Academic Journal
Risk factors for complications and incomplete resection after endoscopic resection for duodenal submucosal tumors.
| Τίτλος: | Risk factors for complications and incomplete resection after endoscopic resection for duodenal submucosal tumors. |
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| Συγγραφείς: | Geng ZH; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, 180 FengLin Road, Shanghai, 200032, People's Republic of China.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, People's Republic of China., Zhu Y; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, 180 FengLin Road, Shanghai, 200032, People's Republic of China.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, People's Republic of China., Qu YF; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, 180 FengLin Road, Shanghai, 200032, People's Republic of China.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, People's Republic of China., Fu PY; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, 180 FengLin Road, Shanghai, 200032, People's Republic of China.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, People's Republic of China., Chen WF; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, 180 FengLin Road, Shanghai, 200032, People's Republic of China.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, People's Republic of China., Zhou PH; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, 180 FengLin Road, Shanghai, 200032, People's Republic of China. zhou.pinghong@zs-hospital.sh.cn.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, People's Republic of China. zhou.pinghong@zs-hospital.sh.cn., Li QL; Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, 180 FengLin Road, Shanghai, 200032, People's Republic of China. li.quanlin@zs-hospital.sh.cn.; Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, People's Republic of China. li.quanlin@zs-hospital.sh.cn. |
| Πηγή: | Surgical endoscopy [Surg Endosc] 2023 Dec; Vol. 37 (12), pp. 9183-9189. Date of Electronic Publication: 2023 Oct 16. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Springer Country of Publication: Germany NLM ID: 8806653 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2218 (Electronic) Linking ISSN: 09302794 NLM ISO Abbreviation: Surg Endosc Subsets: MEDLINE |
| Imprint Name(s): | Publication: 1992- : New York : Springer Original Publication: [Berlin] : Springer International, c1987- |
| Ιατρικοί όροι (MeSH): | Endoscopic Mucosal Resection*/adverse effects , Stomach Neoplasms*/surgery, Humans ; Retrospective Studies ; Endoscopy ; Risk Factors ; Treatment Outcome |
| Περίληψη: | Background and Aim: Endoscopic resection (ER) has been used to remove submucosal tumors (SMTs) in recent years; however, duodenal ER is associated with high rates of immediate or delayed bleeding and perforation. Whether ER can be recommended for the treatment of duodenal SMTs remains controversial. Therefore, we aimed to investigate the clinical outcomes associated with the ER of duodenal SMTs and to assess possible predictive factors for complications and incomplete resection. Methods: This retrospective study included 141 patients with duodenal SMTs. The therapeutic outcomes from ER and procedure-related complications were analyzed. Results: Of the 141 patients, 78.7% achieved complete resection and nine (6.4%) developed complications. The multivariate analysis suggested that location near the duodenal papilla (P = 0.010) and diameter exceeding 15 mm (P = 0.091) of duodenal SMTs were independent risk factors for complications in ER. Besides, submucosal fibrosis (P = 0.042), location near the duodenal papilla (P = 0.049), and irregular morphology (P = 0.067) were independent risk factors for incomplete resection. Conclusions: ER can be recommended as an effective and minimally invasive treatment for duodenal SMTs. (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.) |
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| Grant Information: | 82170555 National Natural Science Foundation of China; 22XD1422400 Shanghai Academic/Technology Research Leader; 2022SG06 Shuguang Program of Shanghai Education Development Foundation and Shanghai Municipal Education Commission; 20224Z0005 Rising Stars of Medical Talent |
| Contributed Indexing: | Keywords: Complication; Duodenal SMTs; Endoscopic resection; Incomplete resection |
| Entry Date(s): | Date Created: 20231016 Date Completed: 20231216 Latest Revision: 20261010 |
| Update Code: | 20261010 |
| DOI: | 10.1007/s00464-023-10455-6 |
| PMID: | 37845536 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1432-2218 |
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| DOI: | 10.1007/s00464-023-10455-6 |