Present Status of Endoscopic Submucosal Dissection for Non-Ampullary Duodenal Epithelial Tumors
Prediction of histology by endoscopic examination is important in the clinical management of non-ampullary duodenal epithelial tumors (NADETs), including adenoma and adenocarcinoma. The use of a simple scoring system based on the findings of white-light endoscopy or magnified endoscopy with narrow-b...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Korean Society of Gastrointestinal Endoscopy
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7719431/ https://www.ncbi.nlm.nih.gov/pubmed/31937098 http://dx.doi.org/10.5946/ce.2019.184 |
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author | Kakushima, Naomi Yoshida, Masao Yabuuchi, Yohei Kawata, Noboru Takizawa, Kohei Kishida, Yoshihiro Ito, Sayo Imai, Kenichiro Hotta, Kinichi Ishiwatari, Hirotoshi Matsubayashi, Hiroyuki Ono, Hiroyuki |
author_facet | Kakushima, Naomi Yoshida, Masao Yabuuchi, Yohei Kawata, Noboru Takizawa, Kohei Kishida, Yoshihiro Ito, Sayo Imai, Kenichiro Hotta, Kinichi Ishiwatari, Hirotoshi Matsubayashi, Hiroyuki Ono, Hiroyuki |
author_sort | Kakushima, Naomi |
collection | PubMed |
description | Prediction of histology by endoscopic examination is important in the clinical management of non-ampullary duodenal epithelial tumors (NADETs), including adenoma and adenocarcinoma. The use of a simple scoring system based on the findings of white-light endoscopy or magnified endoscopy with narrow-band imaging is useful to differentiate between Vienna category 3 (C3) and C4/5 lesions. Less invasive endoscopic resection procedures, such as cold snare polypectomy, are quick to perform and convenient for small (<10 mm) C3 lesions. Neoplasms with higher grade histology, such as C4/5 lesions, should be treated by endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), or surgery. Although EMR often requires piecemeal resection, the complication rate is acceptable. Excellent complete resection rates could be achieved by ESD; however, it remains a challenging method considering the high risk of complications. Shielding or closure of the ulcer after ESD is effective at decreasing the risk of delayed bleeding and perforation. Laparoscopic endoscopic cooperative surgery is an ideal treatment with a high rate of en bloc resection and a low rate of complications, although it is limited to high-volume centers. Patients with NADETs could benefit from a multidisciplinary approach to stratify the optimal treatment based on endoscopic diagnoses. |
format | Online Article Text |
id | pubmed-7719431 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Korean Society of Gastrointestinal Endoscopy |
record_format | MEDLINE/PubMed |
spelling | pubmed-77194312020-12-09 Present Status of Endoscopic Submucosal Dissection for Non-Ampullary Duodenal Epithelial Tumors Kakushima, Naomi Yoshida, Masao Yabuuchi, Yohei Kawata, Noboru Takizawa, Kohei Kishida, Yoshihiro Ito, Sayo Imai, Kenichiro Hotta, Kinichi Ishiwatari, Hirotoshi Matsubayashi, Hiroyuki Ono, Hiroyuki Clin Endosc Focused Review Series: Cutting Edge of Advanced Therapeutic Endoscopy Prediction of histology by endoscopic examination is important in the clinical management of non-ampullary duodenal epithelial tumors (NADETs), including adenoma and adenocarcinoma. The use of a simple scoring system based on the findings of white-light endoscopy or magnified endoscopy with narrow-band imaging is useful to differentiate between Vienna category 3 (C3) and C4/5 lesions. Less invasive endoscopic resection procedures, such as cold snare polypectomy, are quick to perform and convenient for small (<10 mm) C3 lesions. Neoplasms with higher grade histology, such as C4/5 lesions, should be treated by endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), or surgery. Although EMR often requires piecemeal resection, the complication rate is acceptable. Excellent complete resection rates could be achieved by ESD; however, it remains a challenging method considering the high risk of complications. Shielding or closure of the ulcer after ESD is effective at decreasing the risk of delayed bleeding and perforation. Laparoscopic endoscopic cooperative surgery is an ideal treatment with a high rate of en bloc resection and a low rate of complications, although it is limited to high-volume centers. Patients with NADETs could benefit from a multidisciplinary approach to stratify the optimal treatment based on endoscopic diagnoses. Korean Society of Gastrointestinal Endoscopy 2020-11 2020-01-15 /pmc/articles/PMC7719431/ /pubmed/31937098 http://dx.doi.org/10.5946/ce.2019.184 Text en Copyright © 2020 Korean Society of Gastrointestinal Endoscopy This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Focused Review Series: Cutting Edge of Advanced Therapeutic Endoscopy Kakushima, Naomi Yoshida, Masao Yabuuchi, Yohei Kawata, Noboru Takizawa, Kohei Kishida, Yoshihiro Ito, Sayo Imai, Kenichiro Hotta, Kinichi Ishiwatari, Hirotoshi Matsubayashi, Hiroyuki Ono, Hiroyuki Present Status of Endoscopic Submucosal Dissection for Non-Ampullary Duodenal Epithelial Tumors |
title | Present Status of Endoscopic Submucosal Dissection for Non-Ampullary Duodenal Epithelial Tumors |
title_full | Present Status of Endoscopic Submucosal Dissection for Non-Ampullary Duodenal Epithelial Tumors |
title_fullStr | Present Status of Endoscopic Submucosal Dissection for Non-Ampullary Duodenal Epithelial Tumors |
title_full_unstemmed | Present Status of Endoscopic Submucosal Dissection for Non-Ampullary Duodenal Epithelial Tumors |
title_short | Present Status of Endoscopic Submucosal Dissection for Non-Ampullary Duodenal Epithelial Tumors |
title_sort | present status of endoscopic submucosal dissection for non-ampullary duodenal epithelial tumors |
topic | Focused Review Series: Cutting Edge of Advanced Therapeutic Endoscopy |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7719431/ https://www.ncbi.nlm.nih.gov/pubmed/31937098 http://dx.doi.org/10.5946/ce.2019.184 |
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