Emioseopic treatmeut of duodenum elevated lesions
10.3969/j.issn.1007-1989.2017.05.021
- VernacularTitle:十二指肠隆起性病变的内镜治疗
- Author:
Qiuli WU
;
Qingfeng ZHENG
;
Xiangbo CHEN
- Keywords:
duodenum elevated lesions;
endoscopic therapy;
endoscopic submucosal dissection;
outcome
- From:
China Journal of Endoscopy
2017;23(5):97-101
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the curative effect and safety of endoscopic therapy at duodenum elevated lesions. Methods We retrospectively studied the clinical data including general data, the procedure of performance, the lesions pathological characters, complications and recurrence after the treatment of patients who underwent endoscopic treatment. Results 111 patients of 112 patients were treated by endoscopic treatment successfully, 1 case was treated by surgery. 49 lesions were treated by electrocoagulation, 36 lesions were treated by polypectomy or endoscopic mucosal resection (EMR), 27 by endoscopic submucosal dissection (ESD). Complication rate was 16.96%(19/112), 1 case of active bleeding was treated by surgery in hemostasis difficulty. 6 cases of perforation, 2 cases of delayed bleeding, 2 cases of transient increase in amylase level and 1 case of delayed perforation. All the patients were successfully performed. Post-operation follow-up period was 1~12 months. Conclusion Endoscopic treatment holds advantages of minimally invasive, quick recovery, low cost, and less risk which may be play an important role in duodenal elevated lesions.
