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Endoscopic resection of subepithelial tumors
Arthur Schmidt1, Markus Bauder1, Bettina Riecken1
1Arthur Schmidt, Markus Bauder, Bettina Riecken, Karel Caca, Department of Gastroenterology and Oncology, Klinikum Ludwigsburg, 71640 Ludwigsburg, Germany.
World Journal of Gastrointestinal Endoscopy
|December 17, 2014
Summary
Managing subepithelial tumors (SETs) is difficult. This review covers endoscopic resection techniques for SETs, focusing on innovative methods like submucosal tunneling and full-thickness resection for improved diagnosis and treatment.
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Subepithelial tumors (SETs) present diagnostic and management challenges.
- Endoscopic ultrasound (EUS) aids differential diagnosis but rarely provides definitive diagnoses.
- Complete endoscopic resection offers tissue acquisition and potential therapeutic benefits.
Purpose of the Study:
- To review endoscopic resection techniques for SETs.
- To highlight novel and advanced endoscopic methods for SET management.
Main Methods:
- Review of current literature on endoscopic resection of gastrointestinal subepithelial tumors.
- Focus on established and innovative techniques including submucosal tunneling and full-thickness resection.
Main Results:
- Basic resection techniques are suitable for small, submucosal SETs.
- Deeper layer SET resection requires advanced endoscopic methods, posing perforation risks.
- Innovative techniques expand endoscopic therapeutic possibilities.
Conclusions:
- Endoscopic resection is a viable approach for SET diagnosis and treatment.
- Advanced endoscopic techniques are crucial for managing complex SETs.
- Novel methods are expanding the scope of endoscopic therapy for SETs.
