Efficacy of deep biopsy for subepithelial lesions in the upper
gastrointestinal tract

Rolandas Vaicekauskas; Juozas Stanaitis; Jonas Valantinas

doi:10.5114/wiitm.2016.61429

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abstract:

Original paper

Efficacy of deep biopsy for subepithelial lesions in the upper gastrointestinal tract

Rolandas Vaicekauskas

,

Juozas Stanaitis

,

Jonas Valantinas

Videosurgery Miniinv 2016; 11 (3): 192–199

DOI: https://doi.org/10.5114/wiitm.2016.61429

Online publish date: 2016/07/22

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Introduction: Accurate diagnosis of subepithelial lesions (SELs) in the gastrointestinal tract depends on a variety of methods: endoscopy, endoscopic ultrasound and different types of biopsy. Making an error-free diagnosis is vital for the subsequent application of an appropriate treatment.

Aim: To evaluate the efficacy of deep biopsy via the endoscopic submucosal dissection (ESD) technique for SELs in the upper gastrointestinal tract.

Material and methods: It was a case series study. Deep biopsy via the ESD technique was completed in 38 patients between November 2012 and October 2014. Thirty-eight SELs in the upper gastrointestinal tract of varying size (very small ≤ 1 cm, small 1–2 cm and large ≥ 2 cm) by means of the ESD technique after an incision with an electrosurgical knife of the overlying layers and revealing a small part of the lesion were biopsied under direct endoscopic view.

Results: Deep biopsy via the ESD technique was diagnostic in 28 of 38 patients (73.3%; 95% CI: 59.7–89.7%). The diagnostic yield for SELs with a clear endophytic shape increased to 91.3%. An evident endophytic appearance of a subepithelial lesion, the mean number of biopsied samples (6.65 ±1.36) and the total size in length of all samples per case (19.88 ±8.07 mm) were the main criteria influencing the positiveness of deep biopsy in the diagnostic group compared to the nondiagnostic one (p = 0.001; p = 0.025; p = 0.008).

Conclusions: Deep biopsy via the ESD technique is an effective and safe method for the diagnosis of SELs especially with a clear endophytic appearance in a large number of biopsied samples.

keywords:

Efficacy of deep biopsy for subepithelial lesions in the upper gastrointestinal tract

Rolandas Vaicekauskas , Juozas Stanaitis , Jonas Valantinas

deep biopsy, endoscopic submucosal dissection, subepithelial lesions, gastrointestinal stromal tumor

Rolandas Vaicekauskas

,

Juozas Stanaitis

,

Jonas Valantinas