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Endoscopic Management of Benign Submucosal Tumors

  • Ran Bill LuoEmail author
  • Garth R. Jacobsen
Chapter

Abstract

Benign submucosal tumors in the upper gastrointestinal (GI) tract are typically discovered incidentally either on routine or surveillance upper endoscopies. Common pathologies include leiomyomas, lipomas, carcinoids, cysts, and ectopic pancreas tissue. Endoscopic ultrasound (EUS) should be performed preoperatively to assess the depth of penetration prior to consideration for endoscopic intervention. The two most common techniques for endoscopic excision of benign lesions are endoscopic mucosal resection (EMR), which is used for masses smaller than 2 cm, and endoscopic submucosal dissection (ESD), which is used for masses larger than 2 cm. Two alternative techniques of unroofing and enucleation are less commonly employed but appear effective.

Keywords

Endoscopic resection Submucosal Benign Foregut Gastric Esophageal 

References

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Copyright information

© SAGES 2019

Authors and Affiliations

  1. 1.Division of Minimally Invasive Surgery, Department of General SurgeryUC San Diego Health SystemsLa JollaUSA
  2. 2.Department of SurgeryUniversity of California San DiegoRancho Santa FeUSA

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