahale ile durdurulan kanama mevcut olup başka bir komplikasyon gözlenmemiştir. Sonuç: Özofagus leiomiyomlarının tedavisinde endoskopik tedavi yöntemlerinden olan ESD ve EMR’nin tecrübeli ellerde güvenle uygulanabileceği akılda bulundurulmalıdır.
Anahtar Kelime:

Konular:
Fen > Tıp > Tıbbi Araştırmalar Deneysel
Fen > Tıp > Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA ÇAKAR E, İDİZ U, ÇOLAK Ş, KÖKSAL A, YARIKAYA E, BEKTAŞ H (2020). Endoscopic Approach to Esophageal Leiomyomas: Single Center Results. İstanbul Medical Journal, 21(1), 33 - 36. 10.4274/imj.galenos.2019.48992
Chicago ÇAKAR Ekrem,İDİZ Ufuk Oğuz,ÇOLAK Şükrü,KÖKSAL Ayhan,YARIKAYA Enver,BEKTAŞ Hasan Endoscopic Approach to Esophageal Leiomyomas: Single Center Results. İstanbul Medical Journal 21, no.1 (2020): 33 - 36. 10.4274/imj.galenos.2019.48992
MLA ÇAKAR Ekrem,İDİZ Ufuk Oğuz,ÇOLAK Şükrü,KÖKSAL Ayhan,YARIKAYA Enver,BEKTAŞ Hasan Endoscopic Approach to Esophageal Leiomyomas: Single Center Results. İstanbul Medical Journal, vol.21, no.1, 2020, ss.33 - 36. 10.4274/imj.galenos.2019.48992
AMA ÇAKAR E,İDİZ U,ÇOLAK Ş,KÖKSAL A,YARIKAYA E,BEKTAŞ H Endoscopic Approach to Esophageal Leiomyomas: Single Center Results. İstanbul Medical Journal. 2020; 21(1): 33 - 36. 10.4274/imj.galenos.2019.48992
Vancouver ÇAKAR E,İDİZ U,ÇOLAK Ş,KÖKSAL A,YARIKAYA E,BEKTAŞ H Endoscopic Approach to Esophageal Leiomyomas: Single Center Results. İstanbul Medical Journal. 2020; 21(1): 33 - 36. 10.4274/imj.galenos.2019.48992
IEEE ÇAKAR E,İDİZ U,ÇOLAK Ş,KÖKSAL A,YARIKAYA E,BEKTAŞ H "Endoscopic Approach to Esophageal Leiomyomas: Single Center Results." İstanbul Medical Journal, 21, ss.33 - 36, 2020. 10.4274/imj.galenos.2019.48992