Superficial nonampullary duodenal epithelial tumor
Conditions
Interventions
Underwater EMR with injection (UEMRI) group
after dotted marking, a small amount of saline is injected to submucosal layer. The lumen is deflated and filled with saline. The floating lesion is grasped and resected with a electrosurgical snare.
after dotted marking, saline is injected submucosal layer. The lesion is grasped and resected with a electrosurgical snare. After confirming that there are no bleeding, perforation and residual lesion
Sponsors
Nagasaki University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1) Superficial nonampullary duodenal epithelial tumors with a size between 5 mm to 20 mm. 2) Adenoma or intramucosal cancer
Exclusion criteria
Exclusion criteria: 1) Lesions near the papillae 2) Suspect of submucosal invasive cancer 3) Residual lesions after endoscopic resection 4) Patients related with FAP or Lynch syndrome 5) Patients with hematological abnormality 6) Patients with severe organ failure 7) Patients who have been judged as inappropriate for this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| R0 resection rate | — |
Secondary
| Measure | Time frame |
|---|---|
| En bloc resection rate Remnant/recurrence rate at 6 months later after procedure Procedure time Total procedure time Adverse events rate | — |
Countries
Japan
Contacts
Public ContactKeiichi Hashiguchi
Nagasaki Unicersity Hospital Department of Endoscopy
Outcome results
None listed