Factors Related to Delayed Adverse Events of Endoscopic Submucosal Dissection in the Duodenum.

ABSTRACT:

Introduction

Endoscopic submucosal dissection for duodenal neoplasms (D-ESD) is considered a technically demanding procedure regarding the high risk of delayed adverse events. Data regarding optimal managements of ulcers after D-ESD are lacking.

Methods

A retrospective analysis was performed on consecutive 145 cases of D-ESD for superficial nonampullary duodenal epithelial tumors at a single referral center. Factors related to delayed adverse events and the healing process of ulcers after D-ESD were analyzed.

Results

Complete ulcer suture after D-ESD was performed in 128 cases (88%). Two delayed perforation occurred among cases with incomplete suture. Delayed bleeding occurred in 8 cases (6%) within 3 weeks. The ulcer closure rate at second-look endoscopy (SLE) was si

SUBMITTER: Kawamura T 

PROVIDER: S-EPMC9909617 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature