ENDOSCOPIC MUCOSAL RESECTION IN THE SECOND POTION OF THE DUODENUM-REPORT OF 3 CASES-

  • HARA Etsuo
    Second Department of Internal Medine, Shinshu University School of Medicine
  • AKAMATSU Taiji
    Department of Gastroen tero logilcal En doscoP.v, Shinshtt Universit.y School of Medicine
  • NAKAMURA Naoshi
    Second Department of Internal Medine, Shinshu University School of Medicine
  • SHIMIZU Tosiki
    Department of Clinical Laboratonyv Medicine, Slzinshu University School of Medicine
  • MUKAWA Kenji
    Department of Clinical Laboratonyv Medicine, Slzinshu University School of Medicine
  • MAEJIMA Shinya
    Department of Clinical Laboratonyv Medicine, Slzinshu University School of Medicine
  • FUJIMORI Kazuya
    Department of Clinical Laboratonyv Medicine, Slzinshu University School of Medicine
  • FURUYA Naoyuki
    Department of Clinical Laboratonyv Medicine, Slzinshu University School of Medicine
  • MATSUBAYASHI Kiyoshi
    Department of Clinical Laboratonyv Medicine, Slzinshu University School of Medicine
  • KIYOSAWA Kendou
    Department of Clinical Laboratonyv Medicine, Slzinshu University School of Medicine
  • KATSUYAMA Tsutomu
    Department of Clinical Laboratonyv Medicine, Slzinshu University School of Medicine
  • NAKAMURA Yoshiyuki
    Departmentof Internal Medicine, Iida Municipal Hospital

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Other Title
  • 内視鏡的粘膜切除術を施行した十二指腸下行部広基性隆起性病変の3例

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Abstract

Three cases of sessile protruded lesion in the second portion of the duodenum perfomedendoscopic mucosal resection (EMR) are reported. ln each case, the lesion was completelyresected by‘strip biopsy’ using 2 channel endoscope (2 cases w/ith the Olimpus GIF-2T200, 1 case with the Olimpus XGIF-2TK200) . Histologically they vvTere diagnosed as duodenaltubular adenoma, carcinoid tumor, and atypical hyperplasia of Brunner's gland, respectively. Resected margins were free of lesion in all cases. Hemorrhage occurred in 2 cases, butboth cases recovered byendoscopic and conservative treatment. <BR> It is possible to perform EMR in the second potion of the duodenum as well as in thestomach and colon, but the choice of endoscope depending on the region of lesion and thepreparation for avoiding complication were thought to be necessary.

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