Hybrid natural orifice transluminal endoscopic surgery in gastric subepithelial tumors
Diagnosis of gastric subepithelial tumor(SET) has shown a rapid increase worldwide.Although,until now,endoscopic ultrasound guided procedures such as fine needle aspiration have shown relatively high accuracy in diagnosis of SET,the most important modality for diagnosis and treatment of SETs is comp...
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Published in | World journal of gastrointestinal endoscopy Vol. 5; no. 9; pp. 428 - 432 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
United States
Baishideng Publishing Group Co., Limited
16.09.2013
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Subjects | |
Online Access | Get full text |
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Summary: | Diagnosis of gastric subepithelial tumor(SET) has shown a rapid increase worldwide.Although,until now,endoscopic ultrasound guided procedures such as fine needle aspiration have shown relatively high accuracy in diagnosis of SET,the most important modality for diagnosis and treatment of SETs is complete resection such as endoscopic or surgical resection.However,endoscopic resection or laparoscopic wedge resection alone also has some limitations.Endoscopic resection is difficult to perform in cases of gastric SET located within deep portion of the gastric layer or a relatively large(larger than 25 mm diameter).On the other hand,gastric SET in a difficult location,such as the gastroesophageal junction or pyloric ring is challenging for laparoscopic surgical resection.The hybrid natural orifice transluminal endoscopic surgery(NOTES) technique is a combined method,including the advantages of both laparoscopic resection and endoscopic resection for gastric SETs.This method may be performed safely with reasonable operation times,less bleeding,and adequate resection margin and regardless of tumor size.In particular,in the case of a difficult location for resection,such as the esophagogastric junction or pyloric ring,hybrid NOTES is currently believed to be an ideal treatment method. |
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Bibliography: | Jun Heo;Seong Woo Jeon;Department of Internal Medicine,Kyungpook National University School of Medicine ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 Author contributions: Heo J and Jeon SW soley contributed to this paper. Telephone: +82-53-2003517 Fax: +82-53-2002027 Correspondence to: Seong Woo Jeon, MD, PhD, Department of Internal Medicine, Kyungpook National University Hospital Medical Center, 807, Hokuk-Ro, Book-Gu, Daegu 702-911, South Korea. swjeon@knu.ac.kr |
ISSN: | 1948-5190 1948-5190 |
DOI: | 10.4253/wjge.v5.i9.428 |