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Current Treatment Options in Gastroenterology

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01-12-2017 | Endoscopy (P Siersema, Section Editor)

Endoscopic Treatment of Subepithelial Lesions of the Gastrointestinal Tract

Authors: Vivien Wai Yin Wong, MBChB, FRCSEd, Osamu Goto, MD, PhD, Hans Gregersen, MD, PhD, MPM, Philip Wai Yan Chiu, MD, FRCSEd

Published in: Current Treatment Options in Gastroenterology | Issue 4/2017

Abstract

Purpose of Review The study aimed to discuss novel endoscopic approaches to resection of submucosal lesions.

Recent Findings Endoscopic resection by excavation, full-thickness resection, and submucosal tunneling are by now well-documented techniques for submucosal tumor resection. Combined approaches with laparoscopy such as several variations of laparoscopic endoscopic cooperation surgery (LECS) and non-exposed wall-inversion surgery (NEWS) are also possible now. Reports of these approaches show good results. However, lesion size is the main limitation to these approaches.

Summary Endoscopic submucosal tumor resection can be effectively done endoscopically or by endoscopy combined with laparoscopy. These techniques allow localized resection of lesions at difficult locations such as in the gastroesophageal junction with limited influence on the normal anatomy. Variations in techniques are being practiced worldwide striving to achieve complete resection with minimal disturbance of function or contamination. The choice between approaches depends largely on the size and site of the lesion and expertise available.

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Title: Endoscopic Treatment of Subepithelial Lesions of the Gastrointestinal Tract
Authors: Vivien Wai Yin Wong, MBChB, FRCSEd
Osamu Goto, MD, PhD
Hans Gregersen, MD, PhD, MPM
Philip Wai Yan Chiu, MD, FRCSEd
Publication date: 01-12-2017
Publisher: Springer US
Published in: Current Treatment Options in Gastroenterology / Issue 4/2017
Print ISSN: 1092-8472
Electronic ISSN: 1534-309X
DOI: https://doi.org/10.1007/s11938-017-0152-0

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