当前位置： SCI文献检索 > GASTROINTESTINAL ENDOSCOPY期刊下所有文献 > Outcomes of endoscopic resection for superficial duodenal epithelial neoplasia.

Outcomes of endoscopic resection for superficial duodenal epithelial neoplasia.

Abstract：

BACKGROUND AND AIMS:Pancreaticoduodenectomy is an invasive procedure, and endoscopic resection (ER) is an alternative therapy. However, details regarding the outcomes of ER are unknown, especially for superficial duodenal epithelial neoplasia (SDET). The aim of this study was to elucidate the outcomes of ER for SDET and to compare EMR with endoscopic submucosal dissection (ESD). METHODS:This was a retrospective observational study. From June 2010 to June 2017, 320 cases of endoscopically resected SDET (146 EMR-treated cases and 174 ESD-treated cases) were included in this study. We analyzed the proportions of en bloc resection, R0 resection, perforation, and bleeding as outcomes of ER and compared outcomes between the EMR and ESD groups. Next, we collected data on the features and clinical course of cases with adverse events. RESULTS:The proportions of en bloc resection and R0 resection among all cases were 96.6% and 83.4%, respectively. In over 95% of cases, ESD achieved en bloc resection, regardless of lesion size. The incidences of perforation and bleeding were 8.8% and 3.4%, respectively, and the former was largely successfully managed by conservative treatment. The mortality rate was 0%, and all patients were discharged with a median hospital stay of 8.5 days (range, 4-52 days). Evaluation of the hospital stay duration according to lesion circumference revealed a significantly longer duration for lesions present on the medial wall than for other lesions (median 41 vs 7 days, P = .0331). CONCLUSION:The present study revealed that ER achieved secure en bloc resection, with the treatment type (ESD or EMR) selected according to the lesion size. A lesion located on the medial wall was associated with worse outcomes, such as prolonged hospital stay after perforation.

journal_name

Gastrointest Endosc

journal_title

Gastrointestinal endoscopy

authors

Yahagi N,Kato M,Ochiai Y,Maehata T,Sasaki M,Kiguchi Y,Akimoto T,Nakayama A,Fujimoto A,Goto O,Uraoka T

doi

10.1016/j.gie.2018.05.002

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

676-682

issue

4

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(18)32678-6

journal_volume

88

pub_type

杂志文章

相关文献

GASTROINTESTINAL ENDOSCOPY文献大全
  • Air and fluid leak tests after NOTES procedures: a pilot study in a live porcine model (with videos).

    abstract：BACKGROUND:Transluminal access site closure remains a major challenge in natural orifice transluminal endoscopic surgery (NOTES). OBJECTIVE:Our purpose was to develop in vivo leak tests for evaluation of the integrity of transgastric access closure. SETTINGS:Survival experiments on 12 50-kg pigs. DESIGN AND INTERVEN...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2007.12.052

    authors： Dray X,Gabrielson KL,Buscaglia JM,Shin EJ,Giday SA,Surti VC,Assumpcao L,Marohn MR,Magno P,Pipitone LJ,Redding SK,Kalloo AN,Kantsevoy SV

    更新日期：2008-09-01 00:00:00

  • Treatment of "obstructive" pain by endoscopic drainage in patients with pancreatic head carcinoma.

    abstract：:Obstruction of the main pancreatic duct with secondary upstream ductal hypertension is one cause of pain in patients with pancreatic cancer. Pancreatic endoscopic stenting and decompression of the pancreatic duct have been effective in the treatment of pain secondary to chronic calcifying pancreatitis and in one case ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(93)70263-1

    authors： Costamagna G,Gabbrielli A,Mutignani M,Perri V,Crucitti F

    更新日期：1993-11-01 00:00:00

  • Gastric peroral endoscopic pyloromyotomy for refractory gastroparesis: a systematic review of early outcomes with pooled analysis.

    abstract：BACKGROUND AND AIMS:Gastroparesis (GP) is a chronic debilitating condition. Prior pyloric-targeted procedures are either invasive or have questionable efficacy. Gastric peroral pyloromyotomy (G-POEM) has been proposed as a minimally invasive approach. We performed a pooled analysis to evaluate the efficacy and safety o...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,评审

    doi：10.1016/j.gie.2019.11.039

    authors： Spadaccini M,Maselli R,Chandrasekar VT,Anderloni A,Carrara S,Galtieri PA,Di Leo M,Fugazza A,Pellegatta G,Colombo M,Palma R,Hassan C,Sethi A,Khashab MA,Sharma P,Repici A

    更新日期：2020-04-01 00:00:00

  • Endoscopic therapy of a splenic abscess: definitive treatment via EUS-guided transgastric drainage.

    abstract：BACKGROUND:Splenic complications of pancreatitis are exceedingly rare, occurring in only 2.2% of cases. Patients typically present in a dramatic fashion and often need an urgent procedure to prevent overwhelming infection or hemorrhage. Historically, the procedures involve surgery (distal pancreatectomy and splenectomy...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2006.04.031

    authors： Lee DH,Cash BD,Womeldorph CM,Horwhat JD

    更新日期：2006-10-01 00:00:00

  • Endoscopic resection of benign tumors of the duodenal papilla without and with intraductal growth.

    abstract：BACKGROUND:Endoscopic papillectomy of benign papillary tumor is still not widely practiced. Intraductal growth has been considered a contraindication for endoscopic therapy. This prospective study evaluates endoscopic papillectomy for treatment of benign papillary tumors without and with intraductal growth. METHODS:Mo...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2005.04.053

    authors： Bohnacker S,Seitz U,Nguyen D,Thonke F,Seewald S,deWeerth A,Ponnudurai R,Omar S,Soehendra N

    更新日期：2005-10-01 00:00:00

  • Endoscopic cryotherapy for the treatment of bleeding mucosal vascular lesions of the GI tract: a pilot study.

    abstract：BACKGROUND:Thermal therapy is the cornerstone of endoscopic treatment of bleeding mucosal lesions of the GI tract. However, there is a 20% failure rate and contact devices may be cumbersome in the treatment of large bleeding areas. A pilot study was conducted to evaluate the safety and efficacy of endoscopic cryotherap...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1067/mge.2003.115

    authors： Kantsevoy SV,Cruz-Correa MR,Vaughn CA,Jagannath SB,Pasricha PJ,Kalloo AN

    更新日期：2003-03-01 00:00:00

  • Cost-effectiveness of photodynamic therapy for high-grade dysplasia in Barrett's esophagus.

    abstract：BACKGROUND:Photodynamic therapy appears to be effective in ablating high-grade dysplasia in Barrett's esophagus. Our aim was to identify the most effective and cost-effective strategy for managing high-grade dysplasia in Barrett's esophagus without associated endoscopically visible abnormalities. METHODS:By using deci...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(04)02167-4

    authors： Vij R,Triadafilopoulos G,Owens DK,Kunz P,Sanders GD

    更新日期：2004-11-01 00:00:00

  • Laparoscopy for pre-operative staging and assessment of operability in gastric carcinoma.

    abstract：:Laparoscopy was performed in 40 patients with gastric carcinoma, whose lesions were otherwise considered amenable to operation, in order to more accurately stage the disease and ascertain the prospect of resectability. Laparoscopy disclosed hitherto unrecognized distant metastases in 5 cases (12.5%) and locally advanc...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(91)70776-1

    authors： Kriplani AK,Kapur BM

    更新日期：1991-07-01 00:00:00

  • Accuracy of assessment of the extent of examination by experienced colonoscopists.

    abstract：:One hundred colonoscopies were done. The colonoscopist noted whether the cecum had been intubated as well as the markers used to make this determination. With the colonoscope in position at maximum penetration, a radiologist independently determined its position using fluoroscopy, with a contrast agent delivered throu...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(92)70516-1

    authors： Anderson ML,Heigh RI,McCoy GA,Parent K,Muhm JR,McKee GS,Eversman WG,Collins JM

    更新日期：1992-09-01 00:00:00

  • ERCP in the management of pancreatic diseases in children.

    abstract：BACKGROUND:ERCP experience in pancreatic disorders in children is limited. OBJECTIVE:This study evaluated the utility and efficacy of ERCP in children with pancreatic diseases at a tertiary care referral center. PATIENTS AND SETTINGS:Consecutive patients 18 years of age and younger who underwent ERCP for pancreatic d...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2013.07.060

    authors： Agarwal J,Nageshwar Reddy D,Talukdar R,Lakhtakia S,Ramchandani M,Tandan M,Gupta R,Pratap N,Rao GV

    更新日期：2014-02-01 00:00:00

  • Adenoma recurrence after piecemeal colonic EMR is predictable: the Sydney EMR recurrence tool.

    abstract：BACKGROUND AND AIMS:EMR is the primary treatment of large laterally spreading lesions (LSLs) in the colon. Residual or recurrent adenoma (RRA) is a major limitation. We aimed to identify a robust method to stratify the risk of RRA. METHODS:Prospective multicenter data on consecutive LSLs ≥20 mm removed by piecemeal EM...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2016.11.027

    authors： Tate DJ,Desomer L,Klein A,Brown G,Hourigan LF,Lee EY,Moss A,Ormonde D,Raftopoulos S,Singh R,Williams SJ,Zanati S,Byth K,Bourke MJ

    更新日期：2017-03-01 00:00:00

  • Polyurethane-covered metal stent for management of distal malignant biliary obstruction.

    abstract：BACKGROUND:The efficacy of polyurethane-covered metal expandable stents for treatment of neoplastic distal biliary obstruction was analyzed. METHODS:Twenty-one patients with unresectable malignant tumors involving the mid to distal bile duct who were seen with obstructive jaundice were consecutively enrolled. Eighteen...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1067/mge.2002.121876

    authors： Isayama H,Komatsu Y,Tsujino T,Yoshida H,Tada M,Shiratori Y,Kawabe T,Omata M

    更新日期：2002-03-01 00:00:00

  • Colorectal cancer mortality prevented by use and attributable to nonuse of colonoscopy.

    abstract：BACKGROUND:Use of colonoscopy is thought to reduce colorectal cancer (CRC) mortality, but its impact at the population level is unclear. OBJECTIVE:To estimate the effect of current colonoscopy use on CRC mortality and its further potential in reducing CRC mortality. DESIGN:Population-level analysis was performed by u...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2010.12.005

    authors： Stock C,Knudsen AB,Lansdorp-Vogelaar I,Haug U,Brenner H

    更新日期：2011-03-01 00:00:00

  • Impact of reducing duodenobiliary reflux on biliary stent patency: an in vitro evaluation and a prospective randomized clinical trial that used a biliary stent with an antireflux valve.

    abstract：BACKGROUND:The mechanisms leading to occlusion of plastic biliary stents (PBS) are not known. OBJECTIVE:To evaluate the impact of reducing duodenobiliary reflux on stent patency rate. DESIGN:A newly designed antireflux PBS (AR-PBS) was tested in vitro by using ox bile. A prospective randomized trial in human beings w...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.gie.2006.09.011

    authors： Dua KS,Reddy ND,Rao VG,Banerjee R,Medda B,Lang I

    更新日期：2007-05-01 00:00:00

  • Complications of diagnostic laparoscopy in Dallas: a 7-year prospective study.

    abstract：:The complication rate for diagnostic laparoscopy reported in the literature is very low (1.07%, 0.3%, and 0.03% for minor and major complications, and deaths, respectively). A prospective study of the complications of diagnostic laparoscopy by 17 gastroenterologists in the Dallas-Fort Worth metropolitan area is report...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(84)72394-7

    authors： Kane MG,Krejs GJ

    更新日期：1984-08-01 00:00:00

  • Long-term outcome in patients with benign biliary strictures treated endoscopically with multiple stents.

    abstract：BACKGROUND:The long-term efficacy of sequential insertion of multiple plastic stents for benign biliary strictures is poorly defined. The aims of this study were to evaluate the long-term outcome (bile duct patency, complications) of this therapy and to identify predictors of a good outcome. METHODS:Retrospective revi...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1067/mge.2002.122955

    authors： Draganov P,Hoffman B,Marsh W,Cotton P,Cunningham J

    更新日期：2002-05-01 00:00:00

  • Adjuvant sclerotherapy after ligation for the treatment of esophageal varices: a prospective, randomized long-term study.

    abstract：BACKGROUND:To assess the efficacy of adjuvant sclerotherapy after banding for the treatment of esophageal varices, a randomized trial was carried out of endoscopic variceal ligation (EVL) alone with sequential sclerotherapy versus sequential ligation-sclerotherapy (SLS) after banding with respect to variceal eradicatio...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1067/mge.2001.114061

    authors： Cheng YS,Pan S,Lien GS,Suk FM,Wu MS,Chen JN,Chen SH

    更新日期：2001-05-01 00:00:00

  • Endoscopic fenestration of duodenal stents using argon plasma to facilitate ERCP.

    abstract：BACKGROUND:The presence of a duodenal stent may hinder attempts at ERCP for treatment of malignant biliary obstruction. OBJECTIVE:We describe 2 patients in whom endoscopic fenestration of indwelling duodenal stents with an argon plasma coagulator facilitated successful ERCP. DESIGN:Single-center retrospective case se...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2008.08.026

    authors： Topazian M,Baron TH

    更新日期：2009-01-01 00:00:00

  • Optical biopsies by confocal endomicroscopy prevent additive endoscopic biopsies before endoscopic submucosal dissection in gastric epithelial neoplasias: a prospective, comparative study.

    abstract：BACKGROUND:Confocal laser endomicroscopy (CLE) allows real-time in vivo histologic evaluation of GI lesions. To our knowledge, there is no reported prospective study comparing endoscopic and optical biopsy using CLE before endoscopic submucosal dissection (ESD) with post-ESD histopathology. OBJECTIVE:We compared endos...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2011.05.005

    authors： Jeon SR,Cho WY,Jin SY,Cheon YK,Choi SR,Cho JY

    更新日期：2011-10-01 00:00:00

  • Temporary placement of partially covered self-expandable metal stents for anastomotic biliary strictures after liver transplantation: a prospective, multicenter study.

    abstract：BACKGROUND:Management of anastomotic biliary strictures after liver transplantation deserves optimization. OBJECTIVE:To evaluate placement and removal of partially covered self-expandable metal stents (PCSEMSs) in this setting. DESIGN:Prospective, multicenter, uncontrolled study. SETTING:Three French academic hospit...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.gie.2010.08.016

    authors： Chaput U,Scatton O,Bichard P,Ponchon T,Chryssostalis A,Gaudric M,Mangialavori L,Duchmann JC,Massault PP,Conti F,Calmus Y,Chaussade S,Soubrane O,Prat F

    更新日期：2010-12-01 00:00:00

  • Endoscopic submucosal dissection for treatment of gastric subepithelial tumors (with video).

    abstract：BACKGROUND:Endoscopic submucosal dissection (ESD) is a well-accepted method for removing superficial mucosal tumors; however, there is limited data on the use of this method for removing subepithelial tumors. OBJECTIVE:To investigate the efficacy, safety, and outcome of ESD for gastric subepithelial tumors and determi...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2011.08.029

    authors： Białek A,Wiechowska-Kozłowska A,Pertkiewicz J,Polkowski M,Milkiewicz P,Karpińska K,Ławniczak M,Starzyńska T

    更新日期：2012-02-01 00:00:00

  • Use of high-resolution endoscopic ultrasonography to assess esophageal wall damage after pneumatic dilation and botulinum toxin injection to treat achalasia.

    abstract：OBJECTIVE:The purpose of this study was to utilize high-resolution endoscopic ultrasonography to assess esophageal wall damage in patients with achalasia treated by either pneumatic dilation or botulinum toxin injection and to compare their symptomatic response. METHODS:Twenty-nine patients were treated with pneumatic...

    journal_title：Gastrointestinal endoscopy

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0016-5107(96)70132-3

    authors： Schiano TD,Fisher RS,Parkman HP,Cohen S,Dabezies M,Miller LS

    更新日期：1996-08-01 00:00:00

  • What we have learned from 5 cases of permanent capsule retention.

    abstract：BACKGROUND:Capsule endoscopy allows the direct visualization of the entire small bowel. There is limited data on the clinical significance of permanent capsule retention. OBJECTIVE:Our purpose was to document the frequency, findings, risk factors, management, and outcomes of permanent capsule retention. DESIGN:Retros...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2006.02.036

    authors： Baichi MM,Arifuddin RM,Mantry PS

    更新日期：2006-08-01 00:00:00

  • Patient acceptance of the optical diagnosis and misdiagnosis of diminutive colorectal polyps.

    abstract：BACKGROUND AND AIMS:Optical diagnosis allows for real-time endoscopic assessment of colorectal polyp histology and consists of the resect and discard and diagnose and leave paradigms. This survey assessed patient acceptance of optical diagnosis and their responses to a hypothetical doomsday scenario. METHODS:We conduc...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/j.gie.2016.11.031

    authors： Sakata S,Lee AHS,Kheir AO,Tutticci NJ,Naidu S,Stevenson ARL,Hewett DG

    更新日期：2017-08-01 00:00:00

  • Unsuspected choledocholithiasis first diagnosed at laparoscopic cholecystectomy: treatment by trans-cystic duct stenting and elective stent-guided sphincterotomy.

    abstract：BACKGROUND:Despite advances in laparoscopic surgery, management of unsuspected choledocholithiasis diagnosed at laparoscopic cholecystectomy is controversial. We propose a simple maneuver of laparoscopic trans-cystic duct stenting of the papilla during cholecystectomy, followed by elective stent-guided sphincterotomy, ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(98)70134-8

    authors： Chung RS,Klabbatz L,Chari V,Eisenstat M

    更新日期：1998-07-01 00:00:00

  • EMR for early gastric cancer in Korea: a multicenter retrospective study.

    abstract：BACKGROUND:EMR has been accepted as a treatment modality for selected cases of early gastric cancer (EGC) in Japan. However, long-term outcomes after EMR for EGC have not been fully documented. OBJECTIVES:We reviewed the experiences of EMR for EGC in Korea, with emphasis on the long-term outcome. DESIGN:Multicenter, ...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.gie.2007.04.013

    authors： Kim JJ,Lee JH,Jung HY,Lee GH,Cho JY,Ryu CB,Chun HJ,Park JJ,Lee WS,Kim HS,Chung MG,Moon JS,Choi SR,Song GA,Jeong HY,Jee SR,Seol SY,Yoon YB

    更新日期：2007-10-01 00:00:00

  • ASGE Technology Committee systematic review and meta-analysis assessing the ASGE PIVI thresholds for adopting real-time endoscopic assessment of the histology of diminutive colorectal polyps.

    abstract：:In vivo real-time assessment of the histology of diminutive (≤5 mm) colorectal polyps detected at colonoscopy can be achieved by means of an "optical biopsy" by using currently available endoscopic technologies. This systematic review and meta-analysis was performed by the American Society for Gastrointestinal Endosco...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,meta分析,评审

    doi：10.1016/j.gie.2014.12.022

    authors： ASGE Technology Committee.,Abu Dayyeh BK,Thosani N,Konda V,Wallace MB,Rex DK,Chauhan SS,Hwang JH,Komanduri S,Manfredi M,Maple JT,Murad FM,Siddiqui UD,Banerjee S

    更新日期：2015-03-01 00:00:00

  • Radiological imaging of the GI tract after bariatric surgery.

    abstract：BACKGROUND:Obesity is becoming epidemic in proportion and is leading to considerable morbidity and mortality in the community. Bariatric surgery offers one tested solution to sustained weight loss and comorbidity reduction. However, it is associated with a significant number of complications. OBJECTIVE:The objective o...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,评审

    doi：10.1016/j.gie.2009.06.025

    authors： Varghese JC,Roy-Choudhury SH

    更新日期：2009-12-01 00:00:00

  • Stent-guided sphincterotomy.

    abstract：:Performing sphincterotomy when either Billroth II gastrectomy or complicated periampullary diverticula are present may increase the risk of complications. In addition a sphincterotomy on the main pancreatic sphincter or the papilla of Santorini presents complicated problems. Stent-guided sphincterotomy has been utiliz...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章

    doi：10.1016/s0016-5107(94)70254-3

    authors： Siegel JH,Cohen SA,Kasmin FE,Veerappan A

    更新日期：1994-09-01 00:00:00

  • An endoscopist-blinded, randomized, controlled trial of a simple visual aid to improve bowel preparation for screening colonoscopy.

    abstract：BACKGROUND:The effect of patient education on bowel preparation for colonoscopy has not been well studied. An improvement in patient understanding of the rationale for bowel preparation before colonoscopy might enhance adherence to the prescribed bowel regimen and improve bowel preparation quality. OBJECTIVE:To measur...

    journal_title：Gastrointestinal endoscopy

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.gie.2010.10.013

    authors： Calderwood AH,Lai EJ,Fix OK,Jacobson BC

    更新日期：2011-02-01 00:00:00