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Endoscopic Treatment of GI Subepithelial Tumors

  • Gwang Ha KimEmail author
Chapter

Abstract

Subepithelial tumors (SETs) in the gastrointestinal tract are often incidentally found during endoscopic examinations, and the incidence of SETs has gradually increased. Endoscopic ultrasonography (EUS) is a good diagnostic modality for differential diagnosis of SETs, but a definite diagnosis cannot be made based on EUS features alone in some cases. Periodic follow-up endoscopy and EUS remain the recommended management strategies; however, this strategy involves issues related to patient compliance, cost-effectiveness, and the risk associated with repeated endoscopic procedures and delayed diagnosis of malignancy. Endoscopic resection of the SETs is another modality to treat them as well as to obtain tissue specimens for accurate histologic diagnosis. Here, various endoscopic techniques ranging from standard endoscopic submucosal resection to endoscopic full-thickness resection for SETs will be reviewed.

Keywords

Endoscopic resection Gastrointestinal tract Neoplasms Subepithelial 

Further Reading

  1. 1.
    Kim GH. Endoscopic resection of subepithelial tumors. Clin Endosc. 2012;45:240–4.CrossRefGoogle Scholar
  2. 2.
    Lee DG, Kim GH, Park DY, et al. Endoscopic submucosal resection of esophageal subepithelial lesions using band ligation. Endoscopy. 2011;43:822–5.CrossRefGoogle Scholar
  3. 3.
    Lee KJ, Kim GH, Park DY, et al. Endoscopic resection of gastrointestinal lipomas: a single-center experience. Surg Endosc. 2014;28:185–92.CrossRefGoogle Scholar
  4. 4.
    Lee JS, Kim GH, Park DY, et al. Endoscopic submucosal dissection for gastric subepithelial tumors: a single-center experience. Gastroenterol Res Pract. 2015;2015:425469.PubMedPubMedCentralGoogle Scholar
  5. 5.
    Białek A, Wiechowska-Kozłowska A, Pertkiewicz J, et al. Endoscopic submucosal dissection for treatment of gastric subepithelial tumors (with video). Gastrointest Endosc. 2012;75:276–86.CrossRefGoogle Scholar
  6. 6.
    Li QL, Yao LQ, Zhou PH, et al. Submucosal tumors of the esophagogastric junction originating from the muscularis propria layer: a large study of endoscopic submucosal dissection (with video). Gastrointest Endosc. 2012;75:1153–8.CrossRefGoogle Scholar
  7. 7.
    Lee SH, Kim SJ, Lee TH, et al. Human applications of submucosal endoscopy under conscious sedation for pure natural orifice transluminal endoscopic surgery. Surg Endosc. 2013;27:3616–20.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Division of Gastroenterology, Department of Internal MedicinePusan National University School of MedicineBusanSouth Korea

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