Medicina Digestiva, Hospital Clínico Universitario de Valencia.
Cirugía General y del Aparato Digestivo, Hospital de Sagunto.
Rev Esp Enferm Dig. 2021 Nov;113(11):794-796. doi: 10.17235/reed.2021.7998/2021.
Surgery has been considered the main treatment for submucosal tumors (SMTs). However, endoscopic resection is currently accepted for gastric SMTs smaller than 3 cm. Endoscopic submucosal dissection (ESD) is considered the technique of choice, and submucosal tunneling endoscopic resection has successful results with low complication rates according to the recent meta-analysis by Cao et al. The major limitation of these methods is the technical difficulty associated with certain anatomic locations.
手术一直被认为是黏膜下肿瘤（SMT）的主要治疗方法。然而，对于直径小于 3 厘米的胃 SMT，目前已接受内镜下切除。根据 Cao 等人最近的荟萃分析，内镜黏膜下剥离术（ESD）被认为是首选技术，黏膜下隧道内镜切除术具有较低的并发症发生率，效果良好。这些方法的主要局限性是与某些解剖位置相关的技术难度。
