Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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Current Treatment Strategy for Superficial Nonampullary Duodenal Epithelial Tumors

  • Tetsuya Suwa (Division of Endoscopy, Shizuoka Cancer Center) ;
  • Kohei Takizawa (Division of Endoscopy, Shizuoka Cancer Center) ;
  • Noboru Kawata (Division of Endoscopy, Shizuoka Cancer Center) ;
  • Masao Yoshida (Division of Endoscopy, Shizuoka Cancer Center) ;
  • Yohei Yabuuchi (Division of Endoscopy, Shizuoka Cancer Center) ;
  • Yoichi Yamamoto (Division of Endoscopy, Shizuoka Cancer Center) ;
  • Hiroyuki Ono (Division of Endoscopy, Shizuoka Cancer Center)
  • Received : 2021.04.30
  • Accepted : 2021.06.22
  • Published : 2022.01.30
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Abstract

Endoscopic submucosal dissection (ESD) is the standard treatment method for esophageal, gastric, and colorectal cancers. However, it has not been standardized for duodenal lesions because of its high complication rates. Recently, minimally invasive and simple methods such as cold snare polypectomy and underwater endoscopic mucosal resection have been utilized more for superficial nonampullary duodenal epithelial tumors (SNADETs). Although the rate of complications associated with duodenal ESD has been gradually decreasing because of technical advancements, performing ESD for all SNADETs is unnecessary. As such, the appropriate treatment plan for SNADETs should be chosen according to the lesion type, patient condition, and endoscopist's skill.

Keywords

References

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