Korean J Gastrointest Endosc.  2005 Apr;30(4):183-187.

The Comparison of Sizes Measured by Esophagogastroduodenoscopy and Endoscopic Ultrasonography in Small Submucosal Tumors

• Lee GS
• Yoon HJ
• Lee TH
• Im EH
• Huh KC
• Kang YW
• Choi YW

Abstract

BACKGROUND/AIMS
Endoscopic ultrsonography (EUS) can provide detailed information about submucosal tumors such as size, echo pattern, wall of origin and relation to adjacent organs. However, EUS is not a cost effectiveness and time-consuming procedure and many patients experience discomfort during the procedure. We tried to verify the usefulness of Esophagogastroduodenoscopy (EGD) in the measurement of submucosal tumor size in comparison with EUS.
METHODS
We compare the size of small submucosal tumors from 68 patients measured by EGD and EUS at Konyang University Hospital from year 2000 to 2003.
RESULTS
Most of submucosal tumors were located in muscularis propria layer. The size of submucosal tumor measured by gastroscopy correlated well with the size by EUS (r=0.91). Submucosal tumor measured by EGD was slightly larger than EUS measurement (p=0.008).
CONCLUSIONS
The size of submucosal tumors measured by EGD was slightly larger than that by EUS due to covering mucosa, but both sizes were linearly correlated. So we think that gastroscopy plays as one strategy for the surveillance or follow-up procedure of small sized submucosal tumors which do not exhibit the suspicion of malignant potential.

Keyword

Submucosal tumor; Endoscopic ultrasonography

MeSH Terms

Cost-Benefit Analysis
Endoscopy, Digestive System*
Endosonography*
Follow-Up Studies
Gastroscopy
Humans
Mucous Membrane