Tom 12, Nr 2 (2020)
Artykuły
Opublikowany online: 2020-10-02
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Metody endoskopowego leczenia guzów stromalnych żołądka
Gastroenterologia Kliniczna 2020;12(2):61-69.
Streszczenie
Guzy stromalne (GIST) żołądka należą do zmian podśluzówkowych o możliwym potencjale nowotworowym i stanowią 0,1–0,3% wszystkich zmian złośliwych przewodu pokarmowego. Nadrzędnym badaniem w diagnostyce różnicowej, pozwalającym jednocześnie na określenie charakteru zmiany i ryzyka złośliwości jest badanie endoskopowej ultrasonografii z biopsją (EUS). Dodatkowo endosonograficzna ocena jest kluczowa w kwalifikacji GIST do wybranej techniki resekcji endoskopowej, z określeniem stopnia połączenia guza z mięśniówką właściwą żołądka. Dostępne techniki endoskopowe pozwalają na bezpieczną i doszczętną resekcję GIST żołądka, dając mniej inwazyjną alternatywę dla standardowego leczenia chirurgicznego metodą klinowej resekcji laparoskopowej.
Słowa kluczowe: GISTendoskopowa resekcjaEUSsystem szycia endoskopowego
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