Endoscopic resection of submucosal tumors

Expert Rev Gastroenterol Hepatol. 2015 May;9(5):659-69. doi: 10.1586/17474124.2015.1003366. Epub 2015 Jan 29.

Abstract

Submucosal gastrointestinal tumors represent a unique, diverse and challenging group of lesions found in modern medical practice. While management has traditionally been surgical, the development of advanced endoscopic techniques is challenging this approach. This review aims to investigate the role of endotherapy in treatment pathways, with a focus on carcinoid and gastrointestinal stromal tumors. In particular, we will discuss which lesions can be safely treated endoscopically, the evidence base behind such approaches and the limitations of the current evidence. The review will consider how these techniques may change the management of submucosal tumors in the future.

Keywords: EMR; ESD; GIST; NET; carcinoid; gastroscopy; submucosal tumor.

Publication types

  • Review

MeSH terms

  • Carcinoid Tumor / diagnostic imaging
  • Carcinoid Tumor / surgery
  • Dissection / methods*
  • Endoscopy, Gastrointestinal / methods*
  • Endosonography
  • Gastric Mucosa / diagnostic imaging
  • Gastric Mucosa / surgery*
  • Gastrointestinal Neoplasms / diagnostic imaging
  • Gastrointestinal Neoplasms / surgery*
  • Gastrointestinal Stromal Tumors / diagnostic imaging
  • Gastrointestinal Stromal Tumors / surgery
  • Humans
  • Intestinal Mucosa / diagnostic imaging
  • Intestinal Mucosa / surgery*