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Endoscopy 2004; 36(7): 651-655
DOI: 10.1055/s-2004-814539
Review
© Georg Thieme Verlag Stuttgart · New York

Local Endoscopic Removal of Duodenal Carcinoid Tumors

J.  Dalenbäck1 , G.  Havel2
  • 1Dept. of Surgery, Frölunda Specialist Hospital, University of Gothenburg, Sweden
  • 2Dept. of Pathology, Capio Diagnostik Ltd., Central Hospital, Skövde, Sweden
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Publikationsverlauf

Submitted 16 May 2003

Accepted after Revision 20 February 2004

Publikationsdatum:
09. Juli 2004 (online)

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A swift and aggressive diagnostic and therapeutic approach is advisable when managing submucosal or polypoid lesions in the duodenum, since it is not possible to distinguish small, benign, and unremarkable duodenal growths macroscopically from malignant tumors such as carcinoids. This paper presents a systematic review of the published literature listed in Medline, focusing on the results after endoscopic treatment of duodenal carcinoids during the last 15 years; on the biological behavior of duodenal carcinoids; and on the endoscopic appearance of duodenal carcinoids. Endoscopic ultrasonography (EUS) is extremely useful in the diagnostic and preoperative work-up. The results indicate that endoscopic removal of duodenal carcinoids smaller than 1 cm that are located outside the periampullary region, with no EUS signs of invasion of the muscularis propria, is a safe, patient-friendly, adequate, and effective treatment.

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J. Dalenbäck, M. D., Ph. D.

Dept. of Surgery, Frölunda Specialist Hospital, Box 133

S-42122 Västra Frölunda/Gothenburg · Sweden

Fax: +46-31-3425079

eMail: jan.dalenback@vgregion.se