Endoscopic Resection for Superficial Non-Ampullary Duodenal Epithelial Tumors
An increasing number of superficial non-ampullary duodenal epithelial tumors (SNADETs) have been detected recently owing to the development of endoscopic imaging technology and increased awareness of this disease. Endoscopic resection is the first-line treatment for SNADETs, with methods including c...
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Gastroenterology Council for Gut and Liver
2025-01-01
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| Series: | Gut and Liver |
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| Online Access: | http://gutnliver.org/journal/view.html?doi=10.5009/gnl240245 |
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| author | Hye Kyung Jeon Gwang Ha Kim |
| author_facet | Hye Kyung Jeon Gwang Ha Kim |
| author_sort | Hye Kyung Jeon |
| collection | DOAJ |
| description | An increasing number of superficial non-ampullary duodenal epithelial tumors (SNADETs) have been detected recently owing to the development of endoscopic imaging technology and increased awareness of this disease. Endoscopic resection is the first-line treatment for SNADETs, with methods including cold snare polypectomy (CSP), conventional endoscopic mucosal resection (cEMR), underwater EMR (uEMR), and endoscopic submucosal dissection (ESD). Here, we review the current status and recent advances in endoscopic resection for SNADETs. Endoscopic resection in the duodenum is more difficult and has a higher risk of adverse events than that in other organs owing to specific anatomical disadvantages. SNADETs ≤10 mm in size are candidates for CSP, cEMR, and uEMR. Among these lesions, suspected carcinoma lesions should not be treated using CSP because of their low curability. cEMR or uEMR is considered for lesions sized 10 to 20 mm, whereas piecemeal EMR or ESD is considered for tumors >20 mm in size. In particular, ESD or surgical resection should be considered for suspected carcinoma lesions >30 mm in size. The treatment plan should be selected on a case-to-case basis, considering the balance between the risk of adverse events and the necessity of en bloc resection. |
| format | Article |
| id | doaj-art-9d0167b8aa1740e382759cf1b4e5646f |
| institution | Kabale University |
| issn | 1976-2283 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Gastroenterology Council for Gut and Liver |
| record_format | Article |
| series | Gut and Liver |
| spelling | doaj-art-9d0167b8aa1740e382759cf1b4e5646f2025-01-15T00:51:13ZengGastroenterology Council for Gut and LiverGut and Liver1976-22832025-01-01191193010.5009/gnl240245gnl240245Endoscopic Resection for Superficial Non-Ampullary Duodenal Epithelial TumorsHye Kyung Jeon0Gwang Ha Kim1Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, KoreaDepartment of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, KoreaAn increasing number of superficial non-ampullary duodenal epithelial tumors (SNADETs) have been detected recently owing to the development of endoscopic imaging technology and increased awareness of this disease. Endoscopic resection is the first-line treatment for SNADETs, with methods including cold snare polypectomy (CSP), conventional endoscopic mucosal resection (cEMR), underwater EMR (uEMR), and endoscopic submucosal dissection (ESD). Here, we review the current status and recent advances in endoscopic resection for SNADETs. Endoscopic resection in the duodenum is more difficult and has a higher risk of adverse events than that in other organs owing to specific anatomical disadvantages. SNADETs ≤10 mm in size are candidates for CSP, cEMR, and uEMR. Among these lesions, suspected carcinoma lesions should not be treated using CSP because of their low curability. cEMR or uEMR is considered for lesions sized 10 to 20 mm, whereas piecemeal EMR or ESD is considered for tumors >20 mm in size. In particular, ESD or surgical resection should be considered for suspected carcinoma lesions >30 mm in size. The treatment plan should be selected on a case-to-case basis, considering the balance between the risk of adverse events and the necessity of en bloc resection.http://gutnliver.org/journal/view.html?doi=10.5009/gnl240245cold snare polypectomy; duodenal neoplasms; endoscopic mucosal resection; endoscopic submucosal dissection |
| spellingShingle | Hye Kyung Jeon Gwang Ha Kim Endoscopic Resection for Superficial Non-Ampullary Duodenal Epithelial Tumors Gut and Liver cold snare polypectomy; duodenal neoplasms; endoscopic mucosal resection; endoscopic submucosal dissection |
| title | Endoscopic Resection for Superficial Non-Ampullary Duodenal Epithelial Tumors |
| title_full | Endoscopic Resection for Superficial Non-Ampullary Duodenal Epithelial Tumors |
| title_fullStr | Endoscopic Resection for Superficial Non-Ampullary Duodenal Epithelial Tumors |
| title_full_unstemmed | Endoscopic Resection for Superficial Non-Ampullary Duodenal Epithelial Tumors |
| title_short | Endoscopic Resection for Superficial Non-Ampullary Duodenal Epithelial Tumors |
| title_sort | endoscopic resection for superficial non ampullary duodenal epithelial tumors |
| topic | cold snare polypectomy; duodenal neoplasms; endoscopic mucosal resection; endoscopic submucosal dissection |
| url | http://gutnliver.org/journal/view.html?doi=10.5009/gnl240245 |
| work_keys_str_mv | AT hyekyungjeon endoscopicresectionforsuperficialnonampullaryduodenalepithelialtumors AT gwanghakim endoscopicresectionforsuperficialnonampullaryduodenalepithelialtumors |