{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T08:10:25Z","timestamp":1778227825769,"version":"3.51.4"},"reference-count":8,"publisher":"Georg Thieme Verlag KG","issue":"CP","license":[{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Endoscopic full-thickness resection (EFR) of gastric stromal tumors carries a high peritonitis risk. Our case report implied the preset pursestring procedure (PPP) could boost EFR speed and safety, but supporting clinical evidence is lacking, prompting this clinical evaluation of PPP in gastric EFR.<\/jats:p>\n                  <jats:p>This retrospective cohort study analyzed adults with small gastric stromal tumors who underwent EFR (n = 31) or PPP-assisted EFR (PPP-EFR, n = 28) between August 2022 and August 2023. Tumor characteristics, adverse events, postoperative efficacy, economic outcomes, and follow-up data were compared between groups.<\/jats:p>\n                  <jats:p>R0 resection rates were comparable (PPP-EFR: 92.8%; EFR: 90.0%). PPP-EFR had shorter closure time (3.5 vs. 19.5 min, P = 0.001). PPP-EFR had lower incidence of postoperative fever (10.7% vs. 32.3%, P = 0.040), computed tomography-confirmed peritonitis (7.1% vs. 29.0%,P = 0.031), and elevated inflammatory markers (P \u2264 0.003), plus shorter fasting time (P = 0.038). Operative time, hospital stay, and cost did not differ; no patients had recurrence or metastasis on follow-up.<\/jats:p>\n                  <jats:p>PPP optimizes EFR closure, reduces inflammatory and abdominal complications, and improves postoperative recovery for small gastric stromal tumors.<\/jats:p>","DOI":"10.1055\/a-2803-4972","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T23:55:12Z","timestamp":1770162912000},"source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Preset pursestring procedure: Innovative auxiliary method of endoscopic full-thickness resection in small gastric stromal tumors"],"prefix":"10.1055","volume":"14","author":[{"given":"Jinfeng","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, The Third People's Hospital of Shenzhen, Shenzhen, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, The Third People's Hospital of Shenzhen, Shenzhen, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, The Third People's Hospital of Shenzhen, Shenzhen, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, The Third People's Hospital of Shenzhen, Shenzhen, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,2,23]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"298","DOI":"10.1158\/1055-9965.EPI-14-1002","article-title":"Epidemiology of gastrointestinal stromal tumors in the era of histology codes: results of a population-based study","volume":"24","author":"GL Ma","year":"2015","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1007\/s00535-021-01831-x","article-title":"A proposed risk assessment score for gastrointestinal stromal tumors based on evaluation of 19,030 cases from the National Cancer Database","volume":"56","author":"VQ Trinh","year":"2021","journal-title":"J Gastroenterol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1132","DOI":"10.1007\/s11605-016-3134-y","article-title":"Population-based epidemiology and mortality of small malignant gastrointestinal stromal tumors in the USA","volume":"20","author":"TM Coe","year":"2016","journal-title":"J Gastrointest Surg"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1466","DOI":"10.3109\/00365521.2013.845796","article-title":"Efficacy and safety of endoscopic submucosal dissection in treating gastric subepithelial tumors originating in the muscularis propria layer: a single-center study of 144 cases","volume":"48","author":"Z He","year":"2013","journal-title":"Scand J Gastroenterol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"2714","DOI":"10.1007\/s11605-019-04493-6","article-title":"Retrospective comparison of endoscopic full-thickness versus laparoscopic or surgical resection of small (\u2264 5 cm) gastric gastrointestinal stromal tumors","volume":"24","author":"Y Zhao","year":"2020","journal-title":"J Gastrointest Surg"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"E1160","DOI":"10.1055\/a-2173-7284","article-title":"Pursestring encirclement before endoscopic submucosal excavation of a cecal submucosal tumor [J]","volume":"55","author":"J Zhou","year":"2023","journal-title":"Endoscopy"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"667","DOI":"10.1016\/j.ejso.2019.10.030","article-title":"Safety and efficiency of endoscopic resection versus laparoscopic resection in gastric gastrointestinal stromal tumours: a systematic review and meta-analysis","volume":"46","author":"C Wang","year":"2020","journal-title":"Eur J Surg Oncol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1007\/s00464-019-06839-2","article-title":"Endoscopic full-thickness resection of gastric subepithelial tumors with the gFTRD-system: a prospective pilot study (RESET trial)","volume":"34","author":"B Meier","year":"2020","journal-title":"Surg Endosc"}],"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2803-4972.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T07:16:57Z","timestamp":1778224617000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2803-4972"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,3]]},"references-count":8,"journal-issue":{"issue":"CP","published-online":{"date-parts":[[2026,1,13]]},"published-print":{"date-parts":[[2026]]}},"alternative-id":["a28034972"],"URL":"https:\/\/doi.org\/10.1055\/a-2803-4972","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,2,3]]},"published":{"date-parts":[[2026,2,3]]}}}