Management of gastric subepithelial tumors: The role of endoscopy

• 作者: Kyoung Oh Kim Su Young Kim
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: Subepithelial TUMOR ENDOSCOPY STOMACH Treatment COMPLICATION
• 年，卷（期）: 2016,（11）
• 页码范围: 418-424
• 页数: 7页
• 分类号: R

摘要

With the wide use of esophagogastroduodenoscopy, the incidence of gastric subepithelial tumor (SET) diagnosis has increased. While the management of large orsymptomatic gastric SETs is obvious, treatment of small (≤3 cm) asymptomatic gastric SETs remains inconclusive.Moreover, the presence of gastrointestinal stromal tumors with malignant potential is of concern, and endoscopictreatment of gastric SETs remains a subject of debate.Recently, numerous studies have demonstrated the feasibility of endoscopic treatment of gastric SETs,and have proposed various endoscopic procedures including endoscopic submucosal dissection, endoscopic muscularis dissection, endoscopic enucleation, endoscopic submucosal tunnel dissection, endoscopic full-thicknessresection, and a hybrid approach (the combination of endoscopy and laparoscopy). In this review article, we discuss current endoscopic treatments for gastric SETs as well as the advantages and limitations of this type of therapy. Finally, we predict the availability of newly developed endoscopic treatments for gastric SETs.