Endoscopic laser therapy for duodenal villous adenoma

Paraf, François; Naveau, Sylvie; Zourabichvili, Othar; Poynard, Thierry; Chaput, Jean‐Claude

doi:10.1007/bf01538087

Cited by 8 publications

(3 citation statements)

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“…To date, there have no been reports of series of nonpolyposis pa− tients who have undergone endoscopic treatment of sporadic duodenal adenoma among the published papers which have de− scribed the use of this treatment modality for these tumors [2, 25 ± 29]. The only papers have been case reports of successful eradication of these polyps with additional endoscopic modal− ities, such as argon plasma coagulation and Nd−YAG laser [2,28,29]. The largest endoscopic study reports successful laser treatment in six patients after a median follow−up of almost 5 Original Article years [27]: the recurrence rate in this study was 28 %, with a fol− low−up period of 6 ± 78 months, which is lower than the recur− rence rate reported in surgically treated patients [23].…”

Section: Discussionmentioning

confidence: 99%

Follow-Up after Endoscopic Snare Resection of Duodenal Adenomas

et al. 2005

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Section: Discussionmentioning

confidence: 99%

Follow-Up after Endoscopic Snare Resection of Duodenal Adenomas

et al. 2005

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“…Historically, several complementary tissue destruction techniques had been used for nonampullary duodenal lesions. These included monopolar/bipolar coagulation, lasers such as the Nd-YAG [93][94][95], photodynamic therapy [96], and cryotherapy [97,98]. However, most of these have been abandoned because of lack of efficacy or unacceptable adverse events [95,96].…”

Section: Role Of Tumor-destruction Techniquesmentioning

confidence: 99%

Endoscopic management of superficial nonampullary duodenal tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline

et al. 2021

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Main recommendations 1 ESGE recommends that all duodenal adenomas should be considered for endoscopic resection as progression to invasive carcinoma is highly likely.Strong recommendation, low quality evidence. 2 ESGE recommends performance of a colonoscopy, if that has not yet been done, in cases of duodenal adenoma.Strong recommendation, low quality evidence. 3 ESGE recommends the use of the cap-assisted method when the location of the minor and/or major papilla and their relationship to a duodenal adenoma is not clearly established during forward-viewing endoscopy.Strong recommendation, moderate quality evidence. 4 ESGE recommends the routine use of a side-viewing endoscope when a laterally spreading adenoma with extension to the minor and/or major papilla is suspected.Strong recommendation, low quality evidence. 5 ESGE suggests cold snare polypectomy for small (< 6 mm in size) nonmalignant duodenal adenomas.Weak recommendation, low quality evidence. 6 ESGE recommends endoscopic mucosal resection (EMR) as the first-line endoscopic resection technique for nonmalignant large nonampullary duodenal adenomas.Strong recommendation, moderate quality evidence. 7 ESGE recommends that endoscopic submucosal dissection (ESD) for duodenal adenomas is an effective resection technique only in expert hands.Strong recommendation, low quality evidence. 8 ESGE recommends using techniques that minimize adverse events such as immediate or delayed bleeding or perforation. These may include piecemeal resection, defect closure techniques, noncontact hemostasis, and other emerging techniques, and these should be considered on a case-by-case basis.Strong recommendation, low quality evidence. 9 ESGE recommends endoscopic surveillance 3 months after the index treatment. In cases of no recurrence, a further follow-up endoscopy should be done 1 year later. Thereafter, surveillance intervals should be adapted to the lesion site, en bloc resection status, and initial histological result. Strong recommendation, low quality evidence.

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“…This method presents a theoretical risk of hemorrhage and perforation, the latter being related to the maximal depth of coagulation, assessed as 4 mm. With regard to Nd: YAG la ser photodestruction of duodenal adenomas beside the pa pilla, the few case reports have not described perforation or massive bleeding [28,29]. In contrast, perforation or severe pancreatitis (4% of cases) was reported after endoscopic sphincterotomy, which is usually done before coagulation of ampullary adenomas.…”

Section: Endoscopic Coagulationmentioning

confidence: 99%