Longcroft-Wheaton Gaius, Bhandari Pradeep
Portsmouth Hospitals NHS Trust, Queen Alexandra Hospital, Portsmouth, Hampshire, PO63LY, UK.
Expert Rev Gastroenterol Hepatol. 2015 May;9(5):659-69. doi: 10.1586/17474124.2015.1003366. Epub 2015 Jan 29.
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.
黏膜下胃肠道肿瘤是现代医学实践中发现的一组独特、多样且具有挑战性的病变。传统上,其治疗方法是手术,但先进内镜技术的发展正对这种方法提出挑战。本综述旨在研究内镜治疗在治疗路径中的作用,重点关注类癌和胃肠道间质瘤。特别是,我们将讨论哪些病变可以通过内镜安全治疗、这些方法背后的证据基础以及当前证据的局限性。本综述还将考虑这些技术未来可能如何改变黏膜下肿瘤的治疗方式。