Document Detail

A case series of symptomatic intraluminal duodenal duplication cysts: presentation, endoscopic therapy, and long-term outcome (with video).
MedLine Citation:
PMID:  18155438     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Duodenal duplication cysts are rare congenital anomalies. Symptomatic cases have classically been treated by surgical resection, which can be complex because of the close proximity of the cysts to the papilla. OBJECTIVE: To describe a series of 8 patients with symptomatic duodenal duplication cysts who were treated endoscopically, with a special focus on the long-term outcome. DESIGN: Retrospective case series. SETTING: Three tertiary-care European academic hospitals. PATIENTS: Eight patients, age 8 to 72 years, were treated endoscopically for symptomatic intraluminal duodenal duplication cysts between 1981 and 2006. Seven patients presented with acute pancreatitis, and one patient presented with jaundice. INTERVENTION: Endoscopic incision and marsupialization of the cysts was performed by using a variety of endoscopic tools (needle-knife and regular sphincterotomes, cystotomes, and polypectomy snares). MAIN OUTCOME MEASUREMENTS: Technical success of endoscopic intervention and long-term clinical recurrence of symptoms. RESULTS: No major complications occurred. All patients remained asymptomatic at a median follow-up of 7.3 years. LIMITATIONS: Retrospective study; the small number of patients. CONCLUSIONS: The endoscopic treatment of symptomatic intraluminal duodenal duplication cysts is a safe and effective technique, with excellent long-term results. It represents a minimally invasive alternative to surgical resection and might be considered the preferred therapeutic modality for these cases.
Fadi Antaki; Andrea Tringali; Pierre Deprez; Vu Kwan; Guido Costamagna; Olivier Le Moine; Myriam Delhaye; Michel Cremer; Jacques Devière
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  Gastrointestinal endoscopy     Volume:  67     ISSN:  0016-5107     ISO Abbreviation:  Gastrointest. Endosc.     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2007-12-24     Completed Date:  2008-03-12     Revised Date:  2009-04-16    
Medline Journal Info:
Nlm Unique ID:  0010505     Medline TA:  Gastrointest Endosc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  163-8     Citation Subset:  IM    
Brussels, Belgium, Rome, Italy.
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MeSH Terms
Acute Disease
Cysts / diagnosis,  surgery*
Duodenum / abnormalities*,  surgery*
Endoscopy, Gastrointestinal
Middle Aged
Pancreatitis / etiology
Retrospective Studies
Treatment Outcome
Comment In:
Gastrointest Endosc. 2008 Dec;68(6):1244; author reply 1244-5   [PMID:  19028244 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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