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©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 6, 2020; 8(1): 120-125
Published online Jan 6, 2020. doi: 10.12998/wjcc.v8.i1.120
Published online Jan 6, 2020. doi: 10.12998/wjcc.v8.i1.120
Use of omental patch and endoscopic closure technique as an alternative to surgery after endoscopic full thickness resection of gastric intestinal stromal tumors: A series of cases
Amit H Sachdev, Diogo Turiani Hourneaux de Moura, Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115, United States
Shahzad Iqbal, Good Samaritan Hospital, NY 11795, United States
Igor Braga Ribeiro, Diogo Turiani Hourneaux de Moura, Gastrointestinal Endoscopy Unit, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo 05403-000, Brazil
Author contributions: Sachdev AH and de Moura DTH conceived and designed the study; Sachdev AH performed the procedure; Ribeiro IB carried out the literature search; Ribeiro IB and de Moura DTH reviewed the case and edited the manuscript; all authors contributed to finalizing the present version of the paper; all authors approved the manuscript for publication.
Informed consent statement: Written informed consent was obtained from the patients.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Igor Braga Ribeiro, MD, Gastrointestinal Endoscopy Unit, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Av. Dr Enéas de Carvalho Aguiar, 225, 6o andar, bloco 3, Cerqueira Cesar, São Paulo 05403-000, Brazil. igorbraga1@gmail.com
Received: October 31, 2019
Peer-review started: October 31, 2019
First decision: November 13, 2019
Revised: November 26, 2019
Accepted: December 13, 2019
Article in press: December 13, 2019
Published online: January 6, 2020
Peer-review started: October 31, 2019
First decision: November 13, 2019
Revised: November 26, 2019
Accepted: December 13, 2019
Article in press: December 13, 2019
Published online: January 6, 2020
Core Tip
Core tip: We present three patients who were diagnosed with gastric gastrointestinal stromal tumors. All patients underwent endoscopic full-thickness resection. We describe a new technique in which the omental fat is pulled into the gastric lumen and clipped to the edges of the defect. Then, continuous endosutures or an endoloop were placed in the surrounding gastric mucosa and cinched leading to complete closure of the defect. This novel closure technique may be an alternative to surgery in selected cases of gastric perforation.