| Theme | Diagnosis and Treatment of Non-ampullary Duodenal Epithelial Tumor -- Current Status and Issues | |
|---|---|---|
| Title | Endoscopic Submucosal Dissection for Duodenal Tumors | |
| Publish Date | 2018/09 | |
| Author | Yasutoshi Ochiai | Division for Research and Development of Minor Invasive Treatment, Cancer Center, Keio University School of Medicine |
| Author | Osamu Goto | Gastroenterology and Hepatology, Nippon Medical School |
| Author | Atsushi Nakayama | Division for Research and Development of Minor Invasive Treatment, Cancer Center, Keio University School of Medicine |
| Author | Motohiko Kato | Division for Research and Development of Minor Invasive Treatment, Cancer Center, Keio University School of Medicine |
| Author | Tadateru Maehata | 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 ] | A superficial duodenal tumor is a rare condition. Recently, with advances in endoscopic techniques and improved training and experience gained by endoscopists, the detection rate of duodenal tumors has increased. Minimally invasive treatment such as endoscopic resection is needed for adenomas and mucosal adenocarcinomas; however it is difficult to perform endoscopic submucosal dissection (ESD) for large lesions secondary to technical difficulties and organ specificity. We use the water pressure method that creates a mucosal pocket and the string clip suturing method to avoid delayed complications. Centralization of duodenal ESD cases and re-evaluation of insurance are issues that need to be managed in this context. | |