| ISSN |
2307-8960 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. |
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| Permissions |
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Observational Study |
| Article Title |
Application of endoscopic submucosal dissection in duodenal space-occupying lesions
|
| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Xiao-Yu Li, Kai-Yue Ji, Yu-Hu Qu, Juan-Juan Zheng, Ying-jie Guo, Cui-ping Zhang and Kun-Peng Zhang |
| ORCID |
|
| Funding Agency and Grant Number |
| Funding Agency |
Grant Number |
| National Natural Science Foundation of China |
81802777 |
| Shandong Higher Education Research Center Scientific Research Project |
YJKT201953 |
| Shandong Province 2018 Professional Degree Postgraduate Teaching Case Library Project |
SDYAL18049 |
| Shandong Province 2018 Postgraduate Mentoring Ability Improvement Project |
SDYY18073 |
| "Clinical Medicine+X" project of Qingdao University Hospital |
|
|
| Corresponding Author |
Kun-Peng Zhang, PhD, Doctor, Doctor, Department of Gastroenterology, The Affiliated Hospital of Qingdao University, No 16 Jiangsu Road, Qingdao 266000, Shandong Province, China. zhangkp17@126.com |
| Key Words |
Endoscopic resection; Submucosal dissection; Space-occupying lesions; Duodenal adenoma; Duodenal lesions; Complications |
| Core Tip |
Endoscopic submucosal dissection (ESD) has been trusted by digestive endoscopists because of its therapeutic effect that is comparable to surgery, reduced trauma, faster recovery, and fewer complications. ESD on duodenum is challenging due to the thin intestinal wall of the duodenum, narrow intestinal space, rich peripheral blood flow, and proximity to vital organs, such as the common bile duct and pancreas. Therefore, the duodenal lesion biopsy before ESD should be small and parallel to the fold to avoid scarring and hindering subsequent dissection. Duodenal ESD should be performed quickly to shorten the operation time and reduce delayed perforation and bleeding caused by electrocoagulation syndrome and intestinal wall edema, especially when the lesions are on the medial side of the descending segment of duodenum because of in close proximity to huge arteries, the common bile duct and pancreas tissues. The wounds after ESD should be sutured with metal clips to avoid late perforation. |
| Publish Date |
2020-12-19 16:08 |
| Citation |
Li XY, Ji KY, Qu YH, Zheng JJ, Guo YJ, Zhang CP, Zhang KP. Application of endoscopic submucosal dissection in duodenal space-occupying lesions. World J Clin Cases 2020; 8(24): 6296-6305 |
| URL |
https://www.wjgnet.com/2307-8960/full/v8/i24/6296.htm |
| DOI |
https://dx.doi.org/10.12998/wjcc.v8.i24.6296 |
