EUS-Guided Diagnosis of Gastric Subepithelial Lesions, What Is New?
Gastric subepithelial lesions (SELs) are intramural lesions that arise underneath the gastric mucosa. SELs can be benign, but can also be malignant or have malignant potential. Therefore, correct diagnosis is crucial. Endosonography has been established as the diagnostic gold standard. Although the...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-06-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/13/2176 |
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| author | Thomas Vasilakis Dimitrios Ziogas Georgios Tziatzios Paraskevas Gkolfakis Eleni Koukoulioti Christina Kapizioni Konstantinos Triantafyllou Antonio Facciorusso Ioannis S. Papanikolaou |
| author_facet | Thomas Vasilakis Dimitrios Ziogas Georgios Tziatzios Paraskevas Gkolfakis Eleni Koukoulioti Christina Kapizioni Konstantinos Triantafyllou Antonio Facciorusso Ioannis S. Papanikolaou |
| author_sort | Thomas Vasilakis |
| collection | DOAJ |
| description | Gastric subepithelial lesions (SELs) are intramural lesions that arise underneath the gastric mucosa. SELs can be benign, but can also be malignant or have malignant potential. Therefore, correct diagnosis is crucial. Endosonography has been established as the diagnostic gold standard. Although the identification of some of these lesions can be carried out immediately, solely based on their echo characteristics, for certain lesions histological examination is necessary. Sometimes histology can be inconclusive, especially for smaller lesions. Therefore, new methods have been developed in recent years to assist decision making, such as contrast enhanced endosonography, EUS elastography, and artificial intelligence systems. In this narrative review we provide a complete overview of the gastric SELs and summarize the new data of the last ten years concerning the diagnostic advances of endosonography on this topic. |
| first_indexed | 2024-03-11T01:44:30Z |
| format | Article |
| id | doaj.art-c47ed0ecc46b4730b3b9106287bc135e |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T01:44:30Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-c47ed0ecc46b4730b3b9106287bc135e2023-11-18T16:21:02ZengMDPI AGDiagnostics2075-44182023-06-011313217610.3390/diagnostics13132176EUS-Guided Diagnosis of Gastric Subepithelial Lesions, What Is New?Thomas Vasilakis0Dimitrios Ziogas1Georgios Tziatzios2Paraskevas Gkolfakis3Eleni Koukoulioti4Christina Kapizioni5Konstantinos Triantafyllou6Antonio Facciorusso7Ioannis S. Papanikolaou8Hepatology and Gastroenterology Clinic, Charité Campus Mitte, Charitéplatz 1, 10117 Berlin, Germany1st Department of Internal Medicine, 251 Hellenic Air Force & VA General Hospital, 3 Kanellopoulou Str., 11525 Athens, GreeceDepartment of Gastroenterology, “Konstantopoulio-Patision” General Hospital, 3–5, Theodorou Konstantopoulou Str., Nea Ionia, 14233 Athens, GreeceDepartment of Gastroenterology, “Konstantopoulio-Patision” General Hospital, 3–5, Theodorou Konstantopoulou Str., Nea Ionia, 14233 Athens, GreeceHepatogastroenterology Unit, Second Department of Internal Medicine-Propaedeutic, Medical School, National and Kapodistrian University of Athens, 12462 Athens, GreeceHepatogastroenterology Unit, Second Department of Internal Medicine-Propaedeutic, Medical School, National and Kapodistrian University of Athens, 12462 Athens, GreeceHepatogastroenterology Unit, Second Department of Internal Medicine-Propaedeutic, Medical School, National and Kapodistrian University of Athens, 12462 Athens, GreeceDepartment of Medical Sciences, University of Foggia, Section of Gastroenterology, 71122 Foggia, ItalyHepatogastroenterology Unit, Second Department of Internal Medicine-Propaedeutic, Medical School, National and Kapodistrian University of Athens, 12462 Athens, GreeceGastric subepithelial lesions (SELs) are intramural lesions that arise underneath the gastric mucosa. SELs can be benign, but can also be malignant or have malignant potential. Therefore, correct diagnosis is crucial. Endosonography has been established as the diagnostic gold standard. Although the identification of some of these lesions can be carried out immediately, solely based on their echo characteristics, for certain lesions histological examination is necessary. Sometimes histology can be inconclusive, especially for smaller lesions. Therefore, new methods have been developed in recent years to assist decision making, such as contrast enhanced endosonography, EUS elastography, and artificial intelligence systems. In this narrative review we provide a complete overview of the gastric SELs and summarize the new data of the last ten years concerning the diagnostic advances of endosonography on this topic.https://www.mdpi.com/2075-4418/13/13/2176keywordgastric subepithelial lesionsendoscopic ultrasoundEUS elastographycontrast-enhanced EUSEUS-AI |
| spellingShingle | Thomas Vasilakis Dimitrios Ziogas Georgios Tziatzios Paraskevas Gkolfakis Eleni Koukoulioti Christina Kapizioni Konstantinos Triantafyllou Antonio Facciorusso Ioannis S. Papanikolaou EUS-Guided Diagnosis of Gastric Subepithelial Lesions, What Is New? Diagnostics keyword gastric subepithelial lesions endoscopic ultrasound EUS elastography contrast-enhanced EUS EUS-AI |
| title | EUS-Guided Diagnosis of Gastric Subepithelial Lesions, What Is New? |
| title_full | EUS-Guided Diagnosis of Gastric Subepithelial Lesions, What Is New? |
| title_fullStr | EUS-Guided Diagnosis of Gastric Subepithelial Lesions, What Is New? |
| title_full_unstemmed | EUS-Guided Diagnosis of Gastric Subepithelial Lesions, What Is New? |
| title_short | EUS-Guided Diagnosis of Gastric Subepithelial Lesions, What Is New? |
| title_sort | eus guided diagnosis of gastric subepithelial lesions what is new |
| topic | keyword gastric subepithelial lesions endoscopic ultrasound EUS elastography contrast-enhanced EUS EUS-AI |
| url | https://www.mdpi.com/2075-4418/13/13/2176 |
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