Cho JH, Lim KY, Lee EJ, Lee SH. Clinical outcomes of endoscopic resection of superficial nonampullary duodenal epithelial tumors: A 10-year retrospective, single-center study. World J Gastrointest Surg 2022; 14(4): 329-340 [PMID: 35664364 DOI: 10.4240/wjgs.v14.i4.329]
Corresponding Author of This Article
Si Hyung Lee, MD, Professor, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Yeungnam University College of Medicine, 170 Hyeonchung-ro, Nam-gu, Daegu 42415, South Korea. dr9696@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Apr 27, 2022; 14(4): 329-340 Published online Apr 27, 2022. doi: 10.4240/wjgs.v14.i4.329
Clinical outcomes of endoscopic resection of superficial nonampullary duodenal epithelial tumors: A 10-year retrospective, single-center study
Joon Hyun Cho, Ki Young Lim, Eun Jung Lee, Si Hyung Lee
Joon Hyun Cho, Ki Young Lim, Eun Jung Lee, Si Hyung Lee, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu 42415, South Korea
Author contributions: Cho JH and Lee SH designed the study; Cho JH, Lim KY, and Lee EJ performed the research; Cho JH, Lim KY, and Lee EJ analyzed the data; Cho JH wrote the paper; Lee SH and Cho JH revised the manuscript.
Institutional review board statement: This study was performed in accordance with the Helsinki Declaration. The protocol and informed consent form used were approved beforehand by the Institutional Review Board of Yeungnam University Hospital (IRB No. 2021-10-045).
Conflict-of-interest statement: The authors have no conflict of interest to declare.
Data sharing statement: No additional data is available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Si Hyung Lee, MD, Professor, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Yeungnam University College of Medicine, 170 Hyeonchung-ro, Nam-gu, Daegu 42415, South Korea. dr9696@gmail.com
Received: December 18, 2021 Peer-review started: December 18, 2021 First decision: January 27, 2022 Revised: February 9, 2022 Accepted: March 26, 2022 Article in press: March 26, 2022 Published online: April 27, 2022
Core Tip
Core Tip: This long-term retrospective observational study shows that superficial nonampullary duodenal epithelial tumors (SNADETs) can be safely and curatively managed by endoscopic mucosal resection (EMR), even after piecemeal resection. Therefore, based on consideration of the high incidence of fatal complications attributable to endoscopic submucosal dissection in duodenum, we recommend that EMR, including piecemeal resection, be considered the treatment of first choice for SNADETs. However, we caution that because of its technical difficulty, EMR on duodenum should only be performed by highly skilled endoscopists. In addition, we emphasize that more attention is required during EMR of a large duodenal tumor because lesion size is positively associated with the risk of EMR-related bleeding.
