KMID : 0988920190170030398
|
|
Intestinal Research 2019 Volume.17 No. 3 p.398 ~ p.403
|
|
Endoscopic features of gastrointestinal stromal tumor in the small intestine
|
|
Ihara Yutaro
Torisu Takehiro Moriyama Tomohiko Umeno Junji Hirano Atsushi Okamoto Yasuharu Hori Yoshifumi Yamamoto Hidetaka Kitazono Takanari Esaki Motohiro
|
|
Abstract
|
|
|
Background/Aims: Gastrointestinal stromal tumor (GIST) is one of the most common types of submucosal tumors (SMTs). Because of GIST¡¯s malignant potential, it is crucial to differentiate it from other SMTs. The present study aimed to identify characteristic endoscopic findings of GISTs in the small intestine.
Methods: We reviewed the clinicopathological and endoscopic findings of 38 patients with endoscopically or surgically resected SMTs in the small intestine. SMTs were classified into GIST and non-GIST groups, and clinicopathological and endoscopic findings were compared between the 2 groups.
Results: Fifteen patients had GIST and 23 patients had other types of SMTs in the small intestine. Comparison of the endoscopic findings between the 2 groups revealed that dilated vessels in the surrounding mucosa were significantly more in number in the GIST group than in the non-GIST group (P<0.05). However, there were no other differences in endoscopic findings between the 2 groups. Among patients with GISTs, the presence of dilated vessels in the surrounding mucosa was not associated with bleeding risk, tumor size, or metastasis rate at diagnosis.
Conclusions: Dilated vessels in the surrounding mucosa, identified during balloon-assisted endoscopy, may be a diagnostic indicator for GIST in the small intestine. However, its clinical significance should be further analyzed.
|
|
KEYWORD
|
|
Balloon-assisted enteroscopy, Dilated vessel, Gastrointestinal stromal tumors, Intestine, small
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|