Management of gastric subepithelial tumors: The role of endoscopy.
With the wide use of esophagogastroduodenoscopy, the incidence of gastric subepithelial tumor (SET) diagnosis has increased. While the management of large or symptomatic 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 endoscopic treatment 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-thickness resection, 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.
Su Young Kim, Kyoung Oh Kim, Division of Gastroenterology, Department of Internal Medicine, Gachon University, Gil Medical Center, Incheon 405-760, South Korea.
Su Young
SY
Kim
Su Young Kim, Kyoung Oh Kim, Division of Gastroenterology, Department of Internal Medicine, Gachon University, Gil Medical Center, Incheon 405-760, South Korea.
Kyoung Oh
KO
Kim
Complication; Endoscopy; Stomach; Subepithelial tumor; Treatment