Endoscopic resection of sporadic duodenal adenomas: an efficient technique with a substantial risk of delayed bleeding

Lépilliez, Vincent; Chemaly, Marwan; Ponchon, Thierry; Napoléon, Bertrand; Saurin, Jean‐Christophe

doi:10.1055/s-2008-1077619

Cited by 144 publications

(124 citation statements)

References 11 publications

(13 reference statements)

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“…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%

See 1 more Smart Citation

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: 99%

Section: Introductionmentioning

confidence: 99%

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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“…Usually intra-procedure in gastric lesions, occurring in 3.4% to 7.2% and delayed in duodenum, reported in 3.1%-22% of patients [2,26]. In colorectal polypectomy, bleeding occurs in 0.3% to 6.1% [27].…”

Section: Polypectomymentioning

confidence: 99%

Emergencies after endoscopic procedures

Rolanda

Caetano

Dinis-Ribeiro

2013

Best Practice & Research Clinical Gastroenterology

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Keywords:GI endoscopy adverse events GI emergencies Bleeding Haemorrhage Perforation Infection Embolization Diagnosis and management of severe complications a b s t r a c t Endoscopy adverse events (AEs), or complications, are a rising concern on the quality of endoscopic care, given the technical advances and the crescent complexity of therapeutic procedures, over the entire gastrointestinal and bilio-pancreatic tract. In a small percentage, not established, there can be real emergency conditions, as perforation, severe bleeding, embolization or infection. Distinct variables interfere in its occurrence, although, the awareness of the operator for their potential, early recognition, and local organized facilities for immediate handling, makes all the difference in the subsequent outcome. This review outlines general AEs' frequencies, important predisposing factors and putative prophylactic measures for specific procedures (from conventional endoscopy to endoscopic cholangio-pancreatography and ultrasonography), with comprehensive approaches to the management of emergent bleeding and perforation.

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“…Benefits of duodenal ESD seem marginal comparing to EMR, with the exception of small-medium size encapsulated submucosal tumors (NET, for example), in which endoscopic ultrasound (EUS) has excluded muscularis propria layer infiltration or locoregional lymph nodes involvement. The most frequent complication is bleeding (53). It is important to perform preventive vessel coagulation with coagulation forceps, argon plasma or bipolar catheter.…”

Section: Duodenummentioning

confidence: 99%

Endoscopic submucosal dissection: Sociedad Española de Endoscopia Digestiva (SEED) clinical guideline

Fernández‐Esparrach¹,

Calderón

Peña

et al. 2014

Rev. esp. enferm. dig.

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Endoscopic resection of sporadic duodenal adenomas: an efficient technique with a substantial risk of delayed bleeding

Abstract: Endoscopic resection is an efficient and acceptably safe technique for treating SDA. Further studies need to assess whether systematic bleeding prophylaxis will reduce the incidence of delayed hemorrhage after endoscopic resection.

Cited by 144 publications

References 11 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

Emergencies after endoscopic procedures

Endoscopic submucosal dissection: Sociedad Española de Endoscopia Digestiva (SEED) clinical guideline

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