Résection endoscopique des tumeurs sous-muqueuses gastriques de petite taille View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-11-28

AUTHORS

G. Perrod, G. Rahmi, E. Samaha, A. Vienne, H. Benosman, C. Savale, S. Khater, J.-B. Danset, A.-L. Pointet, L. Abbes, G. Malamut, B. Landi, C. Cellier

ABSTRACT

Subepithelial tumors (SETs) in the stomach are usually found incidentally during endoscopic examinations. Most gastric SETs are asymptomic and are formerly considered to have a benign nature, such as lipomas, shwannomas, leiymyomas. However, several gastric SETs have malignant potential, especially when they originate from the muscularis propria layer such as gastrointestinal stromal tumors or neuroendocrine tumors. SETs diagnostic is challenging, even after endoscopic ultrasound evaluation and biopsies. Thus, gastric SETs resection is justified because it provides histological analysis and curative treatment. For small gastric SETs (<2 cm), endoscopic resection is promising and associated with lower morbi-mortality comparatively to surgery. Resection techniques are close from endoscopic submucosal dissection, such as submucosal tunneling endoscopic resection or endoscopic full thickness resection. Some studies reported that complete resection rate was superior to 90% with low recurrence rates ranging from 0 to 2%. Severe adverse event occurrence (massive bleeding, perforation and pneumothorax) is rare. However, these promising results have to be confirmed in larger studies and with long term follow-up. More... »

PAGES

361-367

References to SciGraph publications

  • 2010-06-30. Endoscopic enucleation for gastric subepithelial tumors originating in the muscularis propria layer in SURGICAL ENDOSCOPY
  • 2011-03-18. Endoscopic full-thickness resection without laparoscopic assistance for gastric submucosal tumors originated from the muscularis propria in SURGICAL ENDOSCOPY
  • 1991-03. Endoscopic diagnosis of submucosal gastric lesions in SURGICAL ENDOSCOPY
  • 2007-12-12. Laparoscopic and endoscopic cooperative surgery for gastrointestinal stromal tumor dissection in SURGICAL ENDOSCOPY
  • 2013-09-07. Submucosal tunneling endoscopic resection for small upper gastrointestinal subepithelial tumors originating from the muscularis propria layer in SURGICAL ENDOSCOPY
  • 2014-02-11. Submucosal tunneling endoscopic resection for submucosal tumors of the esophagogastric junction originating from the muscularis propria layer: a feasibility study (with videos) in SURGICAL ENDOSCOPY
  • 2014-03-12. Endoscopic full-thickness resection with defect closure using clips and an endoloop for gastric subepithelial tumors arising from the muscularis propria in SURGICAL ENDOSCOPY
  • 2013-02-05. Endoscopic Submucosal Dissection for Treatment of Gastric Submucosal Tumors Originating from the Muscularis Propria Layer in DIGESTIVE DISEASES AND SCIENCES
  • 2012-05-12. Endoscopic muscularis dissection for upper gastrointestinal subepithelial tumors originating from the muscularis propria in SURGICAL ENDOSCOPY
  • 2015-02-21. Endoscopic full-thickness resection with defect closure using an over-the-scope clip for gastric subepithelial tumors originating from the muscularis propria in SURGICAL ENDOSCOPY
  • 2012-09-14. Modified endoscopic submucosal dissection with enucleation for treatment of gastric subepithelial tumors originating from the muscularis propria layer in BMC GASTROENTEROLOGY
  • 2013-06-14. Tunneling endoscopic muscularis dissection for subepithelial tumors originating from the muscularis propria of the esophagus and gastric cardia in SURGICAL ENDOSCOPY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s10190-016-0571-4

    DOI

    http://dx.doi.org/10.1007/s10190-016-0571-4

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1016055860


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    18 schema:description Subepithelial tumors (SETs) in the stomach are usually found incidentally during endoscopic examinations. Most gastric SETs are asymptomic and are formerly considered to have a benign nature, such as lipomas, shwannomas, leiymyomas. However, several gastric SETs have malignant potential, especially when they originate from the muscularis propria layer such as gastrointestinal stromal tumors or neuroendocrine tumors. SETs diagnostic is challenging, even after endoscopic ultrasound evaluation and biopsies. Thus, gastric SETs resection is justified because it provides histological analysis and curative treatment. For small gastric SETs (<2 cm), endoscopic resection is promising and associated with lower morbi-mortality comparatively to surgery. Resection techniques are close from endoscopic submucosal dissection, such as submucosal tunneling endoscopic resection or endoscopic full thickness resection. Some studies reported that complete resection rate was superior to 90% with low recurrence rates ranging from 0 to 2%. Severe adverse event occurrence (massive bleeding, perforation and pneumothorax) is rare. However, these promising results have to be confirmed in larger studies and with long term follow-up.
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