Retrospective Study
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Oct 7, 2020; 26(37): 5673-5681
Published online Oct 7, 2020. doi: 10.3748/wjg.v26.i37.5673
Preliminary experience of hybrid endoscopic submucosal dissection by duodenoscope for recurrent laterally spreading papillary lesions
Zi-Kai Wang, Fang Liu, Yun Wang, Xiang-Dong Wang, Ping Tang, Wen Li
Zi-Kai Wang, Fang Liu, Xiang-Dong Wang, Ping Tang, Wen Li, Department of Gastroenterology and Hepatology, The First Medical Center, Chinese PLA General Hospital, Beijing 100853, China
Yun Wang, Department of Pathology, The First Medical Center, Chinese PLA General Hospital, Beijing 100853, Beijing, China
Author contributions: Wang ZK and Liu F contributed equally to this manuscript; Li W and Wang ZK completed study conception and design, endoscopic operation; Wang ZK and Liu F wrote and edited the manuscript; Wang Y finished pathological analysis; Wang ZK, Liu F, Wang XD, and Tang P completed endoscopic operation, data analysis and interpretation.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of the PLA General Hospital, No. s2019-274-01.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent.
Conflict-of-interest statement: All authors declare no conflicts-of-interest related to this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wen Li, MD, PhD, Chief Doctor, Department of Gastroenterology and Hepatology, The First Medical Center, Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing 100853, China. liwen2000@yahoo.com
Received: June 15, 2020
Peer-review started: June 15, 2020
First decision: July 25, 2020
Revised: August 8, 2020
Accepted: September 12, 2020
Article in press: September 12, 2020
Published online: October 7, 2020
Core Tip

Core Tip: The management strategies for recurrent ampullary adenomas after endoscopic papillectomy are still controversial. Our preliminary experience showed that hybrid endoscopic submucosal dissection by duodenoscope could be feasible for recurrent, laterally spreading ampullary adenomas. Follow-up after hybrid endoscopic submucosal dissection showed no residual or recurrent lesions in ampullary areas. However, it should be performed with caution by experienced endoscopists in selected patients, and the effectiveness should be verified by large-scale studies.