Endoscopic ultrasonography in therapeutic approach for patients with submucosal tumours of upper digestive tract
Abstract
The paper describes 39 case follow-ups of submucosal tumours of the digestive tract. The cases of leiomyoma and gastrointestinal stromal tumours have been most often diagnosed in practice. Nine patients were operated via traditional approach, six patients - by laparoscopic one, endoscopic treatment was administered 14 times. The authors believe the mucosal tumours, GIST especially, require applying modern endoscopic methods and obligatory immunohistological analysis of the material at the stage of diagnostics and treatment. In a number of cases, for example, asymptomatic tumours of muscular coat of oesophagus, both non-surgical approach and dynamic observation appear to be methods of choice. The paper highlights the role of endoscopic ultrasonography in determining a number of indications and contraindications to one or another method of surgical treatment.
About the Authors
Yu. G. Starkov
The Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
E. N. Solodinina
The Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
M. M. Konstantinova
The Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
K. V. Shishin
The Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
N. A. Kurushkina
The Vishnevsky Institute of Surgery
Russian Federation
Russian Federation
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Review
For citations:
Starkov Yu.G., Solodinina E.N., Konstantinova M.M., Shishin K.V., Kurushkina N.A. Endoscopic ultrasonography in therapeutic approach for patients with submucosal tumours of upper digestive tract. Pacific Medical Journal. 2011;(4):49-52. (In Russ.)
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