Accuracy of EUS in the evaluation of small gastric subepithelial lesions

Karaca, Çetin; Turner, Brian G.; Çizginer, Sevdenur; Forcione, David G.; Brugge, William R.

doi:10.1016/j.gie.2009.10.019

Cited by 151 publications

(109 citation statements)

References 24 publications

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“…Endoscopic submucosal resection (ESMR) might be a procedure for diagnosing the very few, early gastric GIST that are confined to the mucosa and submucosa [7] . No reports are available on ESMR or endoscopic mucosal resection (EMR) for early gastric GIST [8] . R0 resection of the more common gastric GIST that arise from the muscularis propria cannot be achieved using traditional endoscopic techniques.…”

Section: Endoscopymentioning

confidence: 99%

Management of early asymptomatic gastrointestinal stromal tumors of the stomach

Scherübl

Faiss

Knoefel

et al. 2014

WJGE

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Gastrointestinal stromal tumors (GIST) are the most common mesenchymal tumors of the digestive tract. Approximately two thirds of clinically manifest tumors occur in the stomach, nearly one third in the small bowel, and the rest in the colorectal region with a few cases in the esophagus. GIST originate within the smooth muscle layer in the wall of the tubular gastrointestinal tract and grow mostly toward the serosa, far less often toward the mucosa. In the latter case, ulceration may develop and can cause gastrointestinal bleeding as the cardinal symptom. However, most GIST of the stomach are asymptomatic. They are increasingly detected incidentally as small intramural or submucosal tumors during endoscopy and particularly during endoscopic ultrasound. Epidemiological and molecular genetic findings suggest that early asymptomatic GIST of the stomach (< 1 cm) show self-limiting tumorigenesis. Thus, early (< 1 cm) asymptomatic gastric GIST (synonym: micro-GIST) are found in 20%-30% of the elderly. The mostly elderly people with early gastric GIST have an excellent GIST-specific prognosis. Patients with early GIST of the stomach can therefore be managed by endoscopic surveillance.

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Section: Endoscopymentioning

confidence: 99%

Management of early asymptomatic gastrointestinal stromal tumors of the stomach

Scherübl

Faiss

Knoefel

et al. 2014

WJGE

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“…Endoscopic ultrasonography is useful for assessing the depth of gastric wall invasion of tumors[1 cm in size [41]. CT or MRI scan can provide useful information in patients with metastatic disease.…”

Section: Diagnosismentioning

confidence: 99%

Clinical features and management of type I gastric carcinoids

Sato¹

2014

Clin J Gastroenterol

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Type I gastric carcinoids (TIGCs) are related to chronic atrophic gastritis and are characterized by hypergastrinemia and hyperplasia of enterochromaffin-like cells. TIGCs are the most frequently diagnosed of all gastric carcinoids, accounting for about 70-80 %. Endoscopically, TIGCs are present as small (\10 mm), polypoid lesions or, more frequently, as smooth, rounded submucosal lesions. Histologically, TIGCs arise in the deep mucosa, with some invading the submucosa. Most TIGCs are well-differentiated tumors, with metastasis being rare. Therefore, patients with TIGCs generally have an excellent prognosis. Among the currently available treatment options are total gastrectomy, partial resection, antrectomy, endoscopic resection, and endoscopic surveillance, although no consensus has been reached on their optimal management. Further studies are needed to develop better management options for patients with TIGC.

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“…Endoscopic ultrasonography alone correctly diagnosed 10 (46%) lesions. Incorrectly diagnosed lesions were: pancreatic lesions (n = 5) and gastritis cystica profunda (n = 2) [5]. Normal anatomical structures and extramural benign or malignant tumours may compress the gastrointestinal wall and imitate intramural tumours.…”

Section: Intramural Tumours and Submucosal Lesionsmentioning

confidence: 99%

The role of endoscopic ultrasonography (EUS) in contemporary diagnosis of gastrointestinal diseases

Kiełtucki¹,

Wawrzyniec²

2016

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Day by day endoscopic ultrasonography (EUS) is becoming an essential diagnostic method for the assessment of solid lesions of the pancreas, cysts, pseudocysts and cystic tumours of the pancreas, enlarged mediastinal lymph nodes, staging of gastric cancer and rectal cancer, as well as lung or subepithelial tumours in the gastrointestinal tract. The ability to use this diagnostic method presents many challenges for performing specialists, from the organisation of the EUS surgery to maintaining its activity in a proper technical aspect, as well as the continuous improvement of staff qualifications. Endoscopic ultrasonography has revolutionised the practical aspects of gastroenterological practice and oncology. Particularly, EUS-guided fine-needle aspiration biopsy (EUS-FNA) of various pathologies in the gastrointestinal tract has provided invaluable effects and opportunities. This technique is becoming more and more available in Poland, creating a unique challenge to its practice. StreszczenieUltrasonografia endoskopowa (EUS) staje się z dnia na dzień kluczową metodą diagnostyczną zmian litych w trzustce, torbieli, pseudotorbieli i guzów torbielowatych trzustki, powiększonych węzłów chłonnych śródpiersia, zaawansowania raka żołądka, odbytnicy, jak również nowotworów płuc i zmian podnabłonkowych w przewodzie pokarmowym. Technika ta stawia przed wykonującymi badanie wiele wyzwań -zorganizowanie pracowni EUS, utrzymanie jej działania na należytym poziomie technicznym czy stałe podnoszenie kwalifikacji personelu. Ultrasonografia endoskopowa zrewolucjonizowała praktyczne aspekty diagnostyki gastroenterologicznej i onkologicznej, zwłaszcza biopsja cienkoigłowa kontrolowana ultrasonografią endoskopową (EUS-FNA) różnego rodzaju zmian w obrębie przewodu pokarmowego daje nieocenione efekty i możliwości. Metoda ta jest coraz bardziej dostępna w Polsce, zwiększają się również możliwości jej praktycznego doskonalenia.

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Accuracy of EUS in the evaluation of small gastric subepithelial lesions

Cited by 151 publications

References 24 publications

Management of early asymptomatic gastrointestinal stromal tumors of the stomach

Management of early asymptomatic gastrointestinal stromal tumors of the stomach

Clinical features and management of type I gastric carcinoids

The role of endoscopic ultrasonography (EUS) in contemporary diagnosis of gastrointestinal diseases

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