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KMID : 0931320090090010041
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대한상부위장관.헬리코박터학회지
2009 Volume.9 No. 1 p.41 ~ p.46
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An E-mail Survey on Management Practices of 2∼3 cm Sized Gastric Submucosal Tumor Suspicious of Gastrointestinal Stromal Tumor
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Kim Eun-Ran
Jung Hyun-Chae
Kim Jae-Kyu
Kim Gwang-Ha
Lee Jun-Haeng
Kim Jae-Jun
Kim Hyun-Soo
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Abstract
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Background/Aim : There is no guideline about the management of gastric SMT in Korea. The aim of this study was to survey how 2∼3 cm sized gastric SMTs suspicious of gastrointestinal stromal tumor (GIST) are managed by Korean physicians.
Methods: The questionnaire was sent to 570 gastroenterologists via e-mail. It was composed of multiple-choice questions on the diagnosis and management for two 2.5 cm sized gastric SMT cases (one with ulceration and one without ulceration).
Results: A total of 50 gastroenterologists replied (response rate, 8.8%). For 2.5 cm sized SMT with intact overlying mucosa, only 20% of respondents answered to take biopsies. The preferred second test was endosonography (88%). For 2.5 cm sized SMT with central ulceration, most respondents answered to obtain biopsies (98%). The preferred second test was also endosonography (78%). When gastric SMTs were believed as benign, most respondents preferred resection for a SMT with ulceration (90%). For a gastric SMT without ulceration, respondents equally chose resection (46%) and follow-up (44%). When follow-up was chosen instead of resection, the preferred interval was 6 months.
Conclusions: The clinical practice of 2∼3 cm sized gastric SMT was various especially for small gastric SMT with intact overlying mucosa.
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KEYWORD
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Gastric SMT, GIST, Endosonography
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