Indications for endo-organ gastric excision

Area of Science:

• Gastroenterology
• Minimally Invasive Surgery
• Surgical Oncology

Background:

• Intragastric surgery, termed endo-organ gastric surgery, represents an emerging minimally invasive technique.
• Current studies on endo-organ gastric surgery are limited in scope and patient follow-up.
• Technological advancements are driving the evolution of indications for this surgical approach.

Purpose of the Study:

• To review the history, technology, and surgical experience of endo-organ gastric surgery.
• To outline current indications and algorithmic rationale for endo-organ gastric surgery.
• To provide a comprehensive understanding of intraluminal gastric surgery's role.

Main Methods:

• Review of historical data and technological background.
• Analysis of current surgical experience and indications.
• Discussion of algorithmic approaches for endo-organ gastric surgery.

Main Results:

• Endo-organ gastric surgery is primarily used for gastric neoplasms unsuitable for transoral endoscopic excision.
• This technique facilitates the removal of gastric polyps, benign tumors (leiomyomas, carcinoids), and malignancies.
• The scope of indications for endo-organ surgery is expanding with technological progress.

Conclusions:

• Endo-organ gastric surgery offers a novel minimally invasive option for various gastric conditions.
• Further research and larger studies are necessary to establish its efficacy and long-term benefits.
• Understanding the evolving role of intraluminal gastric surgery is crucial for its wider adoption.