scholarly journals A Case of Endoscopic Mucosal Resection of Carcinoma in Adenoma at the Minor Duodenal Papilla

2019 ◽  
Vol 12 (2) ◽  
pp. 354-363
Author(s):  
Yohei Kawashima ◽  
Masami Ogawa ◽  
Yoko Yamaji ◽  
Toshiki Kodama ◽  
Masashi Yokota ◽  
...  
Keyword(s):  
Endoscopic Mucosal Resection ◽  
Papillary Adenocarcinoma ◽  
Magnetic Resonance Images ◽  
Sigmoid Colon Cancer ◽  
Upper Gastrointestinal Endoscopy ◽  
Duodenal Papilla ◽  
Minor Duodenal Papilla ◽  
Mucosal Resection ◽  
Elevated Lesion ◽  
Upper Gastrointestinal

Here, we describe a case of minor papillary adenocarcinoma in adenoma that was treated with endoscopic mucosal resection (EMR). In a 67-year-old woman, sigmoid colon cancer was incidentally detected on preoperative upper gastrointestinal endoscopy. Endoscopy revealed a slightly elevated lesion at the minor duodenal papilla. The findings of a histopathologic examination were suggestive of adenocarcinoma. Computed tomography and magnetic resonance images identified a minute tumor, whereas endoscopic ultrasonography revealed that the tumor did not spread to the pancreas. We performed EMR of this lesion. There were no complications, and relapse has not occurred in 3 years. Cases of minor papillary adenocarcinoma treated with EMR are quite rare.

7089 Endoscopic mucosal resection technique for upper gastrointestinal submucosal tumor.

2000 ◽  
Vol 51 (4) ◽  
pp. AB264
Author(s):  
Chun-Jung Lin ◽  
Cheng-Tang Chiu ◽  
Yin-Yi Chu ◽  
Rong-Nan Chien ◽  
Pang-Chi Chen ◽  
...  
Keyword(s):  
Endoscopic Mucosal Resection ◽  
Submucosal Tumor ◽  
Mucosal Resection ◽  
Upper Gastrointestinal

scholarly journals Surveillance in Peutz-Jeghers syndrome: a case report

2017 ◽  
Vol 4 (3) ◽  
pp. 854 ◽  
Author(s):  
Sabarinathan Ramanathan ◽  
Pugazhendhi Thangavel ◽  
Ratnakar Kini ◽  
Kani Shaikh Mohamed ◽  
Premkumar Karunakaran ◽  
...  
Keyword(s):  
Case Report ◽  
Endoscopic Mucosal Resection ◽  
Male Patient ◽  
Right Hemicolectomy ◽  
Mucosal Resection ◽  
Peutz Jeghers Syndrome ◽  
Surveillance Endoscopy ◽  
Upper Gastrointestinal ◽  
Snare Polypectomy

Study performed surveillance endoscopy in a 23-year-old male patient with Peutz-Jeghers syndrome (PJS) who underwent right hemicolectomy with ileo-colic anastamosis for ileo-colic intussusception three years back. On evaluation, he found to have multiple upper gastrointestinal and ileal polyps. Subsequently he underwent polypectomies in three sessions by combined standard snare polypectomy and endoscopic mucosal resection (EMR) method without any complication. We present a case report that emphasizes the importance of surveillance and the role of prophylactic polypectomy in patients with PJS.

scholarly journals Ligation assisted endoscopic mucosal resection of neuroendocrine tumor of duodenal bulb: a case report with a follow up of 24 months

2019 ◽  
Vol 8 (1) ◽  
pp. 18-20
Author(s):  
Umid Kumar Shestha ◽  
Gopi Aryal
Keyword(s):  
Neuroendocrine Tumor ◽  
Distant Metastasis ◽  
Gastrointestinal Endoscopy ◽  
Duodenal Bulb ◽  
Upper Gastrointestinal Endoscopy ◽  
Solitary Lesion ◽  
Free Margin ◽  
Mucosal Resection ◽  
Upper Gastrointestinal

Duodenal neuroendocrine tumor (NET) is a rare solitary lesion arising from the mucosa and submucosa of the duodenum, which is found incidentally during upper gastrointestinal endoscopy. Eendoscopic Mucosal Resection (EMR) has been the commonly used endoscopic procedure for duodenal carcinoid tumors, but the conventional EMR done to resect duodenal NET s is likely to have positive vertical margins. However, the ligation assisted EMR has recently been shown to be a promising technique for the treatment of duodenal NET that can have a negative free margin. In our study, we present a patient of 51-year-old male, who presented with pain over epigastrium and upper gastrointestinal endoscopy revealed a small submucosal lesion of 10 mm in the duodenal bulb. The endoscopic ultrasound showed the lesion arising from the echo layer three. The biopsy was taken which showed the duodenal NET. The computed tomography of abdomen did not show any evidence of distant metastasis. The EMR of duodenal NET was done by band ligation technique. The biopsy from the resected duodenal lesion confirmed the duodenal NET with the margin free of the tumor. The patient was followed at 6, 12, 18 and 24 months. During the follow up visits, the repeat upper gastrointestinal endoscopy did not show recurrence of the lesion and there was no any evidence of distant metastasis either. Ligation assisted EMR is an acceptable treatment in the hands of expert for small duodenal NET without the evidence of metastasis and can ensure the complete removal of the lesion with vertical free margin.

Endoscopic Mucosal Resection for Early Cancers of the Upper Gastrointestinal Tract

2005 ◽  
Vol 23 (20) ◽  
pp. 4490-4498 ◽  
Author(s):  
Roy Soetikno ◽  
Tonya Kaltenbach ◽  
Ronald Yeh ◽  
Takuji Gotoda
Keyword(s):  
Gastrointestinal Tract ◽  
Endoscopic Mucosal Resection ◽  
Standard Technique ◽  
Upper Gastrointestinal Tract ◽  
Major Surgery ◽  
En Bloc ◽  
Mucosal Resection ◽  
Efficacious Treatment ◽  
Invasive Techniques ◽  
Upper Gastrointestinal

The purpose of this literature review is to examine recent advances in technique and technology of endoscopic mucosal resection of superficial early cancers of the upper gastrointestinal tract. Endoscopic mucosal resection (EMR) of superficial early cancers of the upper gastrointestinal tract is standard technique in Japan and is increasingly used in Western countries. Newer techniques of EMR allow removal of larger lesions en-bloc. These minimally invasive techniques, when applied correctly, allow safe and efficacious treatment in situations that would otherwise require major surgery. Through the establishment of long-term outcomes data, standardization of endoscopic and pathologic reporting, and newer EMR technology and techniques, the future treatment of early cancers in the upper gastrointestinal tract may be achieved primarily through the endoscope.

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