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.
- Standort
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Deutsche Nationalbibliothek Frankfurt am Main
- Umfang
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Online-Ressource
- Sprache
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Englisch
- Erschienen in
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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
- Beteiligte Personen und Organisationen
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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
- Rechteinformation
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Letzte Aktualisierung
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15.08.2025, 07:30 MESZ
Datenpartner
Deutsche Nationalbibliothek. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.
Beteiligte
- Ciocirlan, Mihai
- Opri, Diana Lavinia
- Bilous, Dana Maria
- Leucuta, Daniel-Corneliu
- Tianu, Elena
- Vladut, Catalina
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