©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Sep 16, 2018; 10(9): 156-164
Published online Sep 16, 2018. doi: 10.4253/wjge.v10.i9.156
Published online Sep 16, 2018. doi: 10.4253/wjge.v10.i9.156
Endoscopic diagnosis and treatment of superficial non-ampullary duodenal tumors
Mitsuru Esaki, Sho Suzuki, Hisatomo Ikehara, Chika Kusano, Takuji Gotoda, Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo 1018309, Japan
Author contributions: All authors contributed equally to the conception and design of the current study, literature review and analysis, drafting and critical revision and editing, and approved the final version.
Conflict-of-interest statement: There are no potential conflicts of interest or financial support to declare.
Correspondence to: Sho Suzuki, MD, PhD, Doctor, Research Associate, Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, 1-6 Kanda-Surugadai, Chiyoda-ku, Tokyo 1018309, Japan. s.sho.salubriter.mail@gmail.com
Telephone: +81-3-32931711 Fax: +81-3-32931711
Received: March 23, 2018
Peer-review started: March 23, 2018
First decision: April 26, 2018
Revised: June 17, 2018
Accepted: June 28, 2018
Article in press: June 28, 2018
Published online: September 16, 2018
Processing time: 178 Days and 20.6 Hours
Peer-review started: March 23, 2018
First decision: April 26, 2018
Revised: June 17, 2018
Accepted: June 28, 2018
Article in press: June 28, 2018
Published online: September 16, 2018
Processing time: 178 Days and 20.6 Hours
Core Tip
Core tip: Although superficial non-ampullary duodenal tumors are rare, they can progress to cancer and metastasize, and therefore early diagnosis and treatment of these duodenal tumors is essential. Pretreatment diagnosis for high-grade adenoma or superficial adenocarcinoma helps to determine the appropriate treatment strategy. Endoscopic resection has been adopted as an effective and minimally invasive treatment for these duodenal lesions; however, even though endoscopic mucosal resection has a lower risk of adverse events, it has a higher risk of recurrence than endoscopic submucosal dissection. Recently, a new and safer endoscopic procedure that reduces adverse events of endoscopic resection has been reported.