Volume 20 Issue 2
Feb.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(2): 290-293
ZHA Zheng-wei, GAN Hui-zhong, PENG Qiong, KONG De-run. Diagnostic value of endoscopic ultrasonography for submucosal tumors of digestive tract[J]. Chinese Journal of General Practice, 2022, 20(2): 290-293. doi: 10.16766/j.cnki.issn.1674-4152.002335
Citation: ZHA Zheng-wei, GAN Hui-zhong, PENG Qiong, KONG De-run. Diagnostic value of endoscopic ultrasonography for submucosal tumors of digestive tract[J]. Chinese Journal of General Practice, 2022, 20(2): 290-293. doi: 10.16766/j.cnki.issn.1674-4152.002335
shu

Diagnostic value of endoscopic ultrasonography for submucosal tumors of digestive tract

doi: 10.16766/j.cnki.issn.1674-4152.002335
  • 1.

    Department of Gastroenterology, the First People's Hospital of Hefei, Hefei, Anhui 230061, China

Funds:

 1804h08020260

  • Received Date: 2021-09-15
    Available Online: 2022-03-04
    Abstract
  •   Objective  To explore the value of endoscopic ultrasound (EUS) in the diagnosis of submucosal tumors (SMT) of digestive tract.  Methods  Total 82 patients with SMT accepted EUS examination and treated at the First People's Hospital of Hefei from July 2015 to August 2020 were recruited. According to EUS results, different surgical methods were choose, including endoscopic submucosal dissection (ESD), endoscopic submucosal excision (ESE), submucosal tunnel endoscopic tumor resection (STER), and endoscopic full-thickness resection (EFTR) etc. The diagnostic coincidence rate between EUS and pathological results, and the coincidence rate between the preoperative plan based on EUS diagnosis and the actual surgical plan were compared.  Results  EUS could clearly display the layer of origin, size, echo, and the relationship with surrounding tissues of the SMT. Among 85 lesions diagnosed by EUS, 12 cases were different from pathological and EUS, including 2 cases of esophageal stromal tumor, 2 cases of gastric stromal tumor, 1 case of gastric antral hemangioma, 1 case of accessory spleen, 1 case of schwannoma, 1 case of adenomyoma and 1 case of fibroma misdiagnosed as leiomyoma, 2 cases gastric leiomyoma and 1 case of gastric ectopic pancreas misdiagnosed as stromal tumors. The coincidence rate of EUS and pathological diagnosis was 85.9% (73/85). There were 40 cases of ESD operation, 34 cases of ESE operation, 2 cases of STER operation and 9 cases of EFTR operation, of which 2 cases were converted to laparoscopy. There were no complications such as bleeding and perforation after operation. The coincidence rate between the preoperative plan formulated according to EUS and the actual surgical plan was 97.6% (83/85).  Conclusion  EUS is a highly accurate method to diagnose SMT of digestive tract in the gastrointestinal tract, and has important guiding value for the choice of endoscopic treatment.

     

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