Korean J Gastrointest Endosc.  2000 Jun;20(6):460-463.

Endosonographic Findings of Submucosal Tumor-like Gastric Lesion Caused by Fibrotic Ulcer Healing

• Youn DJ
• Kim MS
• Yoon YK
• Han CH
• Kwun GA
• Kim JO
• Cho JY
• Lee JS
• Lee MS
• Shim CS

Abstract

It is known that multiple ulcers of the gastric antrum are often accompanied by marked submucosal fibrosis during the healing process, and that this may result in a deformity of the gastric wall. Thus, benign antral ulcers may be misinterpreted as intramural tumors, or even malignant ulcers when the surrounding edema is pronounced and sharply defined. It is possible for an endoscopic ultrasonography (EUS) to detect which layer has a submucosal tumor (SMT) in the five-layer structures of the digestive tract wall. In the diagnosis of SMT of the upper digestive tract, EUS allows for the visualization of the structures underlying the gastrointestinal wall in a noninvasive manner and has a great advantage over conventional modalities such as endoscopy and X-ray examination. The EUS findings of 2 cases of submucosal tumor-like gastric lesion caused by fibrotic ulcer healing are herein reported with a brief review of relevant literature.

Keyword

Submucosal tumor; Gastric ulcer; EUS

MeSH Terms

Congenital Abnormalities
Diagnosis
Edema
Endoscopy
Endosonography
Fibrosis
Gastrointestinal Tract
Pyloric Antrum
Stomach Ulcer
Ulcer*