Cold snare resection for non-ampullary sporadic duodenal adenomas: systematic review and meta-analysis
Background and study aims The role of cold snare polypectomy (CSP) in curative resection of non-ampullary sporadic duodenal adenomas (NASDA) is debated. We conducted a systematic review and meta-analysis to investigate the efficacy and safety of CSP for NASDA. Patients and methods In this systematic review and meta-analysis, we identified published series of patients with CSP for NASDA by searching PubMed and Google Scholar, which resulted in six papers (205 lesions). The main outcome was the rate of local remission after repeated CSP, the secondary outcomes were rates of local remission at first control and rates for delayed bleeding and immediate perforations. We computed the weighted summary proportions under the fixed and random effects model. Results The pooled proportion of local remission after repeated CSP was 88% (95% confidence interval [CI] 57%-100%). The pooled proportion of local remission at first control was 81% (95% CI 55%-98%), the pooled proportion of delayed bleeding was 1% (95% CI 0%-4%) and the pooled proportion of immediate perforation was 0% (95% CI 0%-2%). Conclusions Our meta-analysis suggests that CSP should be considered as the first-line therapy for NASDA.
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Bibliographic citation
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Cold snare resection for non-ampullary sporadic duodenal adenomas: systematic review and meta-analysis ; volume:11 ; number:11 ; year:2023 ; pages:E1020-E1025
Endoscopy International Open ; 11, Heft 11 (2023), E1020-E1025
- Contributor
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Ciocirlan, Mihai
Opri, Diana Lavinia
Bilous, Dana Maria
Leucuta, Daniel-Corneliu
Tianu, Elena
Vladut, Catalina
- DOI
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10.1055/a-2185-6192
- URN
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urn:nbn:de:101:1-2023122810410421899992
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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15.08.2025, 7:30 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Ciocirlan, Mihai
- Opri, Diana Lavinia
- Bilous, Dana Maria
- Leucuta, Daniel-Corneliu
- Tianu, Elena
- Vladut, Catalina
Other Objects (12)
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Sporadic non-ampullary duodenal adenoma with low-grade dysplasia: Natural history and clinical management
Cold snare polypectomy for duodenal adenomas in familial adenomatous polyposis: a prospective international cohort study
Cold snare piecemeal resection of a large ampullary adenoma
Safety of cold snare polypectomy for duodenal adenomas in familial adenomatous polyposis: a prospective exploratory study
Endocytoscopic Observation of Non-Ampullary Mucosal Duodenal Cancer
Successful endoscopic submucosal dissection for triple sporadic nonampullary duodenal adenomas using a “push and peel off” technique
Prospective multicenter study of the efficacy and safety of cold forceps polypectomy for ≤ 6-mm non-ampullary duodenal low-grade adenomas
Prospective multicenter study of the efficacy and safety of cold forceps polypectomy for ≤ 6-mm non-ampullary duodenal low-grade adenomas
Clinical usefulness of magnifying endoscopy for non-ampullary duodenal tumors
Endoscopic management of non-ampullary duodenal adenomas
Outcomes of endoscopic mucosal resection for large superficial non-ampullary duodenal adenomas
Anchoring the snare tip using a small incision in the submucosa facilitates en bloc endoscopic mucosal resection for sporadic duodenal adenomas
Sporadic non-ampullary duodenal adenoma with low-grade dysplasia: Natural history and clinical management
Cold snare polypectomy for duodenal adenomas in familial adenomatous polyposis: a prospective international cohort study
Cold snare piecemeal resection of a large ampullary adenoma
Safety of cold snare polypectomy for duodenal adenomas in familial adenomatous polyposis: a prospective exploratory study
Endocytoscopic Observation of Non-Ampullary Mucosal Duodenal Cancer
Successful endoscopic submucosal dissection for triple sporadic nonampullary duodenal adenomas using a “push and peel off” technique
Prospective multicenter study of the efficacy and safety of cold forceps polypectomy for ≤ 6-mm non-ampullary duodenal low-grade adenomas
Prospective multicenter study of the efficacy and safety of cold forceps polypectomy for ≤ 6-mm non-ampullary duodenal low-grade adenomas
Clinical usefulness of magnifying endoscopy for non-ampullary duodenal tumors
Endoscopic management of non-ampullary duodenal adenomas
Outcomes of endoscopic mucosal resection for large superficial non-ampullary duodenal adenomas
Anchoring the snare tip using a small incision in the submucosa facilitates en bloc endoscopic mucosal resection for sporadic duodenal adenomas
Sporadic non-ampullary duodenal adenoma with low-grade dysplasia: Natural history and clinical management
Cold snare polypectomy for duodenal adenomas in familial adenomatous polyposis: a prospective international cohort study
Cold snare piecemeal resection of a large ampullary adenoma
Safety of cold snare polypectomy for duodenal adenomas in familial adenomatous polyposis: a prospective exploratory study
Endocytoscopic Observation of Non-Ampullary Mucosal Duodenal Cancer
Successful endoscopic submucosal dissection for triple sporadic nonampullary duodenal adenomas using a “push and peel off” technique
Prospective multicenter study of the efficacy and safety of cold forceps polypectomy for ≤ 6-mm non-ampullary duodenal low-grade adenomas
Prospective multicenter study of the efficacy and safety of cold forceps polypectomy for ≤ 6-mm non-ampullary duodenal low-grade adenomas