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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 232 - 234 (3page)
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초록· 키워드
오류제보하기
Endoscopic resection of gastric subepithelial tumors (SETs) has several advantages over biopsy techniques, such as superior diagnostic yield and definite diagnosis. Removal of gastric SETs and histopathologic confirmation should be considered whenever gastric SETs are highly suspected to have malignant potential such as gastrointestinal stromal tumor (GIST) or neuroendocrine tumor. According to our clinical experience, we suggest that endoscopic resection of gastric SETs is feasible for GISTs less than 3.0 cm without positive endoscopic ultrasonography findings or for hypoechoic SETs less than 3.0 cm. However, serious complications such as macroperforation may occur during endoscopic resection, and this procedure is highly dependent on endoscopists’ skills. We recently reported the long-term clinical outcomes of endoscopic resection of gastric GIST, which showed a relatively low recurrence rate (2.2%) during long-term follow-up (46.0±28.5 months) despite the low R0 resection rate (25.0%). We suggest that endoscopic surveillance might be possible without additional surgical resection in completely resected GISTs without residual tumor confirmed to be lower risk, even if they show an R1 resection margin.
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등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Hedenbro JL / 1991 / Endoscopic diagnosis of submucosal gastric lesions. The results after routine endoscopy / Surg Endosc 5:20~23
Jeong ID / 2011 / Endoscopic enucleation for gastric subepithelial tumors originating in the muscularis propria layer / Surg Endosc 25:468~474
Hwang JH / 2006 / American Gastroenterological Association Institute technical review on the management of gastric subepithelial masses / Gastroenterology 130:2217~2228
von Mehren M / 2014 / Gastrointestinal stromal tumors, version 2.2014 / J Natl Compr Canc Netw 12:853~862
강윤구 / 2010 / Clinical Practice Guideline for Accurate Diagnosis and Effective Treatment of Gastrointestinal Stromal Tumor in Korea / Journal of Korean Medical Science 25(11):1543~1552
Jeong ID / 2011 / Endoscopic enucleation for gastric subepithelial tumors originating in the muscularis propria layer / Surg Endosc 25:468~474
Hwang JH / 2006 / American Gastroenterological Association Institute technical review on the management of gastric subepithelial masses / Gastroenterology 130:2217~2228
von Mehren M / 2014 / Gastrointestinal stromal tumors, version 2.2014 / J Natl Compr Canc Netw 12:853~862
강윤구 / 2010 / Clinical Practice Guideline for Accurate Diagnosis and Effective Treatment of Gastrointestinal Stromal Tumor in Korea / Journal of Korean Medical Science 25(11):1543~1552
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