دورية أكاديمية
Endoscopic treatment for early duodenal papillary carcinoma: long-term outcomes.
| العنوان: | Endoscopic treatment for early duodenal papillary carcinoma: long-term outcomes. |
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| المؤلفون: | Wang Y; Department of Gastroenterology, Hangzhou First People's Hospital, Hangzhou, Zhejiang, China.; Department of Gastroenterology, Yuhang First People's Hospital, Hangzhou, Zhejiang, China., Khizar H; Department of Gastroenterology, Hangzhou First People's Hospital, Hangzhou, Zhejiang, China.; Department of Oncology, The Fourth Affiliated Hospital, International Institute of Medicine, Zhejiang University School of Medicine, Hangzhou, China., Zhou H; Department of Gastroenterology, Hangzhou First People's Hospital, Hangzhou, Zhejiang, China., Jin H; Department of Gastroenterology, Hangzhou First People's Hospital, Hangzhou, Zhejiang, China., Lou Q; Department of Gastroenterology, Hangzhou First People's Hospital, Hangzhou, Zhejiang, China., Zhang X; Department of Gastroenterology, Hangzhou First People's Hospital, Hangzhou, Zhejiang, China., Yang J; Department of Gastroenterology, Hangzhou First People's Hospital, Hangzhou, Zhejiang, China.; Key Laboratory of Clinical Cancer Pharmacology and Toxicology Research of Zhejiang Province, Hangzhou, Zhejiang, China.; Key Laboratory of Integrated Traditional Chinese and Western Medicine for Biliary and Pancreatic Diseases of Zhejiang Province, Hangzhou, Zhejiang, China.; Hangzhou Institute of Digestive Diseases, Hangzhou, Zhejiang, China. |
| المصدر: | Journal of gastroenterology and hepatology [J Gastroenterol Hepatol] 2024 Jul; Vol. 39 (7), pp. 1367-1373. Date of Electronic Publication: 2024 Mar 25. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Blackwell Scientific Publications Country of Publication: Australia NLM ID: 8607909 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1440-1746 (Electronic) Linking ISSN: 08159319 NLM ISO Abbreviation: J Gastroenterol Hepatol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Melbourne ; Boston : Blackwell Scientific Publications, c1986- |
| مواضيع طبية MeSH: | Duodenal Neoplasms*/surgery , Duodenal Neoplasms*/pathology , Duodenal Neoplasms*/mortality, Humans ; Male ; Female ; Middle Aged ; Aged ; Treatment Outcome ; Time Factors ; Carcinoma, Papillary/surgery ; Carcinoma, Papillary/pathology ; Carcinoma, Papillary/mortality ; Follow-Up Studies ; Adult ; Neoplasm Recurrence, Local ; Postoperative Complications/etiology ; Postoperative Complications/epidemiology ; Aged, 80 and over |
| مستخلص: | Background and Aim: This study aims to determine whether endoscopic papillectomy (EP) is a safe and effective treatment for early duodenal papillary carcinoma with long-term follow-up. Methods: From June 2012 to September 2022, 48 patients with early duodenal papilloma carcinoma who received endoscopic treatment were included. The histological types, percentage of complete resections, postoperative residuals, adverse events, and recurrences were evaluated. Results: EP was successful in all patients; 46 were lumped, and two were fragmented, with a 95.8% intact removal rate (46/48). The preoperative biopsy pathological positive rate was 70.8% (34/48). The incidence of early postoperative adverse events (within 1 month after EP) were 16.7% (8/48), including four cases of acute pancreatitis, three cases of delayed bleeding, and one case of acute cholangitis. In addition, 4.2% (2/48) of the late adverse events were bile duct stenosis. After 6 months, the postoperative residual rate was 0%. The median time to recurrence was 17.5 months, and the postoperative recurrence rate was 16.7% (8/48) in patients treated with radiofrequency ablation. The median progression-free survival was 18.6 months (95% CI, 12.1-25.1), and the median overall survival was 121.5 months (95% CI, 105.6-120.9). Conclusions: EP is a safe and efficient alternative therapy for early duodenal papillary carcinoma. Endoscopic follow-up and treatment are essential because of the potential for recurrence. (© 2024 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.) |
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| معلومات مُعتمدة: | GZY-ZJ-KJ-24093 Zhejiang Provincial Traditional Chinese Medicine Science and Technology Project; 2024C03048 Zhejiang Province's 2024 Key R&D Plan Project; 202004A14 Hangzhou Science and Technology Commission; OO20190001 Construction Fund of Medical Key Disciplines of Hangzhou; A20200132 Hangzhou Medical and Health Technology Project; 2021441076 Zhejiang Medical Health Science and Technology Program |
| فهرسة مساهمة: | Keywords: Endoscopic papillectomy; RFA; duodenal papillary carcinoma; long‐term follow‐up |
| تواريخ الأحداث: | Date Created: 20240326 Date Completed: 20240712 Latest Revision: 20240712 |
| رمز التحديث: | 20240712 |
| DOI: | 10.1111/jgh.16546 |
| PMID: | 38528742 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1440-1746 |
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| DOI: | 10.1111/jgh.16546 |