Clinical course of subepithelial lesions detected on upper gastrointestinal endoscopy.

World Journal of Gastroenterology : WJG
Yeun Jung LimJong Chul Rhee

Abstract

To evaluate the natural history of subepithelial lesions. We reviewed the medical records of 104159 patients who underwent upper gastrointestinal endoscopy at the Center for Health Promotion of Samsung Medical Center between 1996 and 2003. Subepithelial lesions were detected in 795 patients (0.76%); 252 patients were followed using upper gastrointestinal endoscopy for 82.5 +/- 29.2 mo (range, 12-160 mo; median, 84 mo; 1st quartile, 60 mo; 3rd quartile, 105 mo). The median interval of follow-up endoscopy was 12 mo (range, 6-105 mo; 1st quartile, 12 mo; 3rd quartile, 24 mo). The mean patient age was 53 years (range, 22-80 years), and the male-to-female ratio was 2.36:1 (177/75). The lesion size at initial measurement averaged 8.9 mm (range, 2-25 mm; median, 8 mm; 1st quartile, 5 mm; 3rd quartile, 10 mm). Of the 252 lesions, 244 (96.8%) were unchanged and 8 (3.2%) were significantly increased in size (from 12.9 +/- 6.0 to 21.2 +/- 12.2 mm) after a mean interval of 59.1 +/- 27.5 mo (range, 12-86 mo). Surgical resection of lesions was performed when the lesions were > or = 3 cm in diameter. Two lesions were diagnosed as gastrointestinal stromal tumors with an intermediate or high risk of malignancy and one lesion was classified as a...Continue Reading

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Citations

Oct 4, 2012·Expert Review of Anticancer Therapy·Brian K BednarskiKelly K Hunt
Apr 23, 2014·Cancer·Alessandro GronchiChandrajit P Raut
Apr 24, 2013·Journal of Gastric Cancer·Seong-Ho Kong, Han-Kwang Yang
Feb 24, 2016·Clinical Endoscopy·Jin Woong Cho, UNKNOWN Korean ESD Study Group
Feb 24, 2016·The Korean Journal of Internal Medicine·Chang Seok BangDong Joon Kim
Oct 18, 2016·Clinical Endoscopy·Eun Jeong Gong, Do Hoon Kim
Sep 16, 2018·Cytopathology : Official Journal of the British Society for Clinical Cytology·César Vivian LopesAntônio Atalíbio Hartmann
Jul 10, 2019·Clinical Endoscopy·Sang Gyun KimJoo Ha Hwang
Jul 17, 2012·European Journal of Gastroenterology & Hepatology·Alexander J EckardtThomas Rösch
Mar 18, 2015·World Journal of Gastroenterology : WJG·Joung Boom HongDong Jun Kim
May 20, 2020·World Journal of Gastrointestinal Surgery·Lian-Song YeBing Hu
Mar 19, 2021·European Journal of Gastroenterology & Hepatology·Inês PitaPedro Bastos

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