Published online Jul 16, 2014. doi: 10.4253/wjge.v6.i7.266
Revised: April 24, 2014
Accepted: June 10, 2014
Published online: July 16, 2014
Core tip: Small gastric gastrointestinal stromal tumors (GIST) are by far the commonest neoplasias of the stomach. Thus, early gastric GIST of less than 1 cm in size are found in 20%-30% of the elderly. The natural disease-specific prognosis of early gastric GIST (< 1 cm), also called micro-GIST, is excellent in the mostly elderly patients. Micro-GIST of the stomach appear to have a self-limiting tumorigenesis. Local endoscopic or surgical resection of early asymptomatic GIST (< 1 cm) of the stomach is in general not indicated in the elderly. Instead endoscopic surveillance is advised.