Current Treatment Strategy for Superficial Nonampullary Duodenal Epithelial Tumors
- Author:
Tetsuya SUWA
1
;
Kohei TAKIZAWA
;
Noboru KAWATA
;
Masao YOSHIDA
;
Yohei YABUUCHI
;
Yoichi YAMAMOTO
;
Hiroyuki ONO
Author Information
- Publication Type:Review
- From:Clinical Endoscopy 2022;55(1):15-21
- CountryRepublic of Korea
- Language:English
- Abstract: Endoscopic submucosal dissection (ESD) is the standard treatment method for esophageal, gastric, and colorectal cancers. However, it has not been standardized for duodenal lesions because of its high complication rates. Recently, minimally invasive and simple methods such as cold snare polypectomy and underwater endoscopic mucosal resection have been utilized more for superficial nonampullary duodenal epithelial tumors (SNADETs). Although the rate of complications associated with duodenal ESD has been gradually decreasing because of technical advancements, performing ESD for all SNADETs is unnecessary. As such, the appropriate treatment plan for SNADETs should be chosen according to the lesion type, patient condition, and endoscopist’s skill.
