Academic Journal
Scoring system supporting suture decision-making for duodenal submucosal tumors.
| Τίτλος: | Scoring system supporting suture decision-making for duodenal submucosal tumors. |
|---|---|
| Συγγραφείς: | Geng ZH; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, China.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai 200032, China., Qu YF; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, China.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai 200032, China., Zhu Y; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, China.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai 200032, China., Fu PY; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, China.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai 200032, China., Chen WF; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, China.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai 200032, China., Li QL; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, China.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai 200032, China., Zhou PH; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, China.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai 200032, China. zhou.pinghong@zs-hospital.sh.cn. |
| Πηγή: | World journal of clinical oncology [World J Clin Oncol] 2025 Mar 24; Vol. 16 (3), pp. 100030. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Baishideng Publishing Group Country of Publication: United States NLM ID: 101549149 Publication Model: Print Cited Medium: Print ISSN: 2218-4333 (Print) Linking ISSN: 22184333 NLM ISO Abbreviation: World J Clin Oncol Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Publication: 2014-: Pleasanton, CA : Baishideng Publishing Group Original Publication: Hong Kong : Baishideng Publishing Group |
| Περίληψη: | Background: In recent years, endoscopic resection (ER) has been employed for the excision of submucosal tumors (SMTs). Nonetheless, ER in the duodenum is linked to elevated risks of both immediate and delayed hemorrhagic complications and perforations. Satisfactory suturing is crucial for reducing the occurrence of complications. Aim: To establish a clinical score model for supporting suture decision-making of duodenal SMTs. Methods: This study included 137 individuals diagnosed with duodenal SMTs who underwent ER. Participants were evenly divided into two groups: A training cohort (TC) comprising 95 cases and an internal validation cohort (VC) with 42 cases. Subsequently, a scoring system was formulated utilizing multivariate logistic regression analysis within the TC, which was then subjected to evaluation in the VC. Results: The clinical scoring system incorporated two key factors: Extraluminal growth, which was assigned 2 points, and endoscopic full-thickness resection, which was given 3 points. This model demonstrated strong predictive accuracy, as evidenced by the area under the receiver operating characteristic curve of 0.900 (95% confidence interval: 0.823-0.976). Additionally, the model's goodness-of-fit was validated by the Hosmer-Lemeshow test (P = 0.404). The probability of purse-string suturing in low (score 0-2) and high (score > 3) categories were 3.0% and 64.3% in the TC, and 6.1% and 88.9% in the VC, respectively. Conclusion: This scoring system may function as a beneficial instrumentality for medical practitioners, facilitating the decision-making process concerning suture techniques in the context of duodenal SMTs. (©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.) |
| Competing Interests: | Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article. |
| References: | Gastrointest Endosc. 2020 May;91(5):1129-1137. (PMID: 31563595) Gastrointest Endosc. 2020 May;91(5):1138-1139. (PMID: 32327121) Surg Endosc. 2023 Dec;37(12):9183-9189. (PMID: 37845536) Exp Ther Med. 2018 May;15(5):4356-4360. (PMID: 29849777) Surg Endosc. 2022 Jun;36(6):4145-4153. (PMID: 34550437) Dig Endosc. 2022 Jul;34(5):1063-1068. (PMID: 35569111) Digestion. 2019;99(1):21-26. (PMID: 30554227) Endoscopy. 2021 Apr;53(4):429-448. (PMID: 33728632) |
| Contributed Indexing: | Keywords: Clinical score model; Duodenal submucosal tumors; Endoscopic resection; Submucosal tumors; Suturing technique |
| Entry Date(s): | Date Created: 20250325 Latest Revision: 20250326 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11866090 |
| DOI: | 10.5306/wjco.v16.i3.100030 |
| PMID: | 40130056 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 2218-4333 |
|---|---|
| DOI: | 10.5306/wjco.v16.i3.100030 |