| Featured Session 2 (JGES,JSGE,JSGS) |
| Fri. November 1st 14:40 - 17:00 Room 1: Kobe International Exhibition Hall No.2 Building Hall (North) |
| Endoscopic retreatment for SDET | |||
| Takashi Hirose1, Kazuhiro Furukawa2, Hiroki Kawashima2 | |||
| 1Department of Endoscopy, Nagoya University Hospital, 2Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine | |||
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| Endoscopic treatment of superficial duodenal epithelial tumor (SDET) has been increasingly reported. According to the guidelines, strict follow-up can be considered because subsequent endoscopic treatment is effective and shows a good prognosis. In this video, we present two cases of endoscopic treatment of residual recurrence after endoscopic/surgical treatment of SDET. Case 1. Male in his 60s. A papillectomy was performed 15 years ago. The patient's visits to the clinic had been interrupted for some reason. A 40mm-sized flat-elevated lesion was found. Although the patient had a high degree of scar deformity due to previous treatment, we performed en bloc resection by ESD. The post-treatment course was excellent, and the resection pathology showed intramucosal carcinoma, and radical resection was achieved. Case 2. A man in his 80s. Five years ago, distal gastrectomy was performed for SDET. EGD after treatment showed recurrence at the anastomosis. Biopsy revealed an adenoma, and carefully follow up was performed. However, the lesion tended to increase with time. A flat-elevated lesion 30 mm in size and approximately half circumference of the anastomosis. The patient underwent en bloc resection by ESD. The resected pathology showed a highly atypical adenoma, and radical resection was achieved. When recurrent lesions are diagnosed as intramucosal, most of them can be endoscopically treated again. However, appropriate follow-up is very important to avoid missing the timing of treatment. |
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Index Term 1: superficial duodenal epithelial tumor Index Term 2: ESD |
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