Research Article

Comparison between Submucosal Tunneling Endoscopic Resection and Endoscopic Submucosal Dissection for Prepyloric Submucosal Tumors: A Case-Matched Controlled Study

Table 1

Baseline characteristics of the 24 patients undergoing P-STER or ESD for prepyloric SMTs.

P-STER ()ESD (12)-value

Age, mean (range), years51.00 (28.00–77.00)46.50 (28.00–60.00)0.371
Gender (male/female)5/73/90.098
Lesion size, median (range), cm1.75 (1.00–3.00)1.50 (1.20–3.50)0.890
Pathology results, n (%)
 Ectopic pancreas5 (41.67)5 (41.67)1.000
 Gastrointestinal stromal tumor3 (25.00)3 (25.00)
 Leiomyoma1 (8.33)1 (8.33)
 Lipomyoma1 (8.33)1 (8.33)
 Glomangioma1 (8.33)1 (8.33)
 Inflammatory mass1 (8.33)1 (8.33)
Distance from pylorus ring, median (range), cm2.5 (0–3)2.5 (0–3)1.000
 Location, n (%)
  3 o’clock2 (16.67)2 (16.67)1.000
  4 o’clock3 (25.00)3 (25.00)
  6 o’clock5 (41.67)5 (41.67)
  7 o’clock1 (8.33)1 (8.33)
  8 o’clock1 (8.33)1 (8.33)
Lesion origin, n (%)
 Submucosal layer5 (41.67)5 (41.67)1.000
 Muscularis propria layer7 (58.33)7 (58.33)
The appearance under EUS, n (%)
 High-medium mixed echo7 (58.33)6 (50.00)0.682
 Homogeneous low echo5 (41.67)6 (50.00)

P-STER: prepyloric submucosal tunneling endoscopic resection; ESD: endoscopic submucosal dissection; SMTs: submucosal tumors; EUS: endoscopic ultrasonography.