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The Use of Endoscopic Clipping in Preventing Delayed Complications after Endoscopic Resection for Superficial Non-Ampullary Duodenal Tumors
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Jee Young An, Byung-Wook Kim, Joon Sung Kim, Jae-Myung Park, Tae Ho Kim, Jaesin Lee
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Clin Endosc 2021;54(4):563-569. Published online November 24, 2020
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DOI: https://doi.org/10.5946/ce.2020.109
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Abstract
PDFPubReaderePub
- Background
/Aims: Endoscopic resection (ER) has recently been accepted as the standard treatment modality for superficial nonampullary duodenal tumors (SNADTs). However, the procedure can cause adverse events such as perforation and bleeding. This study aimed to investigate the efficacy of prophylactic clipping in the prevention of delayed complications.
Methods A retrospective review of the medical records of patients who underwent ER for SNADT from 3 centers was performed. Patients were divided into 2 groups: the immediate clipping group (ICG) and the no clipping group (NCG). Various baseline characteristics and factors associated with the appearance of delayed complications, such as size of the lesion, tumor location, histologic type, and co-morbidities, were compared between the two groups.
Results A total of 99 lesions from 99 patients were included in this study. Fifty-two patients were allocated into ICG and 47 patients were allocated into NCG. Delayed bleeding occurred in 1 patient from ICG and in 8 patients from NCG. Delayed perforation occurred in 1 patient from ICG and in 3 patients from NCG. There were no procedure-related deaths in both groups.
Conclusions Although the use of endoscopic clipping seemed to reduce the risk of developing delayed complications, further studies using a prospective design is required.
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Citations
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- The Effect of Tegoprazan on the Treatment of Endoscopic Resection-Induced Artificial Ulcers: A Multicenter, Randomized, Active-Controlled Study
Byung-Wook Kim, Jong Jae Park, Hee Seok Moon, Wan Sik Lee, Ki-Nam Shim, Gwang Ho Baik, Yun Jeong Lim, Hang Lak Lee, Young Hoon Youn, Jun Chul Park, In-Kyung Sung, Hyunsoo Chung, Jeong Seop Moon, Gwang Ha Kim, Su Jin Hong, Hyuk Soon Choi Gut and Liver.2024; 18(2): 257. CrossRef - Endoscopic diagnosis and treatment of superficial non-ampullary duodenal epithelial tumors: A review
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Giuseppe Galloro, Angelo Zullo, Gaetano Luglio, Alessia Chini, Donato Alessandro Telesca, Rosa Maione, Matteo Pollastro, Giovanni Domenico De Palma, Raffaele Manta Clinical Endoscopy.2022; 55(3): 339. CrossRef - Endoscopic Closure After Endoscopic Resection for Superficial Non-Ampullary Duodenal Tumors
Satoshi Tanabe, Takuya Wada Clinical Endoscopy.2021; 54(4): 453. CrossRef
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Ectopic Pancreas Bleeding in the Jejunum Revealed by Capsule Endoscopy
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Mi-Jeong Lee, Jae Hyuck Chang, Il Ho Maeng, Jin Young Park, Yun Sun Im, Tae Ho Kim, Sok-Won Han, Do Sang Lee
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Clin Endosc 2012;45(3):194-197. Published online August 22, 2012
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DOI: https://doi.org/10.5946/ce.2012.45.3.194
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Abstract
PDFPubReaderePub
Ectopic pancreas is defined as pancreatic tissue found outside the usual anatomic location. It is often found incidentally at different sites in the gastrointestinal (GI) tract. The incidence of ectopic pancreatic tissue in autopsy series is 1% to 2%, with 70% of the ectopic lesions found in the stomach, duodenum and jejunum. Although it is usually a silent anomaly, an ectopic pancreas may become clinically evident when complicated by inflammation, bleeding, obstruction or malignant transformation. We report a case of ectopic pancreas located in the jejunum and presenting as an obscure GI bleeding, which was diagnosed by capsule endoscopy.
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Citations
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