Clinical efficacy of endoscopic resection of duodenal papilla tumor:A report of 36 cases
Abstract:Objective To evaluate therapeutic effect of endoscopy on duodenal papilla tumor, and the prevention and treatment methods of its complications. Methods The clinical data of 36 patients underwent the endoscopic duodenal papilla tumor resection in Zhongshan Hospital of Fudan University from January 2010 to May 2017 were studied retrospectively. Results A total of 36 patients underwent 38 procedures successfully. Among 29 cases without postoperative metallic clips closured, perforation occurred in 1 case (3.4%), delayed bleeding occurred in 5 cases (17.2%), postoperative pancreatitis occurred in 3 cases (10.3%), biliary ducts inflammation occurred in 2 cases (6.9%), and pancreaticobiliary strictures occurred in 1 case (3.4%). Among 9 cases of postoperative metallic clips closured, there was no delayed bleeding, perforation, and postoperative pancreatitis; biliary ducts inflammation occurred in 1 case (11.1%), and pancreaticobiliary strictures occurred in 1 case (11.1%). After following up 30.5(1.0~85.0)months, there were 2 recurrent patients, and both were treated by endoscopy. Conclusion Endoscopic treatment of duodenal papilla tumor may be effective. The incidence of complication is high, but postoperative clips closured may reduce the complications.
Keywords:endoscopeduodenal papilla tumorcomplicationdelayed bleedingstent
Publication Date:2017-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:4( 888-891 )
