Safety, efficacy and clinical value of endoscopic treatment for duodenal lesions / 中国内镜杂志

ABSTRACT

Objective To assess the safety, efficacy and the clinical value of endoscopic treatment for duodenal lesions. Methods 59 patients with duodenal lesions were treated by endoscope from December 2012 to December 2016. The clinical data were retrospectively analyzed. Results There were 31 male and 28 female patients, aged 17 ～ 81 (58.2 ± 13.3) years. The lesion location included the duodenal bulb (n = 24, 40.68％) and the descending part (n = 21, 25.42％). The diameter of the lesions ranged from 0.2 to 5.0 (1.4 ± 0.9). Thirty-nine (66.10％) lesions originated from the mucosa, including inflammatory/hyperplastic polyps (n = 18, 30.51％), villous/tubular adenoma (n = 6, 10.17％). Twenty (33.90％) lesions originated from the submucosa, including Brunner's glands adenoma (n = 4, 6.78％), ectopic pancreas (n = 5, 8.47％), lipoma (n = 4, 6.78％). There were 4 delayed bleeding, 5 intraoperative perforation. Two patients received extended surgical resection later, and all the 59 patients showed no recurrence during the followed up (range, 3 ～ 30 months) using endoscopy. Conclusion Endoscopic treatment is a safe, effective, valuable method for the management of duodenal lesions.