Underwater endoscopic mucosal resection for superficial nonampullary duodenal adenomas.
Endoscopy
; 50(2): 154-158, 2018 02.
Article
em En
| MEDLINE
| ID: mdl-28962044
ABSTRACT
BACKGROUND AND STUDY AIM:
Underwater endoscopic mucosal resection (UEMR) was recently developed in a Western country. A prospective cohort study to investigate the effectiveness of UEMR was conducted in patients with small superficial nonampullary duodenal adenomas. PATIENTS ANDMETHODS:
Patients with duodenal adenomasâ≤â20âmm were enrolled. After the duodenal lumen had been filled with physiological saline, UEMR was performed without submucosal injection. Endoclip closure was attempted for all mucosal defects after UEMR. Follow-up endoscopy with biopsy was performed 3 months later. The primary end point was the complete resection rate, defined as neither endoscopic nor histological residue of adenoma at the follow-up endoscopy.RESULTS:
30 patients with 31 lesions were enrolled. The mean (SD) tumor size was 12.0âmm (7.3). The complete resection rate was 97â% (90â% confidence interval, 87â%â-â99â%). The en bloc resection rate was 87â%. All mucosal defects were successfully closed by endoclips. No adverse events occurred except for one case of mild aspiration pneumonia.CONCLUSIONS:
UEMR is efficacious for the treatment of small duodenal adenomas, but further large-scale trials are warranted to confirm these results.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Adenoma
/
Neoplasias Duodenais
/
Ressecção Endoscópica de Mucosa
/
Mucosa Intestinal
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article