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논문 기본 정보

자료유형
학술저널
저자정보
Dae-Hyuk Heo (Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea) Min A Yang (Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea) Jae Sun Song (Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea) Won Dong Lee (Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea) Jin Woong Cho (Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea)
저널정보
대한소화기내시경학회 Clinical Endoscopy Clinical Endoscopy Vol.57 No.4
발행연도
2024.7
수록면
495 - 500 (6page)
DOI
10.5946/ce.2023.124

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초록· 키워드

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Background/Aims: Gastric subepithelial tumors (SETs) are often encountered during the upper gastrointestinal endoscopic screening. We assessed the prevalence of gastric SETs and the risk factors for their progression.Methods: We reviewed the electronic medical records of 30,754 patients who underwent upper gastrointestinal endoscopic screening at our medical center between January 2013 and December 2016.Results: Among the 30,754 patients examined, 599 (1.9%) had gastric SETs. The prevalence increased with age and was 9.56% in patients aged ≥70 years. In total, 262 patients underwent serial endoscopy for more than 6 months. The median age was 68 years (interquartile range [IQR], 61–74), and the number of females was 167 (63.7%). During a median follow-up of 58 months (IQR, 38–75), 22 patients (8.4%) showed significant changes in tumor size. An irregular border (odds ratio, 4.623; 95% confidence interval, 1.093–19.558; p=0.037) was a significant risk factor for progression. Seven patients underwent surgical or endoscopic resections. The pathologies of gastric SETs included leiomyomas (n=3), gastrointestinal stromal tumors (n=2), and lipomas (n=2).Conclusions: The prevalence of gastric SETs increases with age. Most gastric SETs do not progress during long-term endoscopic examinations, and the risk of an increase in size is low in asymptomatic small SETs without irregular borders.

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