| Theme | Advancement in Diagnosis and Treatment for Duodenal Neoplasms | |
|---|---|---|
| Title | Endoscopic Submucosal Dissection for Duodenal Tumors in Our Institution | |
| Publish Date | 2014/11 | |
| Author | Yasutoshi Ochiai | Division for Research and Development of Minor Invasive Treatment, Cancer Center, Keio University School of Medicine |
| Author | Teppei Akimoto | Division for Research and Development of Minor Invasive Treatment, Cancer Center, Keio University School of Medicine |
| Author | Satoshi Kinoshita | Division for Research and Development of Minor Invasive Treatment, Cancer Center, Keio University School of Medicine |
| Author | Seiji Sagara | Division for Research and Development of Minor Invasive Treatment, Cancer Center, Keio University School of Medicine |
| Author | Ai Fujimoto | Division for Research and Development of Minor Invasive Treatment, Cancer Center, Keio University School of Medicine |
| Author | Osamu Goto | Division for Research and Development of Minor Invasive Treatment, Cancer Center, Keio University School of Medicine |
| Author | Toshihiro Nishizawa | Division for Research and Development of Minor Invasive Treatment, Cancer Center, Keio University School of Medicine |
| Author | Toshio Uraoka | Division for Research and Development of Minor Invasive Treatment, Cancer Center, Keio University School of Medicine |
| Author | Naohisa Yahagi | Division for Research and Development of Minor Invasive Treatment, Cancer Center, Keio University School of Medicine |
| [ Summary ] | Endoscopic submucosal dissection (ESD) for duodenal tumors is more difficult than for other GI tumors, because the muscle layer of the duodenum is thinner than that of other parts of the GI tract. Higher rates of complications such as perforations and bleeding are common. Closure of post-ESD duodenal artificially induced ulcers is very effective to avoid delayed bleeding and perforation. Closure technique using loop snare and endoclip is one of the most effective way to prevent delayed perforation. Since duodenal ESD is technically demanding and risky, it should be done only by well-experienced experts at advanced high volume centers. | |