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The conundrum in endoscopic management of duodenal polyps: a tertiary cancer center experience.
- Source :
-
Expert review of gastroenterology & hepatology [Expert Rev Gastroenterol Hepatol] 2022 Jun; Vol. 16 (6), pp. 569-576. Date of Electronic Publication: 2022 Jun 16. - Publication Year :
- 2022
-
Abstract
- Background: Endoscopic mucosal resection of duodenal polyps (EMR) is a challenging intervention. The aim of this study was to review the patient characteristics, techniques, procedure outcomes, adverse events, and recurrence of duodenal polyps.<br />Research Design and Methods: Patients were included if they had pathologically confirmed non-ampullary duodenal polyps and had received EMR with at least one follow-up EGD for surveillance. Descriptive statistics were employed to report the findings.<br />Results: A total of 65 patients underwent a total of 90 EMRs for duodenal polyps. The mean age was 65.4 years, and 29 of the patients were female. Complete resection of the visible mass was achieved in 96.9% of cases. Endoscopic hemostasis was required in 18.5% of patients. Delayed bleeding occurred in 9%, and delayed perforations requiring surgical intervention occurred in 2.2% of patients with no mortality. Surgery after EMR was needed in 12.7% of cases. Eleven (16.9%) patients had recurrent duodenal adenoma on follow-up EGD.<br />Conclusion: Duodenal polyps can be safely resected and have a notable recurrence rate. This is particularly true for adenomas, warranting post-resection endoscopic surveillance. The appropriate interval for post-resection surveillance of duodenal adenomas should be a focus of future study.
- Subjects :
- Aged
Female
Humans
Intestinal Polyps etiology
Intestinal Polyps surgery
Male
Neoplasm Recurrence, Local epidemiology
Retrospective Studies
Treatment Outcome
Adenoma diagnostic imaging
Adenoma etiology
Adenoma surgery
Duodenal Diseases
Duodenal Neoplasms etiology
Duodenal Neoplasms surgery
Endoscopic Mucosal Resection adverse effects
Endoscopic Mucosal Resection methods
Subjects
Details
- Language :
- English
- ISSN :
- 1747-4132
- Volume :
- 16
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Expert review of gastroenterology & hepatology
- Publication Type :
- Academic Journal
- Accession number :
- 35687675
- Full Text :
- https://doi.org/10.1080/17474124.2022.2088508