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Endoscopic management of superficial nonampullary duodenal tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F21%3A00074443" target="_blank" >RIV/65269705:_____/21:00074443 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216224:14110/21:00121430

  • Result on the web

    <a href="https://www.thieme-connect.de/products/ejournals/html/10.1055/a-1442-2395" target="_blank" >https://www.thieme-connect.de/products/ejournals/html/10.1055/a-1442-2395</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1055/a-1442-2395" target="_blank" >10.1055/a-1442-2395</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Endoscopic management of superficial nonampullary duodenal tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline

  • Original language description

    Main recommendations 1 ESGE recommends that all duodenal adenomas should be considered for endoscopic resection as progression to invasive carcinoma is highly likely. Strong recommendation, low quality evidence. 2 ESGE recommends performance of a colonoscopy, if that has not yet been done, in cases of duodenal adenoma. Strong recommendation, low quality evidence. 3 ESGE recommends the use of the cap-assisted method when the location of the minor and/or major papilla and their relationship to a duodenal adenoma is not clearly established during forward-viewing endoscopy. Strong recommendation, moderate quality evidence. 4 ESGE recommends the routine use of a side-viewing endoscope when a laterally spreading adenoma with extension to the minor and/or major papilla is suspected. Strong recommendation, low quality evidence. 5 ESGE suggests cold snare polypectomy for small (&lt;6 mm in size) nonmalignant duodenal adenomas. Weak recommendation, low quality evidence. 6 ESGE recommends endoscopic mucosal resection (EMR) as the first-line endoscopic resection technique for nonmalignant large nonampullary duodenal adenomas. Strong recommendation, moderate quality evidence. 7 ESGE recommends that endoscopic submucosal dissection (ESD) for duodenal adenomas is an effective resection technique only in expert hands. Strong recommendation, low quality evidence. 8 ESGE recommends using techniques that minimize adverse events such as immediate or delayed bleeding or perforation. These may include piecemeal resection, defect closure techniques, noncontact hemostasis, and other emerging techniques, and these should be considered on a case-by-case basis. Strong recommendation, low quality evidence. 9 ESGE recommends endoscopic surveillance 3 months after the index treatment. In cases of no recurrence, a further follow-up endoscopy should be done 1 year later. Thereafter, surveillance intervals should be adapted to the lesion site, en bloc resection status, and initial histological result. Strong recommendation, low quality evidence.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30219 - Gastroenterology and hepatology

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2021

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Endoscopy

  • ISSN

    0013-726X

  • e-ISSN

  • Volume of the periodical

    53

  • Issue of the periodical within the volume

    05

  • Country of publishing house

    DE - GERMANY

  • Number of pages

    13

  • Pages from-to

    522-534

  • UT code for WoS article

    000637020000002

  • EID of the result in the Scopus database

    2-s2.0-85103951093