Endoscopic management of non-ampullary duodenal adenomas.
Journal
Endoscopy international open
ISSN: 2364-3722
Titre abrégé: Endosc Int Open
Pays: Germany
ID NLM: 101639919
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
received:
04
05
2021
accepted:
19
10
2021
entrez:
20
1
2022
pubmed:
21
1
2022
medline:
21
1
2022
Statut:
epublish
Résumé
Duodenal polyps are found in 0.1 % to 0.8 % of all upper endoscopies. Duodenal adenomas account for 10 % to 20 % of these lesions. They can be sporadic or occur in the setting of a hereditary predisposition syndrome, mainly familial adenomatous polyposis. Endoscopy is the cornerstone of management of duodenal adenomas, allowing for diagnosis and treatment, primarily by endoscopic mucosal resection. The endoscopic treatment of duodenal adenomas has a high morbidity, reaching 15 % in a prospective study, consisting of bleeding and perforations, and should therefore be performed in expert centers. The local recurrence rate ranges from 9 % to 37 %, and is maximal for piecemeal resections of lesions > 20 mm. Surgical resection of the duodenum is flawed with major morbidity and considered a rescue procedure in cases of endoscopic treatment failures or severe endoscopic complications such as duodenal perforations. In this paper, we review the existing evidence on endoscopic diagnosis and treatment of non-ampullary duodenal adenomas.
Identifiants
pubmed: 35047339
doi: 10.1055/a-1723-2847
pmc: PMC8759941
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
E96-E108Informations de copyright
The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Déclaration de conflit d'intérêts
Competing interests MB discloses receiving honoraria from Medtronic and participation to boards for Norgine. The other authors did not disclose any conflict of interest
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