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Opinion

Issues and Prospects of Current Endoscopic Treatment Strategy for Superficial Non-Ampullary Duodenal Epithelial Tumors

Division of Endoscopy, Shizuoka Cancer Center, Shizuoka 411-8777, Japan
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Curr. Oncol. 2022, 29(10), 6816-6825; https://doi.org/10.3390/curroncol29100537
Received: 9 August 2022 / Revised: 11 September 2022 / Accepted: 20 September 2022 / Published: 22 September 2022
(This article belongs to the Special Issue Endoscopic Diagnosis and Treatment of Gastrointestinal Cancer)
An increasing number of duodenal tumors are being diagnosed over the years, leading to increased confusion regarding the choice of treatment options. Small-to-large tumors and histological types vary from adenoma to carcinoma, and treatment methods may need to be selected according to lesion characteristics. Because of its anatomic characteristics, complications are more likely to occur in the duodenum than in other gastrointestinal organs. Several reports have described the outcomes of conventional endoscopic mucosal resection, endoscopic submucosal dissection, cold snare polypectomy, underwater endoscopic mucosal resection, endoscopic full-thickness resection, and laparoscopic and endoscopic cooperative surgery for duodenal tumors. However, even in the guidelines set out by various countries, only the treatment methods are listed, and no clear treatment strategies are provided. Although there are few reports with a sufficiently high level of evidence, considering the currently available treatment options is essential. In this report, we reviewed previous reports on each treatment strategy, discussed the current issues and prospects, and proposed the best possible treatment strategy. View Full-Text
Keywords: superficial non-ampullary duodenal epithelial tumor; conventional endoscopic mucosal resection; endoscopic submucosal dissection; cold snare polypectomy; underwater endoscopic mucosal resection; endoscopic full-thickness resection; laparoscopic and endoscopic cooperative surgery for duodenal tumors; treatment strategy superficial non-ampullary duodenal epithelial tumor; conventional endoscopic mucosal resection; endoscopic submucosal dissection; cold snare polypectomy; underwater endoscopic mucosal resection; endoscopic full-thickness resection; laparoscopic and endoscopic cooperative surgery for duodenal tumors; treatment strategy
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MDPI and ACS Style

Suwa, T.; Yoshida, M.; Ono, H. Issues and Prospects of Current Endoscopic Treatment Strategy for Superficial Non-Ampullary Duodenal Epithelial Tumors. Curr. Oncol. 2022, 29, 6816-6825. https://doi.org/10.3390/curroncol29100537

AMA Style

Suwa T, Yoshida M, Ono H. Issues and Prospects of Current Endoscopic Treatment Strategy for Superficial Non-Ampullary Duodenal Epithelial Tumors. Current Oncology. 2022; 29(10):6816-6825. https://doi.org/10.3390/curroncol29100537

Chicago/Turabian Style

Suwa, Tetsuya, Masao Yoshida, and Hiroyuki Ono. 2022. "Issues and Prospects of Current Endoscopic Treatment Strategy for Superficial Non-Ampullary Duodenal Epithelial Tumors" Current Oncology 29, no. 10: 6816-6825. https://doi.org/10.3390/curroncol29100537

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