Can underwater endoscopic mucosal resection be an alternative to conventional endoscopic mucosal resection for superficial non-ampullary duodenal epithelial tumors?
duodenal neoplasm
endoscopic mucosal resection
learning curve
superficial non‐ampullary duodenal epithelial tumor
underwater endoscopic mucosal resection
Journal
DEN open
ISSN: 2692-4609
Titre abrégé: DEN Open
Pays: Australia
ID NLM: 9918317682706676
Informations de publication
Date de publication:
Apr 2024
Apr 2024
Historique:
received:
16
08
2023
revised:
16
10
2023
accepted:
21
10
2023
medline:
6
11
2023
pubmed:
6
11
2023
entrez:
6
11
2023
Statut:
epublish
Résumé
Underwater endoscopic mucosal resection (UEMR) is a simpler procedure for superficial non-ampullary duodenal epithelial tumors (SNADET) than conventional endoscopic mucosal resection (cEMR). This study aimed to evaluate whether cEMR can be substituted by UEMR for SNADET in terms of effectiveness, safety, and learning curve. A total of 157 consecutive patients with 203 SNADETs ≤20 mm in diameter, including 107 lesions resected by cEMR and 96 lesions resected by UEMR, between January 2019 and May 2023, were retrospectively recruited. The treatment outcomes were compared between the cEMR and UEMR groups. The risk factors for incomplete resection by UEMR were analyzed using univariate and multivariate analyses. Lesions in the UEMR group were divided chronologically into five periods; thereafter, the en bloc resection rate and procedure time were compared. No significant differences existed between the cEMR and UEMR groups in the mean procedure time (3.9 min vs. 3.6 min, UEMR is safe and effective for SNADET ≤20 mm, regardless of a history of biopsy, and is easy to learn. Thus, UEMR can serve as an alternative to cEMR.
Identifiants
pubmed: 37927952
doi: 10.1002/deo2.312
pii: DEO2312
pmc: PMC10624252
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e312Informations de copyright
© 2023 The Authors. DEN Open published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society.
Déclaration de conflit d'intérêts
All authors declare no conflicts of interest for this article.
Références
Gastrointest Endosc. 2013 Sep;78(3):496-502
pubmed: 23642790
Gastrointest Endosc. 2022 Jan;95(1):140-148
pubmed: 34284025
Endoscopy. 2018 Feb;50(2):154-158
pubmed: 28962044
DEN Open. 2021 Sep 05;2(1):e54
pubmed: 35310765
Clin Gastroenterol Hepatol. 2022 May;20(5):1010-1018.e3
pubmed: 34217879
J Gastroenterol Hepatol. 2021 Nov;36(11):3191-3195
pubmed: 34318532
Gastrointest Endosc. 2017 Aug;86(2):329-332
pubmed: 28003118
Endoscopy. 2022 Jul;54(7):663-670
pubmed: 34496422
Endoscopy. 2019 Nov;51(11):E329-E330
pubmed: 31163493
Ann Gastroenterol. 2020 Jul-Aug;33(4):379-384
pubmed: 32624658
Endoscopy. 2013;45(2):138-41
pubmed: 23322475
Dig Endosc. 2014 Apr;26 Suppl 2:23-9
pubmed: 24750144
Dig Liver Dis. 2023 Jun;55(6):714-720
pubmed: 36195547
Am J Gastroenterol. 1992 Jan;87(1):37-42
pubmed: 1728122
World J Gastroenterol. 2015 May 14;21(18):5560-7
pubmed: 25987780
Endosc Int Open. 2016 Jun;4(6):E699-708
pubmed: 27556081
Clin Endosc. 2021 May;54(3):371-378
pubmed: 33596634
Gastrointest Endosc. 2018 Oct;88(4):676-682
pubmed: 29753040
Dig Endosc. 2020 May;32(4):565-573
pubmed: 31550394
Dig Endosc. 2020 Jul;32(5):753-760
pubmed: 31498932
Gut Liver. 2010 Sep;4(3):373-7
pubmed: 20981216
Endosc Int Open. 2020 Mar;8(3):E354-E359
pubmed: 32118107
Gastrointest Endosc. 2009 Jan;69(1):66-73
pubmed: 18725157
Endoscopy. 2015 Feb;47(2):129-35
pubmed: 25314330
Gastrointest Endosc. 2018 May;87(5):1270-1278
pubmed: 29317270
Gastrointest Endosc. 2010 Apr;71(4):754-9
pubmed: 20363416
Dig Endosc. 2018 May;30(3):405-406
pubmed: 29420839
J Clin Gastroenterol. 2003 Nov-Dec;37(5):381-6
pubmed: 14564184