Endoscopic submucosal dissection for the diagnosis and treatment of a gastric submucosal tumor: initial experience in Greece.
Gastric submucosal tumors (GSMTs) are frequently found incidentally on routine upper endoscopy. Definitive diagnosis based on histological confirmation is relatively difficult. Even without accurate diagnosis before treatment, open or laparoscopic surgery is considered the standard of care for most GSMTs. Alternatively, endoscopic resection of GSMTs using different techniques has been reported in a limited number of papers. We describe a case of an antral submucosal tumor, more specifically a leiomyoma of muscularis mucosa origin, in a 78-year-old woman, that was completely resecteden blocusing an endoscopic submucosal technique with a TT-knife. It is suggested that ESD is a feasible option for the diagnosis and treatment of GSTMs.
Gastroenterology Department, NIMTS Army Veterans Hospital, Athens, Greece.
Periklis
P
Apostolopoulos
Gastroenterology Department, NIMTS Army Veterans Hospital, Athens, Greece.
Antonios
A
Zalonis
Gastroenterology Department, NIMTS Army Veterans Hospital, Athens, Greece.
Athanasios
A
Karamoutzos
Gastroenterology Department, NIMTS Army Veterans Hospital, Athens, Greece.
Panagiota
P
Mavrogiannis
Gastroenterology Department, NIMTS Army Veterans Hospital, Athens, Greece.
Erasmia
E
Vlachou
Gastroenterology Department, NIMTS Army Veterans Hospital, Athens, Greece.
Panagiotis
P
Tsibouris
Gastroenterology Department, NIMTS Army Veterans Hospital, Athens, Greece.
Georgios
G
Alexandrakis
endoscopic submucosal dissection; gastric tumors; leiomyoma; subepithelial lesions; submucosal tumors