Clinical efficacy of endoscopic resection of duodenal Brunner's gland adenoma

Objective To discuss the clinical efficacy of endoscopic resection of duodenal Brunner's gland adenoma. Methods Eighteen patients with duodenal Brunner's gland adenoma were removed by endoscopic resection between Mar. 2009 and Dec. 2011. All the patients underwent endoscopic ultrasonography for preoperative diagnosis, and it was confirmed by postoperative pathological examination. A retrospective analysis was performed. Results Endoscopic resection was successful in all patients. The tumors presented as tubercular in 16 cases, earthworm like in 1 case, and disciform in 1. Blood oozing from the wound surface occurred in 2 cases during operation, and it was stopped by thermocoagulation successfully. No postoperative complication or fatality occurred in any patient. These adenomas were confirmed to be parenchymatous in 12 cases, cystic and solid in 3, and cystic in 3 by endoscopic ultrasonography and postoperative pathology. Follow-up for 12-45 (25.6±10.1) months did not find recurrence. Conclusions Endoscopic ultrasound examination is an effective preoperative diagnostic method in the patients with duodenal Brunner's gland adenoma. Endoscopic resection is safe and effective treatment for this tumor. DOI: 10.11855/j.issn.0577-7402.2014.12.13