EurekaMag
+ Translate
+ Most Popular
The pigeon tick (Argas reflexus): its biology, ecology, and epidemiological aspects
Prevalence of hemoglobin abnormalities in Kebili (Tunisian South)
Lipogranuloma: a preventable complication of dacryocystorhinostomy
Value of basal plasma cortisol assays in the assessment of pituitary-adrenal insufficiency
Bees from the Belgian Congo. The acraensis group of Anthophora
Placing gingival retraction cord
Total serum IgE, allergy skin testing, and the radioallergosorbent test for the diagnosis of allergy in asthmatic children
Acariens plumicoles Analgesoidea parasites des oiseaux du Maroc
Injuries of terminal phalanges of the fingers in children
Biology of flowering and nectar production in pear (Pyrus communis)
Das Reliktvorkommen der Aspisviper (Vipera aspis L.) im Schwarzwald
Hydrological modelling of drained blanket peatland
Pathologic morphology and clinical significance of the anomalous origin of the left circumflex coronary artery from the right coronary artery. General review and autopsy analysis of 30 cases
Cyto genetic analyses of lymphocyte cultures after exposure to calcium cyclamate
Axelrodia riesei, a new characoid fish from Upper Rio Meta in Colombia With remarks concerning the genus Axelrodia and description of a similar, sympatric, Hyphessobrycon-species
Favorable evolution of a case of tuberculosis of pancreas under antibiotic action
RIFM fragrance ingredient safety assessment, Valencene, CAS Registry Number 4630-07-3
Parenteral microemulsions: an overview
Temperate pasture: management for grazing and conservation
Evaluation of a new coprocessed compound based on lactose and maize starch for tablet formulation
Thermal expansion and cracking of three confined water-saturated igneous rocks to 800C
Revision of the genera of the tribe Stigmoderini (Coleoptera: Buprestidae) a discussion of phylogenetic relationships
Anal tuberculosis. Report of a case
Gastric tuberculosis in the past and present
Adaptive responses of the cardiovascular system to prolonged spaceflight conditions: assessment with Holter monitoring

Endoscopic management of nonampullary duodenal polyps


Endoscopic management of nonampullary duodenal polyps



Therapeutic Advances in Gastroenterology 5(2): 127-138



ISSN/ISBN: 1756-283X

PMID: 22423261

DOI: 10.1177/1756283x11429590

Duodenal polyps are a rare finding in patients presenting for gastroscopy, being found in 0.3-4.6% of cases. The majority of patients are asymptomatic. The most common lesions necessitating removal are duodenal adenomas which should be differentiated from other mucosal lesions such as ectopic gastric mucosa, and submucosal lesions such as carcinoids and gastrointestinal stromal tumours (GISTs). Adenomas can occur sporadically or as part of a polyposis syndrome. Both groups carry malignant potential but this is higher in patients with a polyposis syndrome. The majority of sporadic duodenal adenomas are flat or sessile and occur in the second part of the duodenum. Historically duodenal adenomas have been managed by radical surgery, which carried significant mortality and morbidity, or more conservative local surgical excision which resulted in high local recurrence rates. There is growing evidence for the use of endoscopic mucosal resection (EMR) techniques for treatment of sporadic nonampullary duodenal adenomas, with good outcomes and low complication rates. Endoscopic submucosal dissection (ESD) carries greater risk of complications and should be reserved for experts in this technique. Patients with sporadic duodenal adenomas carry an increased risk of colonic neoplasia and should be offered colonoscopy. The impact of endoscopic resection on the course of polyposis syndromes such as familial adenomatous polyposis (FAP) needs further study.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 036343911

Download citation: RISBibTeXText

Related references

Nonampullary duodenal polyps: characteristics and endoscopic management. Gastrointestinal Endoscopy 71(4): 754-759, 2010

Endoscopic mucosal resection and endoscopic submucosal dissection in the treatment of sporadic nonampullary duodenal adenomatous polyps. World Journal of Gastrointestinal Endoscopy 7(7): 720-727, 2015

Sa1084 Endoscopic Mucosal Resection (Emr) of Nonampullary Duodenal Polyps With or Without Emr-Cap. Gastroenterology 148(4): S-219, 2015

Cap-assisted endoscopic mucosal resection of large nonampullary duodenal polyps in MYH-associated polyposis syndrome. Gastrointestinal Endoscopy 83(5): 1038, 2016

The significance and management of nonampullary duodenal polyps. Gastroenterology and Hepatology 7(5): 329-332, 2011

Endoscopic and surgical management of nonampullary duodenal neoplasms. Surgical Endoscopy 32(6): 2859-2869, 2018

Endoscopic resection or surgical management for nonampullary duodenal neoplasms?. Translational Gastroenterology and Hepatology 3: 26, 2018

Cap-assisted EMR of large, sporadic, nonampullary duodenal polyps. Gastrointestinal Endoscopy 76(6): 1160-1169, 2012

Delayed perforation caused by an endoscopic clip following uncomplicated endoscopic resection of a large sporadic nonampullary duodenal adenoma. Endoscopy 48 Suppl. 1: E211-E212, 2016

Endoscopic submucosal dissection for sessile, nonampullary duodenal adenomas. Endoscopy 45(2): 133-135, 2013

Endoscopic and biopsy diagnoses of superficial, nonampullary, duodenal adenocarcinomas. World Journal of Gastroenterology 21(18): 5560-5567, 2015

Clinical outcome of endoscopic resection for nonampullary duodenal tumors. Endoscopy 47(2): 129-135, 2015

Endoscopic diagnosis and management of duodenal polyps. American Journal of Gastroenterology 72(3): 344, 1979

Endoscopic mucosal ablation: a novel technique for a giant nonampullary duodenal adenoma. Endoscopy 45 Suppl. 2 Uctn: E12-E13, 2013

Underwater endoscopic mucosal resection for superficial nonampullary duodenal adenomas. Endoscopy 50(2): 154-158, 2018