Kim Su Young, Kim Kyoung-Oh
Division of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.
Clin Endosc. 2018 Jan;51(1):19-27. doi: 10.5946/ce.2018.020. Epub 2018 Jan 31.
Gastrointestinal subepithelial tumors (SETs) are generally found during endoscopy and their incidence has gradually increased. Although the indications for the endoscopic treatment of patients with SETs remain to be established, the feasibility and safety of endoscopic dissection, including the advantages of this method compared with surgical treatment, have been validated in many studies. The development of endoscopic techniques, such as endoscopic submucosal dissection, endoscopic enucleation, endoscopic excavation, endoscopic submucosal tunnel dissection, submucosal tunnel endoscopic resection, and endoscopic full-thickness resection has enabled the removal of SETs while reducing the occurrence of complications. Here, we discuss the endoscopic treatment of patients with SETs, outcomes for endoscopic treatment, and procedure-related complications. We also consider the advantages and disadvantages of the various endoscopic techniques.
胃肠道上皮下肿瘤(SETs)通常在内镜检查时被发现,其发病率呈逐渐上升趋势。尽管SETs患者内镜治疗的适应证仍有待确定,但许多研究已证实了内镜下剥离术的可行性和安全性,包括该方法与手术治疗相比的优势。内镜技术的发展,如内镜黏膜下剥离术、内镜摘除术、内镜切除术、内镜黏膜下隧道剥离术、黏膜下隧道内镜切除术和内镜全层切除术,已能够在减少并发症发生的同时切除SETs。在此,我们讨论SETs患者的内镜治疗、内镜治疗的结果以及与手术相关的并发症。我们还会考虑各种内镜技术的优缺点。