Endoscopic resection of advanced and laterally spreading duodenal papillary tumors

Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society
Amir KleinMichael J Bourke

Abstract

Historically, neoplasia of the duodenal papilla has been managed surgically, which may be associated with substantial morbidity and mortality. In the absence of invasive cancer, even lesions with extensive lateral duodenal wall involvement, or limited intraductal extension may be cured endoscopically with a superior safety profile. Endoscopic papillectomy is associated with greater risks of adverse events such as bleeding than resection elsewhere in the gastrointestinal tract. Additionally site-specific complications such as pancreatitis exist. A structured approach to lesion assessment, adherence to technical aspects of resection, endoscopic management of complications and post-resection surveillance is required. Advances have been made in all facets of endoscopic papillary resection since its introduction in the 1980s; extending the boundaries of endoscopic cure, optimizing outcomes and enhancing patient safety. These will be the focus of the present review.

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Citations

Oct 28, 2019·European Journal of Gastroenterology & Hepatology·Mengque XuNing Dai
Jan 4, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Paolo CecinatoRomano Sassatelli
Aug 21, 2020·Clinical Journal of Gastroenterology·Yasutoshi ShiratoriKatsuyuki Fukuda
Jun 9, 2018·United European Gastroenterology Journal·Kwang Hyun ChungYong-Tae Kim
Mar 28, 2020·United European Gastroenterology Journal·Marco SpadacciniAlessandro Repici
Oct 28, 2020·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Hiroki KawashimaMitsuhiro Fujishiro
Apr 23, 2021·Gastrointestinal Endoscopy·Jeska A FritzscheRogier P Voermans
Aug 23, 2021·Gastrointestinal Endoscopy·Monique T Barakat, Douglas G Adler

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