Duodenalpolypen: Häufigkeit, histologisches Substrat und Bedeutung

Höchter, W.; Weingart, J; Seib, H J; Ottenjann, R

doi:10.1055/s-2008-1069345

Cited by 37 publications

(16 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Duodenal polyps are a relatively rare finding upon endoscopy in usually asymptomatic patients [19][20][21][22] . They consist of duodenal adenomas, gastric metaplasia, or submucosal lesions such as lipoma or GISTs.…”

Section: Discussionmentioning

confidence: 99%

Nonampullary Duodenal Adenomas Rarely Recur after Complete Endoscopic Resection: A Swiss Experience Including a Literature Review

et al. 2017

View full text Add to dashboard Cite

sociated with large polyp size ( p = 0.003) and lack of endoscopic prophylaxis ( p = 0.0008). Delayed post-polypectomy bleeding showed a trend in the occurrence of large polyps ( p = 0.064), and was statistically significantly associated with familial cancer syndrome ( p = 0.019) and advanced histopathology ( p = 0.013). Conclusion: Our data suggest that endoscopic polypectomy of NAD is well feasible with high success rates. Procedural and delayed hemorrhage seems to be the primary issue rather than adenoma recurrence. We therefore advocate referral of patients with large NAD to experienced centers for endoscopic resection.

show abstract

Section: Discussionmentioning

confidence: 99%

Nonampullary Duodenal Adenomas Rarely Recur after Complete Endoscopic Resection: A Swiss Experience Including a Literature Review

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Among these polyps, 7% are adenomas, which are rare tumors. 1,2 Superficial non-ampullary duodenal tumors (SNADT) can occur sporadically or as part of a polyposis syndrome. Sporadic SNADT, which arise in patients without a known polyposis syndrome, are usually solitary, and the majority of them are sessile or flat rather than pedunculated.…”

Section: Introductionmentioning

confidence: 99%

Therapeutic outcomes of endoscopic resection for superficial non‐ampullary duodenal tumor

Yamamoto

Yoshizawa

Tomida

et al. 2014

Digestive Endoscopy

108

131

View full text Add to dashboard Cite

Background and Aim: Endoscopic resection (ER) is widelyused as a minimally invasive therapy to remove superficial nonampullary duodenal tumor (SNADT). However, the indication criteria have not yet been clearly determined. At our institute, ER is done only for SNADT measuring ≤20 mm. We report our findings on the therapeutic outcomes of ER of SNADT. Methods:We carried out ER in 47 patients with SNADT. Indication criteria for ER included a lesion suspected as high-grade dysplasia or mucosal cancer and measuring ≤20 mm. The ER methods used to carry out en bloc resection were endoscopic mucosal resection (EMR: 17 lesions) or endoscopic submucosal dissection (ESD: 30 lesions). We then analyzed the therapeutic outcomes between them.Results: There were no significant differences between the EMR and ESD groups with regard to age, sex, location of the lesion, and histology. The most frequent gross types resected by EMR and ESD were 0-IIa and 0-IIc, respectively (P = 0.004). Median procedure time was significantly longer in ESD than in EMR, 79.5 and 9 min, respectively (P < 0.001). R0 resection was achieved in 10 cases by EMR (59%) and in 27 cases by ESD (90%) (P = 0.017). No complications occurred in cases that underwent EMR, but immediate and delayed perforations occurred in three patients who underwent ESD, although this difference was not statistically significant (P = 0.467).Conclusion: Using our indication criteria, which limited lesion size to ≤20 mm, satisfactory therapeutic outcomes of ER of SNADT were obtained.

show abstract

“…The main symptom of this patient is intermittent upper intestinal obstruction caused by mass duodenal polyps, which rarely obstruct the duodenum. [13,14] As there are no definitive guideline for the treatment to duodenal PJS hamartomatous polyp, [15] each case requires tailor-made management.…”

Section: Resultsmentioning

confidence: 99%

Peutz–Jeghers syndrome with intermittent upper intestinal obstruction

et al. 2017

View full text Add to dashboard Cite

Rationale:Peutz–Jeghers syndrome (PJS) is an autosomal dominant genetic syndrome characterized by a unique type of gastrointestinal hamartomatous polyp associated with oral and anal mucocutaneous pigmentations. Peutz–Jeghers polyps occur most numerously in the small intestine but frequently in the colon and stomach, only a few cases have been reported in the duodenum.Patient concern:A further family history survey discovered 10 out of 14 members of the family (in 4 generations) had mucocutaneous pigmentations, but many of them were living in rural areas where they had no access to specialized medical services, so none were checked with endoscopy for polyps of hamartoma.Diagnoses:We report the case of a boy patient with mucocutaneous pigmentations over the lips, and a history of recurrent bouts of vomit and anemia over the preceding two years, no abdominal pain and mass. An upper gastrointestinal endoscopy revealed some small polyps in the stomach and multiple sessile polyps in the second part of the duodenum, but colonoscopy exam did not reveal any lesion.Interventions:A double polypectomy and duodenum segmentary resection with end-to-end anastomosis was performed. Histopathology of the resected duodenum polyps indicated it to be a typical hamartomatous polyp.Outcomes:The child was under regular follow-up and recovered well.Lessons:In this case, the patient was characteristic with pigmentations on his lips and intermittent upper intestinal obstruction (due to mass duodenal polyps), there are no definitive guidelines for the treatment to duodenal PJS hamartomatous polyp, each case requires tailor-made management.

show abstract

Duodenalpolypen: Häufigkeit, histologisches Substrat und Bedeutung

Cited by 37 publications

References 0 publications

Nonampullary Duodenal Adenomas Rarely Recur after Complete Endoscopic Resection: A Swiss Experience Including a Literature Review

Nonampullary Duodenal Adenomas Rarely Recur after Complete Endoscopic Resection: A Swiss Experience Including a Literature Review

Therapeutic outcomes of endoscopic resection for superficial non‐ampullary duodenal tumor

Peutz–Jeghers syndrome with intermittent upper intestinal obstruction

Contact Info

Product

Resources

About