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KMID : 1188320100040030373
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Gut and Liver
2010 Volume.4 No. 3 p.373 ~ p.377
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Efficacy and Long-Term Outcome of Endoscopic Treatment of Sporadic Nonampullary Duodenal Adenoma
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Kim Hyung-Keun
Chung Woo-Chul
Lee Bo-In
Cho Young-Seok
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Abstract
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Background/Aims: Endoscopic resection has proven to be a safe and effective alternative to surgery for duodenal adenomas. However, few data are available on the adequacy of resection and long-term outcomes. This study evaluated the efficacy and longterm endoscopic findings in a cohort of Korean patients who underwent endoscopic mucosal resection (EMR) of sporadic duodenal adenomas.
Methods: Seventeen patients with nonampullary duodenal adenomas without familial polyposis syndrome and who were treated by EMR between January 2001 and December 2007 were evaluated retrospectively. Their management, follow-up, and outcomes were reviewed.
Results: In total, seventeen lesions were removed from EMR in 17 patients (mean age, 59.3 years; 6 women, 11 men). The mean size of the tumors was 15.1 mm (median, 13 mm, range, 8-27 mm). Of these 17 adenomas, 16 adenomas were tubulous and 1 was tubulovillous. The EMR was performed successfully in all 17 patients in a single session. After a median follow-up period of 29 months (range, 13-72 months), all patients remained in remission. One patient had bleeding at the site of the EMR. There were no perforations after the EMR.
Conclusions: EMR for sporadic duodenal adenomas seemed to be a safe and effective treatment modality.
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KEYWORD
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Duodenal neoplasm, Adenoma, Endoscopic mucosal resection, Treatment efficacy
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