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Endoscopic Therapy for Small Tumors or Tumorous Lesions in the Duodenum Junji Yoshino 1 , Kazuo Inui 1 , Takao Wakabayashi 1 1The Department of Internal Medicine, Second Hospital, Fujita Health University, School of Medicine Keyword: 十二指腸 , 内視鏡切除 , 内視鏡治療 , 十二指腸早期癌 , 十二指腸粘膜下腫瘍 pp.1541-1545
Published Date 2001/11/25
DOI https://doi.org/10.11477/mf.1403103366
  • Abstract
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 Duodenal lesions (polyp, cancer, adenoma, carcinoid, and lipoma) ten to twenty mm in size were reported to be able to be resected endoscopically. The therapy is more difficult in the duodenum than in the other portions of the digestive tract because of the thin wall and the narrow lumen. Endoscopes with either one channel or with two channels are used for resection. The treatment is done by means of methods such as polypectomy, endoscopic mucosal resection, the method using a ligating device, and the method with a detention type snare. Perforation and hemorrhage are important complications encountered in endoscopic resection of duodenal tumors. To avoid perforation, sufficient volume of solution should be injected under the lesions.


Copyright © 2001, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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