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@article{1761819,
author = {Vanbiervliet, G. and Moss, A. and Arvanitakis, M. and Arnelo, U. and Beyna, T. and Busch, O. and Deprez, P. H. and Kunovský, Lumír and Larghi, A. and Manes, G. and Napoleon, B. and Nalankilli, K. and Nayar, M. and PerezandCuadradoandRobles, E. and Seewald, S. and Strijker, M. and Barthet, M. and van Hooft, J. E.},
article_location = {STUTTGART},
article_number = {05},
doi = {http://dx.doi.org/10.1055/a-1442-2395},
keywords = {superficial nonampullary duodenal tumors; endoscopic management},
language = {eng},
issn = {0013-726X},
journal = {Endoscopy},
title = {Endoscopic management of superficial nonampullary duodenal tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline},
url = {https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-1442-2395},
volume = {53},
year = {2021}
}
TY - JOUR
ID - 1761819
AU - Vanbiervliet, G. - Moss, A. - Arvanitakis, M. - Arnelo, U. - Beyna, T. - Busch, O. - Deprez, P. H. - Kunovský, Lumír - Larghi, A. - Manes, G. - Napoleon, B. - Nalankilli, K. - Nayar, M. - Perez-Cuadrado-Robles, E. - Seewald, S. - Strijker, M. - Barthet, M. - van Hooft, J. E.
PY - 2021
TI - Endoscopic management of superficial nonampullary duodenal tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline
JF - Endoscopy
VL - 53
IS - 05
SP - 522-534
EP - 522-534
PB - GEORG THIEME VERLAG KG
SN - 0013726X
KW - superficial nonampullary duodenal tumors
KW - endoscopic management
UR - https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-1442-2395
N2 - 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 (<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.
ER -
VANBIERVLIET, G., A. MOSS, M. ARVANITAKIS, U. ARNELO, T. BEYNA, O. BUSCH, P. H. DEPREZ, Lumír KUNOVSKÝ, A. LARGHI, G. MANES, B. NAPOLEON, K. NALANKILLI, M. NAYAR, E. PEREZ-CUADRADO-ROBLES, S. SEEWALD, M. STRIJKER, M. BARTHET a J. E. VAN HOOFT. Endoscopic management of superficial nonampullary duodenal tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. \textit{Endoscopy}. STUTTGART: GEORG THIEME VERLAG KG, 2021, roč.~53, č.~05, s.~522-534. ISSN~0013-726X. Dostupné z: https://dx.doi.org/10.1055/a-1442-2395.
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