Value of endoscopic resection on duodenal space-occupying lesions
10.3760/cma.j.issn.1007-5232.2017.06.010
- VernacularTitle:内镜切除术对十二指肠占位性病变的价值研究
- Author:
Qiong WU
;
Zhongsheng LU
;
Enqiang LINGHU
;
Wen LI
;
Qiyang HUANG
;
Xiangdong WANG
;
Hong DU
;
Jing ZHU
;
Hongbin WANG
;
Jiangyun MENG
;
Yunsheng YANG
- Keywords:
Therapeutic endoscopy;
Endoscopic mucosal resection;
Endoscopic submucosal dissection;
Duodenal lesions
- From:
Chinese Journal of Digestive Endoscopy
2017;34(6):423-426
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the clinical value and safety of endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) for duodenal lesions.Methods The data of 12 patients with duodenal space-occupying lesions underwent EMR or ESD from January 2010 to December 2015 in Chinese PLA General Hospital were retrospectively analysed.Results All patients received operation, including 9 male and 3 female with mean age of 50.0 years(33.0-62.0 years).There were 8 lesions in duodenal bulb and 4 in descending part.The mean diameter of the lesions was 1.2 cm (0.5-3.0 cm).Three lesions were originated from mucosa, of which 2 were high-grade intraepithelial neoplasia and 1 was villous/tubular adenoma.Nine lesions were located in submucosa, including 3 cases of neuroendocrine neoplasm, 1 case of stromal tumor, 1 liomyoma case, 1 lipoma case, 1 case of Brunner glands adenoma, 1 case of ectopic pancreas, and 1 inflammatory lesion.One patient had perforation with rate of 8.3%(1/12) and was recovered after conserved treatment.The bleeding was very little during operation.No infection or stenosis happened.The mean hospitalized time was 6.0 days (1.0-12.0 days) after operation.No recurrence was found during 23.8 months(3.0-73.0 months) of follow-up.Conclusion EMR and ESD are effective and safe for treatment of duodenal space-occupying lesions.
