Endoscopic resection of non-ampullary duodenal adenomas: Is cold snaring the promised land?

作     者：Ludovico Alfarone Marco Spadaccini Gianluca Franchellucci Kareem Khalaf Davide Massimi Alessandro De Marco Silvia Ferretti Valeria Poletti Antonio Facciorusso Roberta Maselli Alessandro Fugazza Matteo Colombo Antonio Capogreco Silvia Carrara Cesare Hassan Alessandro Repici 

作者机构：Department of Biomedical SciencesHumanitas UniversityRozzano 20089Italy Department of GastroenterologyDivision of Gastroenterology and Digestive EndoscopyHumanitas Research HospitalIRCCSRozzano 20089MilanItaly Division of GastroenterologySt.Michael's HospitalUniversity of TorontoToronto M5B 1W8Canada Gastroenterology UnitDepartment of Medical SciencesUniversity of FoggiaFoggia 71100Italy 

出 版 物：《World Journal of Gastrointestinal Endoscopy》 (世界胃肠内镜杂志（英文版）（电子版）)

年 卷 期：2023年第15卷第4期

页      面：248-258页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Non-ampullary duodenal adenomas Endoscopic resection Cold snare polypectomy Hot snare polypectomy Safety Efficacy 

摘      要：Due to the high risk of morbidity and mortality associated with surgical resection in this tract,endoscopic resection(ER)has taken the place of surgical resection as the first line treatment for non-ampullary duodenal ***,due to the anatomical characteristics of this area,which enhance the risk of post-ER problems,ER in the duodenum is particularly *** to a lack of data,no ER technique for superficial non-ampullary duodenal epithelial tumours(SNADETs)has yet been backed by strong,high-quality evidence;yet,traditional hot snare-based techniques are still regarded as the standard *** having a favourable efficiency profile,adverse events during duodenal hot snare polypectomy(HSP)and hot endoscopic mucosal resection,such as delayed bleeding and perforation,have been reported to be *** events are primarily caused by electrocautery-induced ***,ER techniques with a better safety profile are needed to overcome these *** snare polypectomy,which has already been shown as a safer,equally effective pro-cedure compared to HSP for treatment of small colorectal polyps,is being increasingly evaluated as a potential therapeutic option for non-ampullary duodenal *** aim of this review is to report and discuss the early outcomes of the first experiences with cold snaring for SNADETs.