To evaluate the combined effect of endoscopic ultrasonography (EUS) and endoscopic intervention in managing upper gastrointestinal (GI) lesions that protrude.
Key Findings:
Endoscopic management was successful in 101 out of 106 cases.
2 cases were redirected to surgical intervention during the procedure, and 3 were managed surgically.
Pathological categories included polyps (24.53%), inflammatory changes (23.58%), leiomyomas (20.75%), GIST (10.38%), and cysts (9.43%).
Diagnostic concordance rate between EUS and pathological diagnosis was 81.13%.
EUS sensitivity and specificity for polyps were 92.86% and 98.04%, for leiomyomas 88.00% and 97.06%, and for GIST 73.33% and 98.99%.
Interpretation:
EUS demonstrates high accuracy in diagnosing upper GI protrusions, and endoscopic treatments based on EUS evaluations are clinically safe with low postoperative complications.
Limitations:
Single-center study may limit generalizability.
Retrospective design may introduce bias.
Limited sample size and absence of long-term follow-up.
Conclusion:
EUS is highly effective for diagnosing upper GI protrusions, but improved clinical expertise is needed for less common conditions to minimize misdiagnosis.
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