Approach to the endoscopic resection of duodenal lesions

World Journal of Gastroenterology : WJG
Jonathan P GasparAndrew Y Wang

Abstract

Duodenal polyps or lesions are uncommonly found on upper endoscopy. Duodenal lesions can be categorized as subepithelial or mucosally-based, and the type of lesion often dictates the work-up and possible therapeutic options. Subepithelial lesions that can arise in the duodenum include lipomas, gastrointestinal stromal tumors, and carcinoids. Endoscopic ultrasonography with fine needle aspiration is useful in the characterization and diagnosis of subepithelial lesions. Duodenal gastrointestinal stromal tumors and large or multifocal carcinoids are best managed by surgical resection. Brunner's gland tumors, solitary Peutz-Jeghers polyps, and non-ampullary and ampullary adenomas are mucosally-based duodenal lesions, which can require removal and are typically amenable to endoscopic resection. Several anatomic characteristics of the duodenum make endoscopic resection of duodenal lesions challenging. However, advanced endoscopic techniques exist that enable the resection of large mucosally-based duodenal lesions. Endoscopic papillectomy is not without risk, but this procedure can effectively resect ampullary adenomas and allows patients to avoid surgery, which typically involves pancreaticoduodenectomy. Endoscopic mucosal resection ...Continue Reading

References

Aug 1, 1984·Annals of Surgery·A GhaziH Shinya
Mar 1, 1993·Gastrointestinal Endoscopy·K F BinmoellerN Soehendra
Jun 28, 2001·Gastrointestinal Endoscopy·C F TungP C Kwan
Feb 28, 2002·Gastrointestinal Endoscopy·Nuzhat A AhmadGregory G Ginsberg
May 8, 2002·Journal of Gastroenterology·Kimishige AkinoKohzoh Imai
Oct 18, 2003·Journal of Clinical Gastroenterology·Shiro OkaKazuaki Chayama
Feb 13, 2004·Gut·S BülowUNKNOWN DAF Study Group
Aug 10, 2004·World Journal of Gastroenterology : WJG·Yu-Ping GaoWen-Jun Zheng
Aug 28, 2004·Gastrointestinal Endoscopy·Darius ApelJürgen Ferdinand Riemann
Nov 24, 2004·Gastrointestinal Endoscopy·Chi-Liang ChengGlen A Lehman
Dec 2, 2004·The American Journal of Gastroenterology·Michel KahalehPaul Yeaton
Mar 11, 2005·Gastrointestinal Endoscopy·Jong Ho MoonBoo Sung Kim
Jul 14, 2005·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Shin-ei Kudo, Hiroshi Kashida
Dec 5, 2006·Gastrointestinal Endoscopy·Douglas G AdlerTodd H Baron
Mar 22, 2007·World Journal of Gastroenterology : WJG·Amanjit BalJ D Wig
Feb 2, 2008·World Journal of Gastroenterology : WJG·Seiyuu SuzukiMinoru Matsubara
Jul 10, 2009·Surgical Oncology·Giovanni D De PalmaGiovanni Persico
Jul 18, 2009·Gastrointestinal Endoscopy·Shayan IraniRichard A Kozarek
Oct 8, 2009·Journal of Clinical Gastroenterology·Yuichiro MikiToshimasa Tsujinaka
Dec 8, 2009·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Tetsuro HondaKentaro Sugano
Apr 7, 2010·Gastrointestinal Endoscopy·Rami AbbassFiras H Al-Kawas
Dec 24, 2010·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Masaki EndoTamotsu Sugai
Jan 29, 2011·Endoscopy·E L Culver, A S McIntyre
Feb 7, 2012·Gastrointestinal Endoscopy·Scott B FanningViraj C Kariyawasam
Mar 1, 2012·Gastrointestinal Endoscopy·Kenneth F BinmoellerSteve Kane
Mar 17, 2012·Therapeutic Advances in Gastroenterology·Peter John Basford, Pradeep Bhandari
Oct 2, 2012·Gastrointestinal Endoscopy·Massimo ConioPeter D Siersema
Oct 13, 2012·Annals of Surgery·Eugene P CeppaTheodore N Pappas
Nov 30, 2012·Journal of Gastroenterology and Hepatology·Zhankun HeBangmao Wang
May 7, 2013·Gastrointestinal Endoscopy·Kenneth F BinmoellerSteve D Kane
Oct 15, 2013·Journal of Gastroenterology and Hepatology·Gwang Ha KimUNKNOWN Korean College of Helicobacter and Upper Gastrointestinal Research

❮ Previous
Next ❯

Citations

Aug 25, 2016·Surgical Endoscopy·Tae Wook KimGeun Am Song
Feb 17, 2017·Case Reports in Gastroenterology·Michele SorletoCarsten Gartung
Oct 26, 2018·Archives of Pathology & Laboratory Medicine·Katrina Collins, Saverio Ligato
Sep 2, 2020·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Babina GosangiAlejandra Duran-Mendicuti
Oct 5, 2018·World Journal of Gastrointestinal Endoscopy·Mitsuru EsakiTakuji Gotoda
Apr 28, 2020·ACG Case Reports Journal·Karthik GnanapandithanThiruvengadam Muniraj
Feb 3, 2018·Surgical Endoscopy·Michael J BartelHoracio J Asbun
May 23, 2018·Chinese Medical Journal·Li TangCheng-Rong Wu
Feb 23, 2019·World Journal of Gastrointestinal Endoscopy·Ammar B NassriBruno de Souza Ribeiro
Jun 13, 2019·Canadian Journal of Gastroenterology & Hepatology·Sabahattin Destek, Vahit Onur Gul
Jul 13, 2020·Clinical Journal of Gastroenterology·Takeshi OkamotoKatsuyuki Fukuda
Aug 23, 2016·World Journal of Gastroenterology : WJG·Shintaro FujiharaTsutomu Masaki
Oct 28, 2020·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Hiroki KawashimaMitsuhiro Fujishiro
Mar 2, 2021·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Zhengqi LiGuiqi Wang
Mar 18, 2021·World Journal of Clinical Cases·Hong-Yu ChenXiao-Peng Zhang
Mar 22, 2021·Gastrointestinal Endoscopy Clinics of North America·Richard M Wu, Laurel R Fisher
Apr 6, 2021·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Riccardo CarboneAntonio Di Sabatino
Apr 28, 2021·Gastrointestinal Endoscopy·Ross C D Buerlein, Andrew Y Wang
Jul 30, 2021·World Journal of Gastrointestinal Oncology·Zhi-Peng ZhouCheng-Gang Li
Aug 28, 2021·Endoscopy International Open·Helcio Pedrosa BritoRicardo Vieira Botelho
Aug 26, 2021·Clinical Case Reports·Francesco MaioneGiovanni Domenico De Palma
Sep 11, 2021·International Journal of Surgery Case Reports·Atsushi NanashimaTakeshi Nagayasu

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.