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Endoscopic Results of Resection of Superficial Duodenal Epithelial Tumor:Retrospective Study of 3,107 Cases at 18 Facilities in Japan Motohiko Kato 1 , Yoji Takeuchi 2 , Shu Hoteya 3 , Tsuneo Oyama 4 , Satoru Nonaka 5 , Shoichi Yoshimizu 6 , Naomi Kakushima 7 , Ken Ohata 8 , Hironori Yamamoto 9 , Yuko Hara 10 , Hisashi Doyama 11 , Osamu Dohi 12 , Yasushi Yamasaki 13 , Hiroya Ueyama 14 , Kengo Takimoto 15 , Koichi Kurahara 16 , Tomoaki Tashima 17 , Nobutsugu Abe 18 , Atsushi Nakayama 1 , Ichiro Oda 5 , Naohisa Yahagi 1 1Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine Graduate School of Medicine, Tokyo 2Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan 3Department of Gastroenterology, Toranomon Hospital, Tokyo 4Department of Gastroenterology, Saku Central Hospital, Saku, Japan 5Endoscopy Division, National Cancer Center Hospital, Tokyo 6Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo 7Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, Shizuoka, Japan 8Gastroenterology, NTT Medical Center Tokyo, Tokyo 9Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan 10Endoscopy, Jikei University School of Medicine, Tokyo 11Gastroenterology, Ishikawa Prefectural Central Hospital, Kanazawa, Japan 12Department of Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Kyoto, Japan 13Department of Gastroenterology, Okayama University Hospital, Okayama, Japan 14Department of Gastroenterology, Juntendo University School of Medicine, Tokyo 15Department of Gastroenterology, National Hospital Organization Kyoto Medical Center, Kyoto, Japan 16Institute of Gastroenterology, Matsuyama Red Cross Hospital, Matsuyama, Japan 17Department of Gastroenterology, Saitama Medical University International Medical Center, Hidaka, Japan 18Department of Surgery, Kyorin University School of Medicine, Tokyo Keyword: SDET , 内視鏡切除 , 偶発症 , 病変径 , ESD pp.1661-1669
Published Date 2021/12/25
DOI https://doi.org/10.11477/mf.1403202616
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 We conducted a large, multicenter, retrospective study to determine the detailed outcomes of ER(endoscopic resection)for SDET(superficial duodenal epithelial tumors). A total of 3,107 patients underwent ER at 18 centers in Japan from January 2008 to December 2018. The en bloc resection rate of EMR(endoscopic mucosal resection)and ESD(endoscopic submucosal dissection)were 86.8% and 94.8%, respectively. The rate of delayed adverse events in lesions sized ≤19mm was significantly higher for ESD than for other techniques(7.4% vs. 1.9%, p<0.0001), but there was no difference in lesions sized ≥20mm(6.1% vs. 7.1%, p=0.6432).


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

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