본문 바로가기
KERD
논문KCI 등재

Systematic Endoscopic Approach for Diagnosing Gastric Subepithelial Tumors

김광하
거트앤리버 소화기연관학회협의회|2022.01|Gut and Liver|제16권 제1호|pp. 19-27|DOI 10.5009/gnl20296

2

조회

0

다운로드

2

인용

0

참고문헌

키워드

EndoscopyStomachSubepithelial tumor

초록

Subepithelial tumors (SETs) are commonly encountered during upper gastrointestinal endoscopy, especially during national gastric cancer screening programs in Korea. Although the majority of SETs are benign, endoscopists harbor concerns regarding whether a SET is benign or malignant because the diagnosis cannot be established on the basis of routine endoscopic biopsy findings. The differential diagnosis of SETs is important, beginning with meticulous endoscopic examination, including the evaluation of the location, macroscopic shape, color, surface characteristics, mobility, consistency, and size of the tumors. The yield of endoscopic biopsy increases with the use of the bite-on-bite technique for SETs without the rolling or tenting sign, with large openings, and with erosion or ulceration. In this review, a systematic approach for the diagnosis of gastric SETs during conventional endoscopy is introduced.

Abstract

Subepithelial tumors (SETs) are commonly encountered during upper gastrointestinal endoscopy, especially during national gastric cancer screening programs in Korea. Although the majority of SETs are benign, endoscopists harbor concerns regarding whether a SET is benign or malignant because the diagnosis cannot be established on the basis of routine endoscopic biopsy findings. The differential diagnosis of SETs is important, beginning with meticulous endoscopic examination, including the evaluation of the location, macroscopic shape, color, surface characteristics, mobility, consistency, and size of the tumors. The yield of endoscopic biopsy increases with the use of the bite-on-bite technique for SETs without the rolling or tenting sign, with large openings, and with erosion or ulceration. In this review, a systematic approach for the diagnosis of gastric SETs during conventional endoscopy is introduced.

참고문헌 (34)

  1. Choe Y, "The prevalence, natural course, and clinical practice of upper gastrointestinal subepithelial tumors in Korea", Gastrointest Endosc, 91(6Suppl), pp.AB321~ (2020)
  2. Song JH, "Risk of progression for incidental small subepithelial tumors in the upper gastrointestinal tract", Endoscopy, 47, pp.675~679 (2015)
  3. Polkowski M, "Endoscopic ultrasound and endoscopic ultrasound-guided fine-needle biopsy for the diagnosis of malignant submucosal tumors", Endoscopy, 37, pp.635~645 (2005)
  4. Kim MY, "Natural history of asymptomatic small gastric subepithelial tumors", J Clin Gastroenterol, 45, pp.330~336 (2011)
  5. Kim DH, "Feasibility of a 20-gauge ProCore needle in EUS-guided subepithelial tumor sampling : a prospective multicenter study", BMC Gastroenterol, 18, pp.151~ (2018)
  6. Kim GH, "Comparison of 22-gauge aspiration needle with 22-gauge biopsy needle in endoscopic ultrasonography-guided subepithelial tumor sampling", Scand J Gastroenterol, 49, pp.347~354 (2014)
  7. Yoshiko Nakano, "Reasons for Diagnostic Failure in Forty-Five Consecutive Mucosal Cutting Biopsy Examinations of Gastric Subepithelial Tumors", Clinical Endoscopy, 53(5), pp.575~582 (2020), 대한소화기내시경학회[DOI]
  8. Lee HL, "Endoscopic histologic diagnosis of gastric GI submucosal tumors via the endoscopic submucosal dissection technique", Gastrointest Endosc, 74, pp.693~695 (2011)
  9. Sang Yoon Kim, "Comparison of the Diagnostic Ability of Endoscopic Ultrasonography and Abdominopelvic Computed Tomography in the Diagnosis of Gastric Subepithelial Tumors", Clinical Endoscopy, 52(6), pp.565~573 (2019), 대한소화기내시경학회[DOI]
  10. Kim GH, "Is it possible to differentiate gastric GISTs from gastric leiomyomas by EUS?", World J Gastroenterol, 15, pp.3376~3381 (2009)
  11. 윤종민, "Endosonographic Features of Gastric Schwannoma: A Single Center Experience", Clinical Endoscopy, 49(6), pp.548~554 (2016), 대한소화기내시경학회
  12. Park SH, "Endosonographic findings of gastric ectopic pancreas : a single center experience", J Gastroenterol Hepatol, 26, pp.1441~1446 (2011)
  13. Lee KJ, "Endoscopic resection of gastrointestinal lipomas : a single-center experience", Surg Endosc, 28, pp.185~192 (2014)
  14. Liu TC, "Inflammatory fibroid polyps of the gastrointestinal tract : spectrum of clinical, morphologic, and immunohistochemistry features", Am J Surg Pathol, 37, pp.586~592 (2013)
  15. Baek YH, "Gastric glomus tumor : analysis of endosonographic characteristics and computed tomographic findings", Dig Endosc, 25, pp.80~83 (2013)
  16. Yamada T, "X-ray diagnosis of elevated lesions of the stomach", Radiology, 110, pp.79~83 (1974)
  17. Kim TW, "Endoscopic resection for duodenal subepithelial tumors : a single-center experience", Surg Endosc, 31, pp.1936~1946 (2017)
  18. Kahng DH, "Endoscopic resection of granular cell tumors in the gastrointestinal tract : a single center experience", Surg Endosc, 27, pp.3228~3236 (2013)
  19. Hwang JH, "American Gastroenterological Association Institute technical review on the management of gastric subepithelial masses", Gastroenterology, 130, pp.2217~2228 (2006)
  20. Oh H, "Magnifying endoscopy with narrow-band imaging for gastric heterotopic pancreas", Endosc Int Open, 6, pp.E369~E375 (2018)
  21. Chun SY, "Endoscopic submucosal dissection as a treatment for gastric subepithelial tumors that originate from the muscularis propria layer : a preliminary analysis of appropriate indications", Surg Endosc, 27, pp.3271~3279 (2013)
  22. Hwang JH, "A prospective study comparing endoscopy and EUS in the evaluation of GI subepithelial masses", Gastrointest Endosc, 62, pp.202~208 (2005)
  23. Nishida T, "The standard diagnosis, treatment, and follow-up of gastrointestinal stromal tumors based on guidelines", Gastric Cancer, 19, pp.3~14 (2016)
  24. Park EY, "Endosonographic findings and the natural course of chronic gastric anisakiasis : a single-center experience", Gastroenterol Res Pract, 2018, pp.8562792~ (2018)
  25. 지정선, "Diagnostic Yield of Tissue Sampling Using a Bite-On-Bite Technique for Incidental Subepithelial Lesions", The Korean Journal of Internal Medicine, 24(2), pp.101~105 (2009), 대한내과학회
  26. Cantor MJ, "Yield of tissue sampling for subepithelial lesions evaluated by EUS : a comparison between forceps biopsies and endoscopic submucosal resection", Gastrointest Endosc, 64, pp.29~34 (2006)
  27. Hunt GC, "Yield of tissue sampling for submucosal lesions evaluated by EUS", Gastrointest Endosc, 57, pp.68~72 (2003)
  28. Ryu DY, "Endoscopic removal of gastric ectopic pancreas : an initial experience with endoscopic submucosal dissection", World J Gastroenterol, 16, pp.4589~4593 (2010)
  29. Lee MW, "Digital image analysisbased scoring system for endoscopic ultrasonography is useful in predicting gastrointestinal stromal tumors", Gastric Cancer, 22, pp.980~987 (2019)
  30. Yuto Shimamura, "Is There a Link between Clinical Manifestation of Gastric Anisakiasis and Helicobacter pylori Infection?", Clinical Endoscopy, 50(5), pp.510~510 (2017), 대한소화기내시경학회
  31. Humphris JL, "Subepithelial mass lesions in the upper gastrointestinal tract", J Gastroenterol Hepatol, 23, pp.556~566 (2008)
  32. 김용욱, "위 내 벽외성 압박의 위치에 따른 임상적 의미", Clinical Endoscopy, 39(3), pp.125~130 (2009), 대한소화기내시경학회
  33. Rösch T, "Endoscopic ultrasonography. Accuracy of endoscopic ultrasonography in upper gastrointestinal submucosal lesions : a prospective multicenter study", Scand J Gastroenterol, 37, pp.856~862 (2002)
  34. "NCCN clinical practice guidelines in oncology: gastrointestinal stromal tumors (GISTs)" (2020)[URL]

관련 논문AI추천

Endoscopic Resection of Subepithelial Tumors김광하대한소화기내시경학회 · Clinical Endoscopy2012 · 제45권 제3호Advances in the Management of Upper Gastrointestinal Subepithelial Tumor: Pathologic Diagnosis Using Endoscopy without Endoscopic Ultrasound-Guided BiopsyHang Lak Lee대한소화기내시경학회 · Clinical Endoscopy2016 · 제49권 제3호Advancements in the Diagnosis of Gastric Subepithelial TumorsGoto Osamu, Iwakiri Katsuhiko, Kaise Mitsuru거트앤리버 소화기연관학회협의회 · Gut and Liver2022 · 제16권 제3호Endoscopic Ultrasound-Guided Fine Needle Aspiration and Biopsy in Gastrointestinal Subepithelial TumorsDo Hoon Kim, Gyu Young Pih대한소화기내시경학회 · Clinical Endoscopy2019 · 제52권 제4호Current Status of Endoscopic Ultrasonography in Gastrointestinal Subepithelial TumorsJi Hyun Song, Joo Ha Hwang, Sang Gyun Kim대한소화기내시경학회 · Clinical Endoscopy2019 · 제52권 제4호Endoscopic Ultrasonography in the Diagnosis of Gastric Subepithelial Lesions공은정, Do Hoon Kim대한소화기내시경학회 · Clinical Endoscopy2016 · 제49권 제5호

이 간행물의 다른 논문 (17건)

Could the “SpyGlass Direct Visualization” System Open New Horizons for Treating Biliary Tract Diseases as a Percutaneous Cholangioscopy?이윤석pp. 1-2Is Neoadjuvant Therapy Needed in Patients with Resectable Pancreatic Cancer?Kim Dong Ukpp. 3-4Postpartum Hepatic Flares in Immune-Tolerant Pregnant Patients with Chronic Hepatitis B Virus Infection송명준pp. 5-7Treatment of Refractory Helicobacter pylori Infection-Tailored or Empirical TherapyWu Ming-Shiang, Lee Yi-Chia, Liou Jyh-Mingpp. 8-18Classification and Diagnostic Criteria for IgG4-Related Sclerosing CholangitisNakazawa Takahiro, Naitoh Itarupp. 28-36
원문 보기