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Endoscopic laser therapy for duodenal villous adenoma

Digestive Diseases and Sciences volume 34, pages 1466–1467 (1989)Cite this article

Summary

A 72-year-old woman had a 20-mm supraampullary villoglandular adenoma with a focal carcinomain situ. The neurological status of the patient did not allow any major surgical procedure. Therefore laser therapy was performed using the Nd:YAG laser. Six laser sessions were necessary to destroy the whole adenoma. After 30 months of follow-up, there was neither endoscopic nor histologic recurrence. The laser therapy should be therefore considered in treating large sessile duodenal villous adenoma occurring in inoperable patients. However, a repeated endoscopic surveillance must be performed.

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Affiliations

  1. Service d'Hépato-Gastroentérolgoie, Hôpital Antoine Béclère, 157, rue de la Porte de Trivaux, 92141, Clamart, France

    F. Paraf MD, S. Naveau MD, O. Zourabichvili MD, T. Poynard MD, PhD & J. C. Chaput MD

Authors
  1. F. Paraf MD
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  2. S. Naveau MD
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  3. O. Zourabichvili MD
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  4. T. Poynard MD, PhD
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  5. J. C. Chaput MD
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Paraf, F., Naveau, S., Zourabichvili, O. et al. Endoscopic laser therapy for duodenal villous adenoma. Digest Dis Sci 34, 1466–1467 (1989). https://doi.org/10.1007/BF01538087

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  • DOI: https://doi.org/10.1007/BF01538087

Key words

  • duodenal villous adenoma
  • Nd:YAG laser therapy
  • duodenal carcinomain situ