RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/a-1339-1089
Stop taking routine biopsy specimens for the diagnose of a duodenal adenoma!
Autoren
10.1055/a-1293-7487Non-ampullary duodenal adenomas are relatively rare in the general population compared to other gastrointestinal neoplasms [1]; however, because they are considered precancerous, early detection and treatment are desirable [2] [3]. Recently, because of advances in endoscopic technology, the opportunities for endoscopic detection and treatment of non-ampullary duodenal adenomas in clinical practice has increased. Endoscopic resection (ER) has been a first choice for treatment of non-ampullary duodenal adenomas, but the incidence of adverse events (AEs) such as immediate/delayed perforation and bleeding is not negligible [4]. Besides the conventional injection endoscopic mucosal resection (EMR) technique, several ER techniques, such as cold snare polypectomy (CSP), underwater endoscopic mucosal resection (UEMR), endoscopic submucosal dissection (ESD) with complete closure and laparoscopy-endoscopy cooperative surgery (LECS) have been developed to prevent AEs and are available [5].
Publikationsverlauf
Artikel online veröffentlicht:
19. Februar 2021
© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Jepsen JM, Persson M, Jakobsen NO. et al. Prospective study of prevalence and endoscopic and histopathologic characteristics of duodenal polyps in patients submitted to upper endoscopy. Scand J Gastroenterol 1994; 29: 483-487
- 2 Sellner F. Investigations on the significance of the adenoma-carcinoma sequence in the small bowel. Cancer 1990; 66: 702-715
- 3 Okada K, Fujisaki J, Kasuga A. et al. Sporadic nonampullary duodenal adenoma in the natural history of duodenal cancer: a study of follow-up surveillance. Am J Gastroenterol 2011; 106: 357-364
- 4 Inoue T, Uedo N, Yamashina T. et al. Delayed perforation: a hazardous complication of endoscopic resection for non-ampullary duodenal neoplasm. Dig Endosc 2014; 26: 220-227
- 5 Yamasaki Y, Uedo N, Takeuchi Y. et al. Current status of endoscopic resection for superficial nonampullary duodenal epithelial tumors. Digestion 2018; 97: 45-51
- 6 Hamada K, Takeuchi Y, Ishikawa H. et al. Safety of cold snare polypectomy for duodenal adenomas in familial adenomatous polyposis: a prospective exploratory study. Endoscopy 2018; 50: 511-517
- 7 Kinoshita S, Nishizawa T, Ochiai Y. et al. Accuracy of biopsy for the preoperative diagnosis of superficial nonampullary duodenal adenocarcinoma. Gastrointest Endosc 2017; 86: 329-332
- 8 Yamasaki Y, Takeuchi Y, Kanesaka T. et al. Differentiation between duodenal neoplasms and non-neoplasms using magnifying narrow-band imaging – Do we still need biopsies for duodenal lesions?. Dig Endosc 2020; 32: 84-95
- 9 Kikuchi D, Hoteya S, Iizuka T. et al. Diagnostic algorithm of magnifying endoscopy with narrow band imaging for superficial non-ampullary duodenal epithelial tumors. Dig Endosc 2014; 26 (Suppl. 02) 16-22
- 10 Kakushima N, Yoshida M, Yamaguchi Y. et al. Magnified endoscopy with narrow-band imaging for the differential diagnosis of superficial non-ampullary duodenal epithelial tumors. Scand J Gastroenterol 2019; 54: 128-134
- 11 Tsuji S, Doyama H, Tsuji K. et al. Preoperative endoscopic diagnosis of superficial non-ampullary duodenal epithelial tumors, including magnifying endoscopy. World J Gastroenterol 2015; 21: 11832-11841
- 12 Tsuji S, Doyama H, Tsuyama S. et al. Does previous biopsy lead to cancer overdiagnosis of superficial non-ampullary duodenal epithelial tumors using magnifying endoscopy with NBI?. Endosc Int Open 2020; 09: E58-E65