The role of endoscopic ultrasound investigation in the diagnosis of submucosal neoplasms of the stomach and duodenum (literature review and our clinical observations)

Submucosal neoplasms of the stomach and duodenum include a group of diseases with different etiology, clinical symptoms, diagnosis and management. Conventional gastroduodenoscopy helps detect submucosal formations in 0.36–4 % of cases, while the stomach is the most common site of submucosal lesions...

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Main Authors: Yu.M. Stepanov, N.V. Prolom, I.S. Konenko, S.O. Tarabarov, N.P. Dementii, I.M. Adamska
Format: Article
Language:English
Published: Zaslavsky O.Yu. 2021-12-01
Series:Gastroenterologìa
Subjects:
Online Access:https://gastro.zaslavsky.com.ua/index.php/journal/article/view/469
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author Yu.M. Stepanov
N.V. Prolom
I.S. Konenko
S.O. Tarabarov
N.P. Dementii
I.M. Adamska
author_facet Yu.M. Stepanov
N.V. Prolom
I.S. Konenko
S.O. Tarabarov
N.P. Dementii
I.M. Adamska
author_sort Yu.M. Stepanov
collection DOAJ
description Submucosal neoplasms of the stomach and duodenum include a group of diseases with different etiology, clinical symptoms, diagnosis and management. Conventional gastroduodenoscopy helps detect submucosal formations in 0.36–4 % of cases, while the stomach is the most common site of submucosal lesions (up to 60 %). Endoscopy and ultrasound endoscopic examination are important tools for the diagnosis of submucosal tumors of the esophagus, stomach, duodenum, both benign (polyps, submucosal formations, extraorganic compression, cysts) and malignant neoplasms of the gastrointestinal tract, especially small and accidentally detected. It is important not only to diagnose the tumor, but also to determine from which layers it comes, what level germinates, whether there is damage to regional lymph nodes. Only endoscopic ultrasonography (EUS) can answer these questions. EUS combines the capabilities of two studies: endoscopic and ultrasound, which significantly increased the informativeness of endoscopic examination, as it was possible to determine the site of the pathological process and the degree of intramural invasion, and also made it possible to carry out the differential diagnosis of submucosal tumors and pathological processes in organs adjacent to the esophagus, stomach, duodenum. The article presents examinations of patients with submucous formations of the stomach and duodenum at the Institute of Gastroenterology of the National Academy of Medical Sciences of Ukraine. With the help of EUS, the diagnosis was confirmed in one patient, and in another one, the submucosal neoplasms was excluded.
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spelling doaj.art-70b6bef87a634dfb874ecb0ada7ca6cd2022-12-22T04:10:39ZengZaslavsky O.Yu.Gastroenterologìa2308-20972518-78802021-12-0155427027910.22141/2308-2097.55.4.2021.247922469The role of endoscopic ultrasound investigation in the diagnosis of submucosal neoplasms of the stomach and duodenum (literature review and our clinical observations)Yu.M. Stepanov0https://orcid.org/0000-0002-6721-2468N.V. Prolom1https://orcid.org/0000-0001-8134-8735I.S. Konenko2https://orcid.org/0000-0002-7619-699XS.O. Tarabarov3https://orcid.org/0000-0002-5298-5433N.P. Dementii4https://orcid.org/0000-0001-6613-2186I.M. Adamska5https://orcid.org/0000-0001-5170-1411State Institution “Institute of Gastroenterology of the National Academy of Medical Sciences of Ukraine”, Dnipro, UkraineState Institution “Institute of Gastroenterology of the National Academy of Medical Sciences of Ukraine”, Dnipro, UkraineState Institution “Institute of Gastroenterology of the National Academy of Medical Sciences of Ukraine”, Dnipro, UkraineState Institution “Institute of Gastroenterology of the National Academy of Medical Sciences of Ukraine”, Dnipro, UkraineState Institution “Institute of Gastroenterology of the National Academy of Medical Sciences of Ukraine”, Dnipro, UkraineState Institution “Institute of Gastroenterology of the National Academy of Medical Sciences of Ukraine”, Dnipro, UkraineSubmucosal neoplasms of the stomach and duodenum include a group of diseases with different etiology, clinical symptoms, diagnosis and management. Conventional gastroduodenoscopy helps detect submucosal formations in 0.36–4 % of cases, while the stomach is the most common site of submucosal lesions (up to 60 %). Endoscopy and ultrasound endoscopic examination are important tools for the diagnosis of submucosal tumors of the esophagus, stomach, duodenum, both benign (polyps, submucosal formations, extraorganic compression, cysts) and malignant neoplasms of the gastrointestinal tract, especially small and accidentally detected. It is important not only to diagnose the tumor, but also to determine from which layers it comes, what level germinates, whether there is damage to regional lymph nodes. Only endoscopic ultrasonography (EUS) can answer these questions. EUS combines the capabilities of two studies: endoscopic and ultrasound, which significantly increased the informativeness of endoscopic examination, as it was possible to determine the site of the pathological process and the degree of intramural invasion, and also made it possible to carry out the differential diagnosis of submucosal tumors and pathological processes in organs adjacent to the esophagus, stomach, duodenum. The article presents examinations of patients with submucous formations of the stomach and duodenum at the Institute of Gastroenterology of the National Academy of Medical Sciences of Ukraine. With the help of EUS, the diagnosis was confirmed in one patient, and in another one, the submucosal neoplasms was excluded.https://gastro.zaslavsky.com.ua/index.php/journal/article/view/469endosonography, elastometry, gastrointestinal disea­ses, submucosal neoplasms of stomach and duodenum
spellingShingle Yu.M. Stepanov
N.V. Prolom
I.S. Konenko
S.O. Tarabarov
N.P. Dementii
I.M. Adamska
The role of endoscopic ultrasound investigation in the diagnosis of submucosal neoplasms of the stomach and duodenum (literature review and our clinical observations)
Gastroenterologìa
endosonography, elastometry, gastrointestinal disea­ses, submucosal neoplasms of stomach and duodenum
title The role of endoscopic ultrasound investigation in the diagnosis of submucosal neoplasms of the stomach and duodenum (literature review and our clinical observations)
title_full The role of endoscopic ultrasound investigation in the diagnosis of submucosal neoplasms of the stomach and duodenum (literature review and our clinical observations)
title_fullStr The role of endoscopic ultrasound investigation in the diagnosis of submucosal neoplasms of the stomach and duodenum (literature review and our clinical observations)
title_full_unstemmed The role of endoscopic ultrasound investigation in the diagnosis of submucosal neoplasms of the stomach and duodenum (literature review and our clinical observations)
title_short The role of endoscopic ultrasound investigation in the diagnosis of submucosal neoplasms of the stomach and duodenum (literature review and our clinical observations)
title_sort role of endoscopic ultrasound investigation in the diagnosis of submucosal neoplasms of the stomach and duodenum literature review and our clinical observations
topic endosonography, elastometry, gastrointestinal disea­ses, submucosal neoplasms of stomach and duodenum
url https://gastro.zaslavsky.com.ua/index.php/journal/article/view/469
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