ArticleJournal of Zhejiang University. Science. B2008
Values of endoscopic ultrasonography for diagnosis and treatment of duodenal protruding lesions.
Article in Journal of Zhejiang University. Science. B, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Effectiveness and safety of over-the-scope clip in closing perforations after duodenal surgery.World journal of gastroenterology · 2021Article
- A giant Brunner's gland hamartoma being treated as a pedunculated polyp: a case report.BMC gastroenterology · 2019Article
- Safety of endoscopic resection for duodenal subepithelial lesions with wound closure using clips and an endoloop: an analysis of 68 cases.Surgical endoscopy · 2017Article
- Pancreatic lipoma: a pancreatic incidentaloma; diagnosis with ultrasound, computed tomography and magnetic resonance imaging.BJR case reports · 2016Article
- Duodenal subepithelial hyperechoic lesions of the third layer: Not always a lipoma.World journal of gastrointestinal endoscopy · 2013Article
- Sonographic features of duodenal lipomas in eight clinicopathologically diagnosed patients.World journal of gastroenterology · 2011Article
- The value of endoscopic ultrasonography on diagnosis and treatment of esophageal hamartoma.Journal of Zhejiang University. Science. B · 2008Article
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Abstract
objectiveThe diagnoses of patients with duodenal protruding lesions are difficult when using conventional examinations such as computed tomography (CT) and conventional endoscope etc. Thus, we investigated the clinical value of endoscopic ultrasonography (EUS) with miniature ultrasonic probes on the diagnosis and treatment of duodenal protruding lesions.
methodsPatients with duodenal protruding lesions who were indicated for EUS were examined by EUS with 12 approximately 15 MHz miniature ultrasonic probes and double-cavity electronic endoscope. According to diagnosis of EUS, those patients were indicated for biopsy and treatment received biopsy, endoscopic resection or surgical excision. The postoperative histological results were compared with the preoperative diagnosis of EUS. Those patients without endoscopic resection or surgical excision were periodically followed up with EUS.
resultsA total of 169 patients with duodenal protruding lesions were examined by EUS, of which 40 were diagnosed with cysts, 36 with inflammatory protruding or polyp, 25 with Brunner's gland adenoma, 19 with ectopic pancreas, 17 with gastrointestinal stromal tumor, 12 with extrinsic compression, 12 with minor papilla, 6 with lipoma, 1 with adenocarcinoma and 1 with lymphoma. After EUS examinations, 75 patients received biopsy, endoscopic resection or surgical excision respectively. The postoperative histological results of 70 patients were completely consistent with the preoperative diagnosis of EUS, with 93.33% diagnostic accuracy. The results of follow-up with EUS indicated that duodenal cyst, Brunner's gland adenoma, ectopic pancreas, gastrointestinal stromal tumor and lipoma remained unchanged within 1 approximately 3 years. No related complications occurred among all patients that received EUS examinations.
conclusionEUS is an effective and reliable diagnostic method for duodenal protruding lesions.
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