Endoscopic laser therapy for duodenal villous adenoma.
A 72-year-old woman had a 20-mm supraampullary villoglandular adenoma with a focal carcinoma in 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.
Service d'Hépato-Gastroentérologie, Hôpital Antoine Béclère, Clamart, France.
F
F
Paraf
S
S
Naveau
O
O
Zourabichvili
T
T
Poynard
J C
JC
Chaput
D000236:Adenoma / Q000601:surgery*; D000368:Aged; D002278:Carcinoma in Situ / Q000601:surgery*; D004379:Duodenal Neoplasms / Q000601:surgery*; D004384:Duodenoscopy; D005260:Female; D006801:Humans; D053685:Laser Therapy / Q000379:methods