Strategic International Session2(JGES・JSGE・JSGS)
Fri. November 3rd   9:00 - 12:00   Room 11: Portopia Hotel South Wing Topaz
EUS-guided angiotherapy of bleeding GIST
Rafael Romero-Castro1,2, Victoria Alejandra Jimenez-Garcia1,2, Atsushi Irisawa3
1Virgen Macarena University Hospital, 2Vithas Seville Hospital, 3Department of Gastroenterology, Dokkyo Medical University School of Medicine
AIMS: Management of bleeding GIST is challenging, especially in metastatic disease. We report five cases of bleeding GIST successfully treated under EUS-guidance.
METHODS: Patients characteristics, type of procedure and clinical outcome are shown in the Table.
RESULTS: One adverse event was observed. An intratumoral bleeding after the punction of a 22G needle, successfully managed by EUS-guided deployment of a coil plus CYA. Clinical outcome in the five patients was uneventful until scheduled surgery was performed or palliative care in the fifth patient with a metastatic GIST with progression disease.
CONCLUSIONS: EUS-guided therapy of bleeding GIST was effective in these five cases and could be another endoscopic procedure in bleeding GIST aiming to obtained hemostasis until scheduled surgical therapy or as palliative therapy without recurrence of bleeding.
Index Term 1: Interventional Endoscopic Ultrasound
Index Term 2: GIST
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