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Subepitheliale Raumforderungen

Endoskopisches Management

Subepithelial tumors

Endoscopic management

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Der Gastroenterologe Aims and scope

Zusammenfassung

Das Management subepithelialer Tumoren (SET) stellt eine Herausforderung dar. Häufig handelt es sich um asymptomatische Zufallsbefunde, die im Rahmen einer Endoskopie entdeckt werden. Eine besondere Rolle bei der Differenzierung der Läsionen kommt der Endosonographie (EUS) zu. Die histologische Sicherung ist auch mit EUS-gesteuerter Feinnadelpunktion schwierig. Neue einfache endoskopische Resektionsverfahren bieten die Möglichkeit einer definitiven histologischen Sicherung und stellen gleichzeitig eine effektive und sichere Therapie subepithelialer Tumoren dar. Dieser Artikel soll dem Leser einen Überblick über das Management dieser Läsionen mit Fokus auf endoskopische Resektionstechniken geben.

Abstract

Clinical and endoscopic management of subepithelial tumors (SET) remains challenging. SET are generally asymptomatic incidental findings. Endoscopic ultrasound (EUS) has an essential role in discriminating benign versus potentially malignant lesions. However, even with EUS-guided biopsy, a definitive diagnosis can often not be achieved. Novel, simple endoscopic resection techniques are powerful tools for tissue acquisition and may also provide effective therapy. This article reviews current management of SETs with a focus on endoscopic resection techniques.

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Authors and Affiliations

  1. Klinik für Innere Medizin II, Gastroenterologie, Hepatologie, Endokrinologie und Infektiologie, Universitätsklinikum Freiburg, Hugstetter Straße 55, 79106, Freiburg, Deutschland

    A. Schmidt

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  1. N. Glaser
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  2. R. Thimme
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  3. A. Schmidt
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Correspondence to A. Schmidt.

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Interessenkonflikt

N. Glaser und R. Thimme geben an, dass kein Interessenkonflikt besteht. A. Schmidt erhielt Vortragshonorare von Ovesco Endoscopy.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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M. Ebert, Mannheim

M. Müller-Schilling, Regensburg

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Glaser, N., Thimme, R. & Schmidt, A. Subepitheliale Raumforderungen. Gastroenterologe 13, 113–120 (2018). https://doi.org/10.1007/s11377-018-0232-2

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