FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2472119954> ?p ?o ?g. }

• W2472119954 endingPage "292" @default.
• W2472119954 startingPage "287" @default.
• W2472119954 abstract "The identification of subepithelial lesions is a relatively frequent finding at endoscopy however their natural history is not well known. Our aim was to analyze the role of endoscopic ultrasound (EUS) in the diagnostic approach of subepithelial lesions of the upper gastrointestinal tract. Retrospective study which included 324 patients undergoing upper radial EUS for evaluation of subepithelial lesions from 2008 to 2014. The EUS features, presumptive diagnosis and management decision were analyzed. 324 patients included, 60% with gastric subepithelial lesions, 28% oesophageal and 12% from the duodenum. Based on EUS features the presumptive diagnosis was: 25% gastrointestinal stromal tumor, 21% lipoma, 19% leiomyoma, 17% pancreatic rest, 7% submucosa cysts, 1% granular cell tumors, 1% carcinoids, 1% mucosa lesions and 8% not defined. After EUS the suggested approach was no follow-up in 45%, follow-up with re-examination with EUS in 35% and additional tissue sampling or endoscopic/surgical resection in 20%. The latter was based on EUS features of risk at the diagnosis (53%), such as size ≥2 cm, hypoechogenicity, heterogeneity, lobulation, calcifications, cystic component and regional adenopathies; impossibility to define a presumptive diagnosis (39%) or EUS features change at follow-up (8%). The combination of multiple features correlated with a higher probability of this recommended strategy (p < 0.001), in 100% when 4 or more features were present. Among the 33 patients who underwent fine needle aspiration, in 66% the result was inconclusive. During follow-up, none of the patients who were managed with surveillance radial EUS presented complications. EUS is the method of choice in the study of subepithelial lesions of the upper gastrointestinal tract, in most cases defining a diagnosis. The need for a definitive diagnosis or therapeutic approaches can be based on ultrasound risk features, presented, in the majority, at presentation. This study shows that EUS is capable of safely and accurately define those subepithelial lesions that can be managed only with surveillance ultrasound while waiting for better results with fine needle aspiration. As lesões subepiteliais (LS) são achados frequentes, particularmente no trato digestivo alto. Incluem um grande número de entidades, algumas com potencial maligno, cuja história natural não é totalmente conhecida e o adequado manejo controverso. O nosso objetivo foi analisar o papel da ultrassonografia endoscópica (EUS) na abordagem diagnóstica das LS do trato digestivo alto. Estudo retrospetivo de doentes consecutivos submetidos a EUS alta para estudo diagnóstico de LS entre 2008-2014. Analisadas as características ultrassonográficas e a orientação definida. Incluídos 324 doentes, 60% com LS gástrica, 28% esofágica e 12% duodenal. O diagnóstico segundo as características ultrassonográficas foi: GIST 25%, lipoma 21%, leiomioma 19%, pâncreas ectópico 17%, quisto submucosa 7%, tumor células granulares 1%, carcinoide 1%, lesões da mucosa 1% e em 8% indefinido. A orientação proposta após EUS foi em 35% de vigilância e em 20% intervenção diagnóstica/terapêutica (punção aspirativa agulha fina - PAAF ou ressecção cirúrgica/endoscópica). Esta última por características EUS de agressividade no diagnóstico (53%), diagnóstico indefinido em EUS (39%) ou alterações de tamanho em EUS subsequentes (8%). As características EUS associadas significativamente à decisão de PAAF/ressecção foram: tamanho, hipoecogenicidade, heterogeneidade, bordos irregulares, calcificações, componente quístico e adenopatias. A associação de várias características associou-se a maior percentagem de doentes submetidos a esta abordagem (p < 0,001), em 100% quando 4 ou mais critérios. Nos 33 doentes submetidos a PAAF, em 66% o diagnóstico foi inconclusivo. Em todas as LSE orientadas para vigilância não se verificaram intercorrências neste período. A EUS é o método de eleição no estudo das LS do trato digestivo alto, na maioria definindo um diagnóstico. A abordagem diagnóstica definitiva ou terapêutica, pode ser baseada na associação de características ultrassonográficas de agressividade, apresentadas na maioria logo no diagnóstico inicial. Foi demonstrada segurança nas LSE orientadas para vigilância e a necessidade de aguardar melhores resultados com PAAF." @default.
• W2472119954 created "2016-07-22" @default.
• W2472119954 creator A5053850016 @default.
• W2472119954 creator A5056761118 @default.
• W2472119954 creator A5067361644 @default.
• W2472119954 creator A5075396311 @default.
• W2472119954 creator A5079423888 @default.
• W2472119954 date "2016-11-01" @default.
• W2472119954 modified "2023-09-26" @default.
• W2472119954 title "The Role of Endoscopic Ultrasound in the Diagnostic Assessment of Subepithelial Lesions of the Upper Gastrointestinal Tract" @default.
• W2472119954 cites W1572650631 @default.
• W2472119954 cites W1964991752 @default.
• W2472119954 cites W1972138578 @default.
• W2472119954 cites W1974206402 @default.
• W2472119954 cites W1980634246 @default.
• W2472119954 cites W1986678391 @default.
• W2472119954 cites W1999122506 @default.
• W2472119954 cites W2006729080 @default.
• W2472119954 cites W2008920989 @default.
• W2472119954 cites W2012911918 @default.
• W2472119954 cites W2015669185 @default.
• W2472119954 cites W2021386457 @default.
• W2472119954 cites W2024309720 @default.
• W2472119954 cites W2024754519 @default.
• W2472119954 cites W2028906692 @default.
• W2472119954 cites W2034475200 @default.
• W2472119954 cites W2054101452 @default.
• W2472119954 cites W2057403891 @default.
• W2472119954 cites W2069301257 @default.
• W2472119954 cites W2071338239 @default.
• W2472119954 cites W2073008958 @default.
• W2472119954 cites W2084053205 @default.
• W2472119954 cites W2093917138 @default.
• W2472119954 cites W2140919952 @default.
• W2472119954 cites W2144469284 @default.
• W2472119954 cites W2292252589 @default.
• W2472119954 cites W2887145366 @default.
• W2472119954 cites W4242230837 @default.
• W2472119954 doi "https://doi.org/10.1016/j.jpge.2016.05.001" @default.
• W2472119954 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/5580021" @default.
• W2472119954 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/28868481" @default.
• W2472119954 hasPublicationYear "2016" @default.
• W2472119954 type Work @default.
• W2472119954 sameAs 2472119954 @default.
• W2472119954 citedByCount "14" @default.
• W2472119954 countsByYear W24721199542018 @default.
• W2472119954 countsByYear W24721199542019 @default.
• W2472119954 countsByYear W24721199542020 @default.
• W2472119954 countsByYear W24721199542021 @default.
• W2472119954 countsByYear W24721199542022 @default.
• W2472119954 countsByYear W24721199542023 @default.
• W2472119954 crossrefType "journal-article" @default.
• W2472119954 hasAuthorship W2472119954A5053850016 @default.
• W2472119954 hasAuthorship W2472119954A5056761118 @default.
• W2472119954 hasAuthorship W2472119954A5067361644 @default.
• W2472119954 hasAuthorship W2472119954A5075396311 @default.
• W2472119954 hasAuthorship W2472119954A5079423888 @default.
• W2472119954 hasBestOaLocation W24721199541 @default.
• W2472119954 hasConcept C126322002 @default.
• W2472119954 hasConcept C126838900 @default.
• W2472119954 hasConcept C142724271 @default.
• W2472119954 hasConcept C16930146 @default.
• W2472119954 hasConcept C2775934546 @default.
• W2472119954 hasConcept C2776170712 @default.
• W2472119954 hasConcept C2776730994 @default.
• W2472119954 hasConcept C2776809568 @default.
• W2472119954 hasConcept C2777007597 @default.
• W2472119954 hasConcept C2777795800 @default.
• W2472119954 hasConcept C2778451229 @default.
• W2472119954 hasConcept C2779052585 @default.
• W2472119954 hasConcept C2780390042 @default.
• W2472119954 hasConcept C71924100 @default.
• W2472119954 hasConceptScore W2472119954C126322002 @default.
• W2472119954 hasConceptScore W2472119954C126838900 @default.
• W2472119954 hasConceptScore W2472119954C142724271 @default.
• W2472119954 hasConceptScore W2472119954C16930146 @default.
• W2472119954 hasConceptScore W2472119954C2775934546 @default.
• W2472119954 hasConceptScore W2472119954C2776170712 @default.
• W2472119954 hasConceptScore W2472119954C2776730994 @default.
• W2472119954 hasConceptScore W2472119954C2776809568 @default.
• W2472119954 hasConceptScore W2472119954C2777007597 @default.
• W2472119954 hasConceptScore W2472119954C2777795800 @default.
• W2472119954 hasConceptScore W2472119954C2778451229 @default.
• W2472119954 hasConceptScore W2472119954C2779052585 @default.
• W2472119954 hasConceptScore W2472119954C2780390042 @default.
• W2472119954 hasConceptScore W2472119954C71924100 @default.
• W2472119954 hasIssue "6" @default.
• W2472119954 hasLocation W24721199541 @default.
• W2472119954 hasLocation W24721199542 @default.
• W2472119954 hasLocation W24721199543 @default.
• W2472119954 hasLocation W24721199544 @default.
• W2472119954 hasOpenAccess W2472119954 @default.
• W2472119954 hasPrimaryLocation W24721199541 @default.
• W2472119954 hasRelatedWork W2049331396 @default.
• W2472119954 hasRelatedWork W2126658009 @default.
• W2472119954 hasRelatedWork W2412498933 @default.
• W2472119954 hasRelatedWork W2472119954 @default.
• W2472119954 hasRelatedWork W2527386574 @default.

• next