New scoring system accurately predicts perforation risk in gastric tumor surgeries

A novel scoring system successfully identifies high-risk patients for intraoperative perforation during endoscopic resection of gastric gastrointestinal stromal tumors. Analyzing over 1,100 patients, the system considers tumor location, size, and growth pattern, achieving strong discrimination with AUCs above 0.8. Risk stratification reveals significant variations: low-risk patients face an 8.3% perforation rate, while high-risk patients experience rates as high as 80%. This tool aims to enhance patient selection and improve surgical safety.

Journal Article by He B, Xu J (…) Ye Y et 5 al. in Surg Endosc

© 2025. The Author(s).

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