Is it enough to observe less than 2 cm sized gastric SET?
Background and aims The recent surge in demand for screening endoscopy has led to an increased detection of gastric subepithelial tumors (SETs). According to current guideline, SETs less than 2 cm in size are recommended for periodic surveillance. In light of recent advancement in therapeutic endosc...
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| Veröffentlicht in: | Surgical endoscopy 2023-09, Vol.37 (9), p.6798-6805 |
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| creator | Yoo, In Kyung Cho, Young Kwan Kim, Seong Whan Choi, Seung Yoon Noh, Dae Suk Jang, Jae Young Baik, Gwang Ho Jang, Sunguk Vargo, John Cho, Joo Young |
| description | Background and aims
The recent surge in demand for screening endoscopy has led to an increased detection of gastric subepithelial tumors (SETs). According to current guideline, SETs less than 2 cm in size are recommended for periodic surveillance. In light of recent advancement in therapeutic endoscopy in resection of small SET, we analyzed the histopathological features and the effectiveness of endoscopic resection for these small SETs.
Methods
Retrospectively study was performed on 74 patients who underwent endoscopic resection of gastric small (≤ 2 cm) upper gastrointestinal tract SETs. The outcomes including histopathology and en bloc resection were analyzed.
Results
The mean SET size was 11.69 ± 5.11 mm. The mean procedure time was 81.26 ± 42.53 min. Of the 74 patients, 28 patients had leiomyomas, 26 had gastrointestinal stromal tumors (GISTs), 14 had ectopic pancreas, 4 had lipomas, and 2 had neuroendocrine tumors. Among those with GIST, two patients exhibited high-risk histology. All patients underwent successful and uneventful endoscopy.
Conclusions
Endoscopic resection can be recommended even for the small gastric SETs. In our study, we found that SETs with a size of less than 2 cm have significant proportion of GISTs which harbor malignant transformation potential. |
| doi_str_mv | 10.1007/s00464-023-10110-0 |
| format | Article |
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The recent surge in demand for screening endoscopy has led to an increased detection of gastric subepithelial tumors (SETs). According to current guideline, SETs less than 2 cm in size are recommended for periodic surveillance. In light of recent advancement in therapeutic endoscopy in resection of small SET, we analyzed the histopathological features and the effectiveness of endoscopic resection for these small SETs.
Methods
Retrospectively study was performed on 74 patients who underwent endoscopic resection of gastric small (≤ 2 cm) upper gastrointestinal tract SETs. The outcomes including histopathology and en bloc resection were analyzed.
Results
The mean SET size was 11.69 ± 5.11 mm. The mean procedure time was 81.26 ± 42.53 min. Of the 74 patients, 28 patients had leiomyomas, 26 had gastrointestinal stromal tumors (GISTs), 14 had ectopic pancreas, 4 had lipomas, and 2 had neuroendocrine tumors. Among those with GIST, two patients exhibited high-risk histology. All patients underwent successful and uneventful endoscopy.
Conclusions
Endoscopic resection can be recommended even for the small gastric SETs. In our study, we found that SETs with a size of less than 2 cm have significant proportion of GISTs which harbor malignant transformation potential.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-023-10110-0</identifier><identifier>PMID: 37264226</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdominal Surgery ; Endoscopy ; Gastroenterology ; Gastrointestinal cancer ; Gynecology ; Hepatology ; Internal medicine ; Medicine ; Medicine & Public Health ; Proctology ; Surgery ; Surveillance ; Tumors ; University colleges</subject><ispartof>Surgical endoscopy, 2023-09, Vol.37 (9), p.6798-6805</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-7d7756a8118c6bdb0c658e57910a5b55eaa869c3efdaea509b7b23ade499f8183</cites><orcidid>0000-0001-9085-0313</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-023-10110-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-023-10110-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37264226$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoo, In Kyung</creatorcontrib><creatorcontrib>Cho, Young Kwan</creatorcontrib><creatorcontrib>Kim, Seong Whan</creatorcontrib><creatorcontrib>Choi, Seung Yoon</creatorcontrib><creatorcontrib>Noh, Dae Suk</creatorcontrib><creatorcontrib>Jang, Jae Young</creatorcontrib><creatorcontrib>Baik, Gwang Ho</creatorcontrib><creatorcontrib>Jang, Sunguk</creatorcontrib><creatorcontrib>Vargo, John</creatorcontrib><creatorcontrib>Cho, Joo Young</creatorcontrib><title>Is it enough to observe less than 2 cm sized gastric SET?</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background and aims
The recent surge in demand for screening endoscopy has led to an increased detection of gastric subepithelial tumors (SETs). According to current guideline, SETs less than 2 cm in size are recommended for periodic surveillance. In light of recent advancement in therapeutic endoscopy in resection of small SET, we analyzed the histopathological features and the effectiveness of endoscopic resection for these small SETs.
Methods
Retrospectively study was performed on 74 patients who underwent endoscopic resection of gastric small (≤ 2 cm) upper gastrointestinal tract SETs. The outcomes including histopathology and en bloc resection were analyzed.
Results
The mean SET size was 11.69 ± 5.11 mm. The mean procedure time was 81.26 ± 42.53 min. Of the 74 patients, 28 patients had leiomyomas, 26 had gastrointestinal stromal tumors (GISTs), 14 had ectopic pancreas, 4 had lipomas, and 2 had neuroendocrine tumors. Among those with GIST, two patients exhibited high-risk histology. All patients underwent successful and uneventful endoscopy.
Conclusions
Endoscopic resection can be recommended even for the small gastric SETs. In our study, we found that SETs with a size of less than 2 cm have significant proportion of GISTs which harbor malignant transformation potential.</description><subject>Abdominal Surgery</subject><subject>Endoscopy</subject><subject>Gastroenterology</subject><subject>Gastrointestinal cancer</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Internal medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Proctology</subject><subject>Surgery</subject><subject>Surveillance</subject><subject>Tumors</subject><subject>University colleges</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kE1OwzAQRi0EoqVwARbIEhs2gbEdxzYbhKryI1ViQVlbTjJtU7VJsRMkOA1n4WSkpIDEgtUs5n3fjB4hxwzOGYC6CABxEkfARcSAMYhgh_RZLHjEOdO7pA9GQMSViXvkIIQFtLxhcp_0hOJJzHnSJ5f3gRY1xbJqZnNaV7RKA_oXpEsMgdZzV1L-8Z6taCjeMKczF2pfZPRxNLk6JHtTtwx4tJ0D8nQzmgzvovHD7f3wehxlgid1pHKlZOI0YzpL0jyFLJEapTIMnEylROd0YjKB09yhk2BSlXLhcoyNmWqmxYCcdb1rXz03GGq7KkKGy6UrsWqC5ZpzoZQ2G_T0D7qoGl-237WU1KAMB9lSvKMyX4XgcWrXvlg5_2oZ2I1Z25m1rVn7ZdZCGzrZVjfpCvOfyLfKFhAdENpVOUP_e_uf2k93hIGF</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Yoo, In Kyung</creator><creator>Cho, Young Kwan</creator><creator>Kim, Seong Whan</creator><creator>Choi, Seung Yoon</creator><creator>Noh, Dae Suk</creator><creator>Jang, Jae Young</creator><creator>Baik, Gwang Ho</creator><creator>Jang, Sunguk</creator><creator>Vargo, John</creator><creator>Cho, Joo Young</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9085-0313</orcidid></search><sort><creationdate>20230901</creationdate><title>Is it enough to observe less than 2 cm sized gastric SET?</title><author>Yoo, In Kyung ; Cho, Young Kwan ; Kim, Seong Whan ; Choi, Seung Yoon ; Noh, Dae Suk ; Jang, Jae Young ; Baik, Gwang Ho ; Jang, Sunguk ; Vargo, John ; Cho, Joo Young</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-7d7756a8118c6bdb0c658e57910a5b55eaa869c3efdaea509b7b23ade499f8183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdominal Surgery</topic><topic>Endoscopy</topic><topic>Gastroenterology</topic><topic>Gastrointestinal cancer</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Internal medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Proctology</topic><topic>Surgery</topic><topic>Surveillance</topic><topic>Tumors</topic><topic>University colleges</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yoo, In Kyung</creatorcontrib><creatorcontrib>Cho, Young Kwan</creatorcontrib><creatorcontrib>Kim, Seong Whan</creatorcontrib><creatorcontrib>Choi, Seung Yoon</creatorcontrib><creatorcontrib>Noh, Dae Suk</creatorcontrib><creatorcontrib>Jang, Jae Young</creatorcontrib><creatorcontrib>Baik, Gwang Ho</creatorcontrib><creatorcontrib>Jang, Sunguk</creatorcontrib><creatorcontrib>Vargo, John</creatorcontrib><creatorcontrib>Cho, Joo Young</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yoo, In Kyung</au><au>Cho, Young Kwan</au><au>Kim, Seong Whan</au><au>Choi, Seung Yoon</au><au>Noh, Dae Suk</au><au>Jang, Jae Young</au><au>Baik, Gwang Ho</au><au>Jang, Sunguk</au><au>Vargo, John</au><au>Cho, Joo Young</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is it enough to observe less than 2 cm sized gastric SET?</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2023-09-01</date><risdate>2023</risdate><volume>37</volume><issue>9</issue><spage>6798</spage><epage>6805</epage><pages>6798-6805</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background and aims
The recent surge in demand for screening endoscopy has led to an increased detection of gastric subepithelial tumors (SETs). According to current guideline, SETs less than 2 cm in size are recommended for periodic surveillance. In light of recent advancement in therapeutic endoscopy in resection of small SET, we analyzed the histopathological features and the effectiveness of endoscopic resection for these small SETs.
Methods
Retrospectively study was performed on 74 patients who underwent endoscopic resection of gastric small (≤ 2 cm) upper gastrointestinal tract SETs. The outcomes including histopathology and en bloc resection were analyzed.
Results
The mean SET size was 11.69 ± 5.11 mm. The mean procedure time was 81.26 ± 42.53 min. Of the 74 patients, 28 patients had leiomyomas, 26 had gastrointestinal stromal tumors (GISTs), 14 had ectopic pancreas, 4 had lipomas, and 2 had neuroendocrine tumors. Among those with GIST, two patients exhibited high-risk histology. All patients underwent successful and uneventful endoscopy.
Conclusions
Endoscopic resection can be recommended even for the small gastric SETs. In our study, we found that SETs with a size of less than 2 cm have significant proportion of GISTs which harbor malignant transformation potential.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>37264226</pmid><doi>10.1007/s00464-023-10110-0</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-9085-0313</orcidid></addata></record> |
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| source | Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Endoscopy Gastroenterology Gastrointestinal cancer Gynecology Hepatology Internal medicine Medicine Medicine & Public Health Proctology Surgery Surveillance Tumors University colleges |
| title | Is it enough to observe less than 2 cm sized gastric SET? |
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