The role of endoscopic submucosal dissection in the treatment of large superficial duodenal epithelial neoplasia

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dc.contributor.authorBuyruk, Abdullah Murat
dc.contributor.authorBaki, Bahadır Emre
dc.contributor.authorKalkan, Çağdaş
dc.date.accessioned2024-08-31T07:31:14Z
dc.date.available2024-08-31T07:31:14Z
dc.date.issued2024
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground and Aims: Endoscopic submucosal dissection is one of the recommended treatment modality in terms of facilitating en-bloc resection in patients with superficial duodenal epithelial neoplasm larger than 2 cm. There is limited information in the literature about the applicability of endoscopic submucosal dissection in superficial duodenal epithelial neoplasm. In this single-center study, the results of eight patients with superficial duodenal epithelial neoplasm who underwent endoscopic submucosal dissection were retrospectively analyzed. Materials and Methods: Twelve patients who underwent duodenal endoscopic submucosal dissection between February 2019 and November 2023 were screened. Eight patients with superficial duodenal epithelial neoplasm larger than 2 cm were included in the study. Results: The median tumor diameter was 27.5 mm (20 - 80 mm). The most common localization was the duodenum second part (87.5%). En bloc and R0 resection rates were each 100%. The median procedure time was 37.5 min. Two patients (20%) with complications were treated with endoscopic clips. No recurrence was observed in all patients (mean 21 months). Conclusion: Endoscopic submucosal dissection is a technically challenging but successful method in the treatment of superficial duodenal epithelial neoplasm. Due to the high risk of complications, duodenal endoscopic submucosal dissection should be performed in experienced centers.en_US
dc.identifier.doi10.17941/agd.1459453
dc.identifier.endpage12en_US
dc.identifier.issn1303-6629
dc.identifier.issn2149-0600
dc.identifier.issue1en_US
dc.identifier.startpage6en_US
dc.identifier.trdizinid1232657en_US
dc.identifier.urihttps://doi.org/10.17941/agd.1459453
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1232657
dc.identifier.urihttps://hdl.handle.net/11454/103377
dc.identifier.volume23en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofAkademik Gastroenteroloji Dergisien_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240831_Uen_US
dc.subjectDuodenumen_US
dc.subjectendoscopic submucosal dissectionen_US
dc.subjectneoplasiaen_US
dc.titleThe role of endoscopic submucosal dissection in the treatment of large superficial duodenal epithelial neoplasiaen_US
dc.typeArticleen_US

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