Clinicopathologic features and endoscopic resection of duodenal adenocarcinomas and adenomas with the submucosal saline injection technique

Hirasawa, Ryuto; Iishi, Hiroyasu; Tatsuta, Masaharu; Ishiguro, Shingo

doi:10.1016/s0016-5107(97)70005-1

Cited by 79 publications

(68 citation statements)

References 15 publications

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“…16 The reported frequency of bleeding during an EMR for a duodenal adenoma range from 4% to 33%. 13,[15][16][17][18][19] In the present study, early bleeding occurred in 6% of the cases and was treated accordingly with epinephrine injection and the use of clips. In addition, perforation or delayed bleeding rarely occurred during the removal of duodenal adenomas in this study.…”

Section: Discussionmentioning

confidence: 53%

“…23 Therefore, there have been only a few studies on duodenal EMR over a small number of patients. 13,[15][16][17][18][19] In the present study, the standard inject-and-cut EMR technique was used to treat the duodenal adenomas. The largest tumor resected by this method was 27 mm in diameter.…”

Section: Discussionmentioning

confidence: 99%

“…14 Since then several studies have reported endoscopic resection as a safe and effective alternative to surgery in patients with benign duodenal adenomas and for those that were poor surgical candidates. 13,[15][16][17][18][19] However, data on the adequacy of the resection and long-term outcomes are limited. This study evaluated the efficacy and long-term endos- copy findings in a cohort of Korean patients that underwent endoscopic excision of sporadic nonampullary duodenal adenomas.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy and Long-Term Outcome of Endoscopic Treatment of Sporadic Nonampullary Duodenal Adenoma

Kim¹,

Chung²,

Lee³

et al. 2010

Gut Liver

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Background/Aims: Endoscopic resection has proven to be a safe and effective alternative to surgery for duodenal adenomas. However, few data are available on the adequacy of resection and long-term outcomes. This study evaluated the efficacy and longterm endoscopic findings in a cohort of Korean patients who underwent endoscopic mucosal resection (EMR) of sporadic duodenal adenomas. Methods: Seventeen patients with nonampullary duodenal adenomas without familial polyposis syndrome and who were treated by EMR between January 2001 and December 2007 were evaluated retrospectively. Their management, follow-up, and outcomes were reviewed. Results: In total, seventeen lesions were removed from EMR in 17 patients (mean age, 59.3 years; 6 women, 11 men). The mean size of the tumors was 15.1 mm (median, 13 mm, range, 8-27 mm). Of these 17 adenomas, 16 adenomas were tubulous and 1 was tubulovillous. The EMR was performed successfully in all 17 patients in a single session. After a median follow-up period of 29 months (range, 13-72 months), all patients remained in remission. One patient had bleeding at the site of the EMR. There were no perforations after the EMR. Conclusions: EMR for sporadic duodenal adenomas seemed to be a safe and effective treatment modality. (Gut Liver 2010;4:373-377)

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Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Efficacy and Long-Term Outcome of Endoscopic Treatment of Sporadic Nonampullary Duodenal Adenoma

Kim¹,

Chung²,

Lee³

et al. 2010

Gut Liver

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“…No único caso de adenocarcinoma de segunda porção duodenal, fizemos, além do desvio do trânsito do duodeno, a derivação biliar (colecistojejunostomia). A resseçcão endoscópica pode ser tentada em lesões precoces, desde que não tenham depressão central ou metástase linfonodal 17 .…”

Section: D D D Discussão Iscussão Iscussão Iscussão Iscussãounclassified

Adenocarcinoma primário do duodeno

Siqueira¹,

Nadal²,

Rodrigues³

et al. 2002

Rev. Assoc. Med. Bras.

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“…Endoscopic resection is used to treat duodenal lesions [1]. However, the rate of perforation in the duodenum is relatively higher than that in other areas, and such perforation can be fatal [2].…”

mentioning

confidence: 99%

Iatrogenic duodenal perforation during underwater ampullectomy: endoscopic repair using polyglycolic acid sheets

et al. 2016

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Endoscopic resection is used to treat duodenal lesions [1]. However, the rate of perforation in the duodenum is relatively higher than that in other areas, and such perforation can be fatal [2]. Polyglycolic acid (PGA) sheets can be used to prevent delayed perforation after endoscopic submucosal dissection (ESD) in the duodenum [3], and to cover a delayed perforation after gastric ESD [4]. However, no reports have described the usefulness of PGA sheets for treating immediate iatrogenic duodenal perforation during underwater ampullectomy. A 45-year-old woman had a whitish, flat, laterally spreading 30-mm adenoma involving the ampulla of Vater (• " Fig. 1). We decided to remove the lesion using underwater ampullectomy with a side-viewing duodenoscope [5]. We filled the duode

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Clinicopathologic features and endoscopic resection of duodenal adenocarcinomas and adenomas with the submucosal saline injection technique

Cited by 79 publications

References 15 publications

Efficacy and Long-Term Outcome of Endoscopic Treatment of Sporadic Nonampullary Duodenal Adenoma

Efficacy and Long-Term Outcome of Endoscopic Treatment of Sporadic Nonampullary Duodenal Adenoma

Adenocarcinoma primário do duodeno

Iatrogenic duodenal perforation during underwater ampullectomy: endoscopic repair using polyglycolic acid sheets

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