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2018, Number 4

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Revista Cubana de Cirugía 2018; 57 (4)

Value of endoscopic ultrasound in diagnosis of subepithelial lesions of the gastrointestinal tract

Chao GL, Torres HYE, Barroso ML, Cepero VM, Cepero NM

Language: Spanish
References: 20
Page: 47-54
PDF size: 251.90 Kb.


ABSTRACT

Introduction: Endoscopic ultrasonography is the method of highest value and the most frequently used in the evaluation of subepithelial lesions of the digestive tract, as it has been shown in large multicenter studies.
Objective: To describe the experience gained in the use of endoscopic ultrasonography for the diagnosis of subepithelial lesions of the gastrointestinal tract.
Method: A prospective, longitudinal and descriptive study was conducted in the Center of Medical and Surgical Research of Havana from May 2016 to January 2018. The final sample was made up of 26 patients, mainly women, aged 43 to 80 years.
Results: Dyspepsia was the most reported symptom as well as the most frequent diagnosis was gastrointestinal stroma tumors followed by lipomas. Surgical treatment was decided to be applied in most of these patients.
Conclusions: The endoscopic ultrasonography is a safe, minimally invasive method that allows making decisions on the behavior to be followed in the treatment of most of the patients with subepithelial lesions.


REFERENCES

  1. Clinical applications of endoscopic ultrasonography in gastroenterology- state of the art 1993. Results of a consensus conference, Orlando, Florida, 19 January 1993. Endoscopy. 1993;25(5):358-66.

  2. García B, Ibarra J, Sola A, Diumenjo M, Binia S, Fader E. Tumores del estroma gastrointestinal: Análisis de 40 casos. Medicina (B. Aires). 2017;77:370-2.

  3. Janssen J. Anatomía del USE longitudinal. En: Dietrich CF. Ultrasonido Endoscópico. Atlas y Manual Introductorio. Caracas: Amolca; 2009. p. 8-16.

  4. Acosta Y, Lantigua O, Escaig R, Vega M. Gastrointestinal stromal tumor of gastric location. Case presentation. Rev. Med. 2017;39:781-90.

  5. Chacaltana A, Zumaeta E, Larrea P, Chávez H, Vera A. Experiencia inicial en ecoendoscopía en el Hospital Edgardo Rebagliati, Lima, Perú. Rev. Gastroenterol. 2013;33(4):293-9.

  6. Parra-Blanco A. Lesiones submucosas del tubo digestivo. Rev. Esp. Enferm. Dig. 2012;104(11):611-8.

  7. Park CH, Kim B, Chung H, Lee H, Park JC, Shin SK, et al. Endoscopic quality indicators for esophagogastro duodenoscopy in gastric cáncer screening. Dig Dis Sci. 2015;60(1):38-46.

  8. Papanicolau IS, Triantafyllou K, Kourikou A. Endoscopic ultrasonography for gastric submucosal lesions. World J Gastrointest Endosc. 2011;3(5):86-94.

  9. Alonso M. Ecoendoscopia en la evaluación de las lesiones subepiteliales duodenales. Rev Col Gastroenterol. 2015;30:205-10.

  10. Buscaglia J, Nagula S, Jayaraman V, Robbins D. Diagnostic yield and safety of jumbo biopsy fórceps in patients with subepitelial lesions of the upper and lower GI tract. Gastrointest Endosc. 2012;75:1147-52.

  11. Keung EZ, Raut CP. Management of gastrointestinal stromal tumors. Surg Clin North Am. 2017;97:437-52.

  12. Min YW, Park HN, Min BH. Preoperative predictive factors for gastrointestinal stromal tumors: Analysis of 375 surgically resected gastric subepithelial tumors. J. Gastroenterol. Surg. 2015;19:631-8.

  13. Miettinen M, Sarlomo-Rikala M, Lasota J. Gastrointestinal stromal tumors: recent advances in understanding of their biology. Hum Pathol. 1999;30:1213-20.

  14. De la Serna C, Peras I, Núñez H, Gil P, Díaz P, Vargas A. Biopsia incisional asistida por ecoendoscopia en el diagnóstico histológico de las lesiones subepiteliales gastrointestinales: Resultado de una cohorte prospectiva. Endoscopy. 2013;45:A101.

  15. Schulz RT, Fabio LC, Franco MC, Siqueira SA, Sakai P, Maluf-Filho F. Predictive features for histology of gastric subepithelial lesions Arq Gastroenterol. 2017;54:11-5.

  16. Mitsuhiro K, Yusuke K, Eiji M, Rikiya H, Toru K, Hiroshi Y, et al. Endoscopic ultrasonography diagnosis of subepithelial lesions. Digestive Endoscopy. 2017;29:431-43.

  17. Lee M, Min BH, Lee H. Feasibility and diagnostic yield of endoscopic ultrasonography-guided fine needle biopsy with a new core biopsy needle device in patients with gastric subepithelial tumors. Medicine. 2015;94:1-7.

  18. Cho JW. Korean ESD Study Group. Current guidelines in the management of upper gastrointestinal subepithelial tumors. Clin Endosc. 2016;49:235-40.

  19. 19.Song JH, Kim SG, Chung SJ, Kang HY, Yang SY, Kim YS. Risk of progression for incidental small subepithelial tumors in the upper gastrointestinal tract. Endoscopy. 2015;47:675-9.

  20. Jeong G, Hoon K. Endoscopic Ultrasonography in the Diagnosis of Gastric Subepithelial Lesions. Clin Endosc. 2016;49:425-33.




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