Review Article
Volume 7 Issue 9 - 2020
Current Guidelines in the Diagnosis and Management of Gastric Subepithelial Tumors
Elleuch Nour*, Soumaya Mrabet, Aya Hammami, Hanen Jaziri, Aida Ben Slama, Ajmi Salem, Brahim Ahlem, Ksiaa Mehdi and Jmaa Ali
Department of Gastroenterology, Sahloul Hospital Sousse, University of Sousse, Tunisia
*Corresponding Author: Elleuch Nour, Department of Gastroenterology, Sahloul Hospital Sousse, University of Sousse, Tunisia.
Received: April 19, 2020; Published: August 18, 2020




Abstract

Gastric subepithelial tumors (GSETs) are frequently asymptomatic and found by endoscopic examinations as protuberant lesions or bumps covered with intact mucosa. They are classified in epithelial and non-epithelial tumors (benign or malignant lesions). Among the mesenchymal tumors, gastrointestinal stromal tumors (GISTs) are the most frequent. The diagnostic strategy is based on endoscopic, radiological and cytological examinations. Endoscopic ultrasonography (EUS) is the key exam for eliminating extraluminal compressions, for presumptive diagnosis and clinical management of GSETs. Cytological or biopsy specimens, which can be performed during EUS, are indicated when the diagnosis cannot be specified by EUS. Therapeutic approach to GSETs depends on their histology first, their size secondly and finally on the presence or not of specific symptoms. The management may be very different according to the lesion, from abstention to endoscopic or surgical resection requiring a precise pretreatment assessment.

Keywords: Subepithelial Tumors (SETs); Gastric Subepithelial Tumors (GSETs); Endoscopic Ultrasonography (EUS)

References

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Citation: Elleuch Nour., et al. “Current Guidelines in the Diagnosis and Management of Gastric Subepithelial Tumors”. EC Gastroenterology and Digestive System 7.9 (2020): 62-68.

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