Year 2022 / Volume 114 / Number 10
Original
The role of endoscopic submucosal dissection in the management of gastric inflammatory fibroid polyps: a single-center experience

592-598

DOI: 10.17235/reed.2021.8347/2021

Emanuel Dias, Margarida Marques, João Santos-Antunes, Francisco Baldaque-Silva, Pedro Moutinho-Ribeiro, Guilherme Macedo,

Abstract
Background and aim: gastric inflammatory fibroid polyps constitute only 0.1 % of all gastric polyps. They are usually amenable to resection by snare polypectomy. However, on rare occasions, these lesions may require resection by endoscopic submucosal dissection. This study aimed to evaluate the effectiveness and safety of endoscopic submucosal dissection in the management of gastric inflammatory fibroid polyps not amenable to resection with snare polypectomy. Methods: a retrospective observational study of all consecutive patients who underwent endoscopic submucosal dissection for gastric inflammatory fibroid polyps between January 2011 and December 2020 was performed. Results: there were nine cases of gastric inflammatory fibroid polyps resected by endoscopic submucosal dissection. Most patients were female (7/9) with a mean age of 62.2 years. All gastric inflammatory fibroid polyps were described as solitary antral subepithelial lesions with a mean diameter of 16.7 mm, which appeared well-circumscribed and homogeneous lesions located at muscularis mucosa and submucosa without deeper invasion on endoscopic ultrasound. All lesions were successfully resected by en bloc and complete resection with free margins obtained in 8/9 specimens. Adverse events were reported in 2/9 cases including one intra-procedural bleeding successfully controlled with hemostatic clips and one aspiration pneumonia that evolved favorably. Mean follow-up duration was 33.7 months and no delayed complications or cases of recurrence were reported. Conclusions: endoscopic submucosal dissection appears safe and effective for the resection of gastric inflammatory fibroid polyps that present as large subepithelial lesions, if performed by experienced endoscopists after adequate characterization by endoscopic ultrasound, with high rates of technical success and low recurrence rates.
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Recommendations by the SEPD and AEG, both in general and on the operation of gastrointestinal endoscopy and gastroenterology units, concerning the current SARS-CoV-2 pandemic (March, 18)

DOI: 10.17235/reed.2020.7052/2020

Special Article

Small bowel enteroscopy – A joint clinical guideline by the Spanish and Portuguese small-bowel study groups

DOI: 10.17235/reed.2020.7020/2020

Review

The diagnostic and predictive value of fecal calprotectin and capsule endoscopy for small-bowel Crohn’s disease: a systematic review and meta-analysis

DOI: 10.17235/reed.2020.6996/2020

Review

Advanced therapy by device-assisted enteroscopy

DOI: 10.17235/reed.2020.6971/2020

Special Article

Main prophylactic measures in bariatric endoscopy. Spanish Expert Recommendations Guideline

DOI: 10.17235/reed.2020.6970/2020

Digestive Diseases Image

Obscure gastrointestinal bleeding in the setting of blue rubber bleb nevus syndrome with extensive small bowel involvement

DOI: 10.17235/reed.2020.6963/2020

Original

Predictors for finding lesions in the small bowel by enteroscopy after a positive capsule endoscopy

DOI: 10.17235/reed.2020.6956/2020

Review

Cardiorespiratory complications of digestive endoscopy not related to sedation

DOI: 10.17235/reed.2020.6917/2020

Editorial

Colorectal endoscopic submucosal dissection is here to stay

DOI: 10.17235/reed.2020.6960/2020

Letter

Are we experiencing a technological revolution? The novel motorized PowerSpiral enteroscope (PSE): a case of total oral enteroscopy

DOI: 10.17235/reed.2020.6881/2020

Original

Recurrent small-bowel bleeding from a Dieulafoy’s lesion after combined endoscopic treatment

DOI: 10.17235/reed.2020.6899/2020

Letter

Luetic gastritis: an uncommon cause of gastritis

DOI: 10.17235/reed.2020.6870/2020

Letter

A legal issue with dental prostheses and their possible complications

DOI: 10.17235/reed.2020.6864/2020

Original

Index of the Mayo Endoscopy and Ulcerative Colitis Endoscopy Index of Severity: are they equally valid?

DOI: 10.17235/reed.2020.6832/2019

Original

The 100 top cited articles in the field of digestive endoscopy: from 1950 to 2017

DOI: 10.17235/reed.2020.6828/2019

Original

A case-control study demonstrates an improved visualization when capsule endoscopy is performed after preparation with polyethylene glycol and ascorbic acid

DOI: 10.17235/reed.2020.6806/2019

Letter

Perforation of the small bowel secondary to capsule endoscopy retention

DOI: 10.17235/reed.2020.6772/2019

Letter

Gastric syphilis and its importance for a differential diagnosis in HIV patients

DOI: 10.17235/reed.2020.6729/2019

Original

The diagnostic value of video capsule endoscopy for Meckel’s diverticulum in children

DOI: 10.17235/reed.2020.6708/2019

Review

Endoscopic mucosal resection versus endoscopic submucosal dissection for colorectal laterally spreading tumors: a meta-analysis

DOI: 10.17235/reed.2020.6681/2019

Letter

Gastric ulcer due to mucormycosis in a critical patient

DOI: 10.17235/reed.2020.6636/2019

Letter

Esophagogastroduodenoscopy: how far should we go? A point of view.

DOI: 10.17235/reed.2019.6585/2019

Letter

Temporomandibular joint dislocation after an upper endoscopy: a complication to consider

DOI: 10.17235/reed.2019.6561/2019

Original

Factors associated with the presence of abnormal levels of fecal calprotectin in patients with negative panenteric studies

DOI: 10.17235/reed.2020.6508/2019

Letter

Primary gastric choriocarcinoma

DOI: 10.17235/reed.2020.6478/2019

Letter

Pancreatic metastasis of Merkel-cell carcinoma: a rare neoplasm of the pancreas

DOI: 10.17235/reed.2020.6467/2019

Digestive Diseases Image

Gastrointestinal bleeding due to duodenal mucormycosis in an immunocompetent host mimicking malignancy

DOI: 10.17235/reed.2019.6462/2019

Original

Lewis score: a useful tool for diagnosis and prognosis in Crohn’s disease

DOI: 10.17235/reed.2020.6434/2019

Original

Randomized clinical trial to assess the mPADSS scale in recovery and home discharge after endoscopy

DOI: 10.17235/reed.2020.6420/2019

Digestive Diseases Image

Jejunal schwannoma detected by video capsule endoscopy

DOI: 10.17235/reed.2020.6474/2019

Original

Detection of polyps in the small bowel of patients with acromegaly via capsule endoscopy

DOI: 10.17235/reed.2020.6377/2019

Digestive Diseases Image

Capsule endoscopy, a useful tool for the diagnosis of a tapeworm infection

DOI: 10.17235/reed.2019.6346/2019

Editorial

Endoscopy units – Statu quo

DOI: 10.17235/reed.2019.6347/2019

Original

Long-term follow-up after endoscopic submucosal dissection of colorectal lesions in a Spanish cohort

DOI: 10.17235/reed.2020.6268/2019

Letter

Endoscopically diagnosed systemic mastocytosis

DOI: 10.17235/reed.2019.6246/2019

Original

Endoscopic submucosal dissection for gastric epithelial lesions: long-term results in a Spanish cohort

DOI: 10.17235/reed.2020.6239/2019

Original

The effect of a preoperative biliary prosthesis on the infectious complications of the pancreaticoduodenectomy

DOI: 10.17235/reed.2019.6228/2019

Letter

Endoscopic balloon dilation in duodenal stenosis secondary to intestinal lymphoma in a heart transplant patient

DOI: 10.17235/reed.2019.6221/2019

Digestive Diseases Image

A rare heterotopic gastric mucosa appearing between the muscularis mucosae and submucosa

DOI: 10.17235/reed.2019.6134/2018

Special Article

Quality indicators in gastroscopy. Gastroscopy procedure

DOI: 10.17235/reed.2019.6023/2018

Letter

Endoscopic management of Boerhaave’s syndrome

DOI: 10.17235/reed.2019.6013/2018

Letter

Pyogenic granuloma of the duodenum as an unusual cause of gastrointestinal bleeding

DOI: 10.17235/reed.2019.5977/2018

Original

Influence of demographic and clinical features of the patient on transit times and impact the on the diagnostic yield of capsule endoscopy

DOI: 10.17235/reed.2019.5971/2018

Digestive Diseases Image

Intraductal papillary mucinous neoplasm of the main duct in a patient with pancreas divisum

DOI: 10.17235/reed.2019.5959/2018

Letter

Use of patency capsule in daily practice

DOI: 10.17235/reed.2019.5952/2018

Original

Bariatric and metabolic endoscopy in the handling of fatty liver disease. A new emerging approach?

DOI: 10.17235/reed.2019.5949/2018

Original

Small bowel transit time of capsule endoscopy as a factor for the detection of lesions in potential small bowel bleeding

DOI: 10.17235/reed.2019.5943/2018

Original

Metastatic tumors in the pancreas: the role of endoscopic ultrasound-guided fine‐needle aspiration

DOI: 10.17235/reed.2019.5914/2018

Digestive Diseases Image

Treatment of gastric GIST using endoscopic techniques combined with the application of endoloop and intralesional cyanoacrylate in a non-surgical patient

DOI: 10.17235/reed.2018.5899/2018

Letter

Multiple biliary hamartomatosis: an endoscopic ultrasound clinical case

DOI: 10.17235/reed.2019.5894/2018

Editorial

Preventing incomplete and inadequately cleansed capsule endoscopy examinations. Is it possible?

DOI: 10.17235/reed.2018.5820/2018

Original

A descriptive monitoring study of a non-anesthetist sedation quality program

DOI: 10.17235/reed.2018.5763/2018

Letter

Symptomatic exfoliative esophagitis induced by dabigatran

DOI: 10.17235/reed.2018.5747/2018

Original

Effectiveness and safety of gastrointestinal endoscopy during a specific sedation training program for non-anesthesiologists

DOI: 10.17235/reed.2018.5713/2018

Case Report

Endoscopic submucosal hydro-dissection as a rescue treatment of a large recurrent lateral spreading tumor in an ileorectal anastomosis

DOI: 10.17235/reed.2018.5690/2018

Special Article

The current situation of digestive endoscopy units in the Valencian Community

DOI: 10.17235/reed.2019.5676/2018

Letter

Factors that predict the presence of non-small bowel lesions during capsule endoscopy examinations

DOI: 10.17235/reed.2018.5666/2018

Original

Switching from endoscopic submucosal dissection to salvage piecemeal knife-assisted snare resection to remove a lesion: A preoperative risk score from the beginning.

DOI: 10.17235/reed.2018.5608/2018

Special Article

Endoscopy and sedation: an inseparable binomial for the gastroenterologist

DOI: 10.17235/reed.2018.5585/2018

Letter

Intramural esophageal dissection. A rare occurrence in pediatric eosinophilic esophagitis

DOI: 10.17235/reed.2018.5577/2018

Letter to the Editor

Patients’ perspective on sedation during upper gastrointestinal endoscopy. Systematic use of sedation or systematic prior information?

DOI: 10.17235/reed.2018.5546/2018

Special Article

Basic training in digestive endoscopy for resident physicians in gastroenterology. Recommendations by the Sociedad Española de Endoscopia Digestiva (SEED)

DOI: 10.17235/reed.2018.5545/2018

Letter to the Editor

Sedation assisted by an endoscopist (SAE) for complex endoscopic procedures. Is it time to change the current guidelines?

DOI: 10.17235/reed.2018.5537/2018

Letter to the Editor

Safety of propofol sedation directed by endoscopists: how long should we continue to generate evidence?

DOI: 10.17235/reed.2018.5531/2018

Digestive Diseases Image

Dysphagia and hematemesis caused by an intramural esophageal dissection

DOI: 10.17235/reed.2018.5471/2018

Original

Efficacy and safety of transoral outlet reduction via endoscopic suturing in patients with weight regain after a surgical Roux-en-Y gastric bypass

DOI: 10.17235/reed.2018.5419/2017

Digestive Diseases Image

A rare mass in the duodenal bulb: Brunner’s glands cystadenoma

DOI: 10.17235/reed.2018.5344/2017

Original

A clinical trial comparing propofol versus propofol plus midazolam in diagnostic endoscopy of patients with a low anesthetic risk

DOI: 10.17235/reed.2018.5289/2017

Original

Severe cardiorespiratory complications derived from propofol sedation monitored by an endoscopist

DOI: 10.17235/reed.2018.5282/2017

Original

Quality of sedation with propofol administered by non-anesthetists in a digestive endoscopy unit: the results of a one year experience

DOI: 10.17235/reed.2018.5283/2017

Letter to the Editor

Real time visualization may be advisable to exclude aspiration in patients undergoing capsule endoscopy examination

DOI: 10.17235/reed.2017.5244/2017

Original

Sedation with propofol in digestive endoscopy administered by gastroenterologists. Experience in a Venezuelan hospital

DOI: 10.17235/reed.2018.5185/2017

Case Report

Underwater hybrid endoscopic submucosal dissection in a rectal polyp: a case report of a new application of “underwater endoscopy”

DOI: 10.17235/reed.2017.5181/2017

Original

Inter and intra-observer concordance for the diagnosis of portal hypertension gastropathy

DOI: 10.17235/reed.2018.5169/2017

Case Report

Hepatocolic fistula managed with a novel Padlock® device for endoscopic closure

DOI: 10.17235/reed.2017.5150/2017

Letter to the Editor

GETTEMO position statement on bariatric endoscopic techniques as a voluntary medicine

DOI: 10.17235/reed.2017.5144/2017

Original

Can we rely on inflammatory biomarkers for the diagnosis and monitoring Crohn’s disease activity?

DOI: 10.17235/reed.2017.5126/2017

Original

Gastroduodenal lesions detected during small bowel capsule endoscopy: incidence, diagnostic and therapeutic impact

DOI: 10.17235/reed.2017.5114/2017

Original

Fecal microbiota transplantation in refractory or recurrent Clostridium difficile infection: a real-life experience in a non-academic center

DOI: 10.17235/reed.2018.5099/2017

Original

Economic evaluation of endoscopic radiofrequency ablation for the treatment of dysplastic Barrett’s esophagus in Spain

DOI: 10.17235/reed.2017.5087/2017

Original

Capsule endoscopy with PillCamSB2 versus PillCamSB3: has the improvement in technology resulted in a step forward?

DOI: 10.17235/reed.2017.5071/2017

Case Report

Serrated polyposis syndrome associated with long-standing inflammatory bowel disease

DOI: 10.17235/reed.2017.5068/2017

Special Article

Quality indicators in digestive endoscopy: introduction to structure, process, and outcome common indicators

DOI: 10.17235/reed.2017.5035/2017

Letter to the Editor

In response to the letter by Cabadas and Álvarez-Escudero about the editorial: “Will societies of anesthesiologists partake in the take-off of non-anesthesiologist administration of propofol?”

DOI: 10.17235/reed.2017.4938/2017

Special Article

Spanish consensus document on bariatric endoscopy. Part 2: specific endoscopic treatments

DOI: 10.17235/reed.2019.4922/2017

Digestive Diseases Image

Metastasis of dermatofibrosarcoma diagnosed by capsule endoscopy

DOI: 10.17235/reed.2018.4900/2017

Original

Clinical manifestations and endoscopic presentations of gastric lymphoma: a multicenter seven year retrospective survey

DOI: 10.17235/reed.2017.4882/2017

Original

Continuous esomeprazole infusion versus bolus administration and second look endoscopy for the prevention of rebleeding in children with a peptic ulcer

DOI: 10.17235/reed.2018.4864/2017

Original

Predictive factors of an incomplete examination and inadequate small-bowel cleanliness during capsule endoscopy

DOI: 10.17235/reed.2018.4834/2017

Editorial

Will societies of anesthesiologists partake in the take-off of non-anesthesiologist administration of propofol?

DOI: 10.17235/reed.2017.4707/2016

Original

A survey-based analysis on endoscopic quality indicators compliance among Spanish endoscopists

DOI: 10.17235/reed.2016.4705/2016

Letter to the Editor

Symptomatic retention of the Agile® patency capsule

DOI: 10.17235/reed.2017.4691/2016

Original

Validation of SPICE, a method to differentiate small bowel submucosal lesions from innocent bulges on capsule endoscopy

DOI: 10.17235/reed.2017.4629/2016

Digestive Diseases Image

Meckel´s diverticulum bleeding detected by capsule endoscopy

Letter to the Editor

Author´s reply to the letter: In response to the editorial “Sedation in endoscopy in 2016: Is it safe sedation with propofol led by the endoscopist in complex situations?”

DOI: 10.17235/reed.2016.4611/2016

Original

Colonic lesions in patients undergoing small bowel capsule endoscopy: incidence, diagnostic and therapeutic impact

DOI: 10.17235/reed.2017.4604/2016

Review

Diagnostic and therapeutic features of small bowel involvement in portal hypertension

DOI: 10.17235/reed.2017.4596/2016

Digestive Diseases Image

Extrinsic esophageal compression by the vertebral body

Letter to the Editor

Ball valve syndrome caused by a giant gastric Vanek’s tumor

DOI: 10.17235/reed.2017.4526/2016

Letter to the Editor

Laparoscopic treatment of hemorrhagic Meckel diverticulum after diagnosis with wireless capsule endoscopy and double-balloon enteroscopy

DOI: 10.17235/reed.2017.4522/2016

Digestive Diseases Image

An unusual cause of Boerhaave´s syndrome in a young patient

Original

The importance of a second opinion in the diagnosis of Barrett’s esophagus: a “real life” study

DOI: 10.17235/reed.2016.4505/2016

Special Article

Spanish Consensus Document on Bariatric Endoscopy. Part 1. General considerations

DOI: 10.17235/reed.2018.4503/2016

Original

Multicenter study on the safety of bariatric endoscopy

DOI: 10.17235/reed.2017.4499/2016

Letter to the Editor

Endoscopic removal of a hashish packet

DOI: 10.17235/reed.2017.4504/2016

Original

The use of a segmental endoscopic score may improve the prediction of clinical outcomes in acute severe ulcerative colitis

DOI: 10.17235/reed.2016.4470/2016

Letter to the Editor

In response to the editorial “Sedation in endoscopy in 2016: Is it safe sedation with propofol led by the endoscopist in complex situations?”

DOI: 10.17235/reed.2016.4471/2016

Original

Antiplatelet agents and/or anticoagulants are not associated with worse outcome following nonvariceal upper gastrointestinal bleeding

DOI: 10.17235/reed.2016.4424/2016

Digestive Diseases Image

Hemolymphangioma as a cause of overt obscure gastrointestinal bleeding: a case report

Original

Therapeutic impact of colon capsule endoscopy with PillCam™ COLON 2 after incomplete standard colonoscopy: a Spanish multicenter study

DOI: 10.17235/reed.2017.4369/2016

Original

Validation of the computed assessment of cleansing score with the Mirocam® system

DOI: 10.17235/reed.2016.4366/2016

Letter to the Editor

Whipple’s disease under the vision of capsule endoscopy

DOI: 10.17235/reed.2016.4362/2016

Letter to the Editor

Asymptomatic bronchial aspiration of capsule endoscope: a significant complication

DOI: 10.17235/reed.2016.4363/2016

Digestive Diseases Image

Signet ring cell carcinoma of the jejunum: an uncommon finding within the reach of capsule endoscopy

Letter to the Editor

Author´s reply: About human taeniasis and Taenia saginata diagnosis by endoscopy

DOI: 10.17235/reed.2016.4339/2016

Original

Fecal calprotectin and C-reactive protein are associated with positive findings in capsule endoscopy in suspected small bowel Crohn’s disease

DOI: 10.17235/reed.2016.4318/2016

Editorial

Sedation for endoscopy in 2016 — Is endoscopist-guided sedation safe in complex situations?

DOI: 10.17235/reed.2016.4383/2016

Letter to the Editor

About human taeniasis and Taenia saginata diagnosis by endoscopy

DOI: 10.17235/reed.2016.4297/2016

Digestive Diseases Image

Jejunal metastasis of renal cell carcinoma

Letter to the Editor

En bloc endoscopic submucosal dissection for a giant neoplastic lesion in the duodenal bulb

DOI: 10.17235/reed.2016.4249/2016

Case Report

Colonic obstruction secondary to sigmoid fecaloma endoscopically resolved with Coca-Cola®

DOI: 10.17235/reed.2017.4209/2016

Original

Safety and risk factors for difficult endoscopist-directed ERCP sedation in daily practice: a hospital-based case-control study

DOI: 10.17235/reed.2016.4206/2016

Original

Endoscopic colostomy with percutaneous colopexy: an animal feasibility study

DOI: 10.17235/reed.2017.4201/2016

Case Report

Pyogenic granuloma in the jejunum successfully removed by single-balloon enteroscopy

DOI: 10.17235/reed.2017.4153/2015

Letter to the Editor

Transanal submucosal endoscopic resection (TASER) by TEO system®

DOI: 10.17235/reed.2016.4154/2015

Digestive Diseases Image

Successful balloon overtube-guided colorectal endoscopic submucosal dissection by a gastroscope

Editorial

Obscure gastrointestinal bleeding and “obscure” capsule. May we switch on any lights?

DOI: 10.17235/reed.2015.4124/2015

Letter to the Editor

Gastric neuroendocrine tumor presenting with gastrointestinal bleeding

DOI: 10.17235/reed.2015.3998/2015

Original

Endoscopic sleeve gastroplasty (the Apollo method): a new approach to obesity management

DOI: 10.17235/reed.2016.3988/2015

Letter to the Editor

Endoscopic submucosal dissection for a gastric fibrolipoma

DOI: 10.17235/reed.2015.3982/2015

Original

Predictive factors of small bowel patency in Crohn's disease patients

DOI: 10.17235/reed.2015.3957/2015

Editorial

Prevention of post-operative recurrence in Crohn´s disease. Are we ready for a treat-to-target strategy?

DOI: 10.17235/reed.2015.3990/2015

Original

Guideline for wireless capsule endoscopy in children and adolescents: A consensus document by the SEGHNP (Spanish Society for Pediatric Gastroenterology, Hepatology, and Nutrition) and the SEPD (Spanish Society for Digestive Diseases)

DOI: 10.17235/reed.2015.3921/2015

Digestive Diseases Image

A typical but seldom recognized foreign body in the esophagus of a laryngectomized patient

Digestive Diseases Image

Gastric inflammatory fibroid polyp mimicking a gastrointestinal stromal tumour

Original

What is the long-term outcome of a negative capsule endoscopy in patients with obscure gastrointestinal bleeding?

DOI: 10.17235/reed.2015.3900/2015

Original

Comparative study between open and minimally invasive approach in the surgical management of esophageal leiomyoma

DOI: 10.17235/reed.2015.3845/2015

Original

Impact of endoscopic monitoring in postoperative Crohn’s disease patients already receiving pharmacological prevention of recurrence

DOI: 10.17235/reed.2015.3836/2015

Original

Incidence, clinical outcomes, and therapeutic approaches of capsule endoscopy-related adverse events in a large study population

DOI: 10.17235/reed.2015.3820/2015

Review

Management of antiplatelet and anticoagulant therapy for endoscopic procedures: Introduction to novel oral anticoagulants

DOI: 10.17235/reed.2016.3811/2015

Original

Fully covered metal stents for the treatment of leaks after gastric and esophageal surgery

DOI: 10.17235/reed.2015.3765/2015

Case Report

Atypical diagnosis diagnosis by endoscopic capsule: Whipple´s disease

DOI: 10.17235/reed.2015.3718/2015

Case Report

Endoscopy as a diagnostic and therapeutic alternative technique of taeniasis

DOI: 10.17235/reed.2015.3585/2014

Digestive Diseases Image

Jejunal plasmablastic lymphoma presenting as obscure overt gastrointestinal bleeding - diagnosis by wireless capsule endoscopy

Citation tools
Dias E, Marques M, Santos-Antunes J, Baldaque-Silva F, Moutinho-Ribeiro P, Macedo G, et all. The role of endoscopic submucosal dissection in the management of gastric inflammatory fibroid polyps: a single-center experience. 8347/2021


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Publication history

Received: 18/09/2021

Accepted: 21/11/2021

Online First: 25/11/2021

Published: 07/10/2022

Article revision time: 54 days

Article Online First time: 68 days

Article editing time: 384 days


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