Abstract
Background: Endoscopic mucosal resection of duodenal polyps (EMR) is a challenging intervention. The aim of this study was to review the patient characteristics, techniques, procedure outcomes, adverse events, and recurrence of duodenal polyps. Research Design and Methods: Patients were included if they had pathologically confirmed non-ampullary duodenal polyps and had received EMR with at least one follow-up EGD for surveillance. Descriptive statistics were employed to report the findings. Results: A total of 65 patients underwent a total of 90 EMRs for duodenal polyps. The mean age was 65.4 years, and 29 of the patients were female. Complete resection of the visible mass was achieved in 96.9% of cases. Endoscopic hemostasis was required in 18.5% of patients. Delayed bleeding occurred in 9%, and delayed perforations requiring surgical intervention occurred in 2.2% of patients with no mortality. Surgery after EMR was needed in 12.7% of cases. Eleven (16.9%) patients had recurrent duodenal adenoma on follow-up EGD. Conclusion: Duodenal polyps can be safely resected and have a notable recurrence rate. This is particularly true for adenomas, warranting post-resection endoscopic surveillance. The appropriate interval for post-resection surveillance of duodenal adenomas should be a focus of future study.
Original language | English (US) |
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Pages (from-to) | 569-576 |
Number of pages | 8 |
Journal | Expert Review of Gastroenterology and Hepatology |
Volume | 16 |
Issue number | 6 |
DOIs | |
State | Published - 2022 |
Keywords
- duodenal adenoma
- Duodenal endoscopic mucosal resection
- duodenal polyps
- management of perforation
ASJC Scopus subject areas
- Hepatology
- Gastroenterology