Safety,Efficacy And Clinical Value Of Endoscopic Treatment For Duodenal Lesions

Objective To assess Safety,efficacy and the chnical value of endoscopic treatment for duodenal leisions.Methods A total of 59 patients with duodenal leisions were treated from December 2012 to December 2016.The clinical data were retrospectively analyzed.Results There were 31 male and 28 female patients,aged 17?81(58.2±13.3)years.The lesion location included the duodenal bulb(n=24,40.68%)and the descending part(n=21,25.42%).The diameter of the lesions ranged from 0.2 to 5.0(1.4±0.9).Thirty-nine(66.10%)lesions originated from the mucosa,including inflammatory/hyperplastic polyps(n=18,30.51%),villous/tubular adenoma(n=6,10.17%).Twenty(33.90%)lesions originated from the submucosa,including Brunner's glands adenoma(n=4,6.78%),ectopic pancreas(n=5,8.47%),lipoma(n=4,6.78%).There were 4 delayed bleeding,5 intraoperative perforation.Two patients received extended surgical resection later,and all the 59 patients showed no recurrence during the followed up(rang,3?30 months)using endoscopy.Conclusion Endoscopic treatment is a safe,effective,valuable method for the management of duodenal lesions.