Removal of duodenal adenomas: the importance of proper technical application and operator expertise

The diagnosis of duodenal epithelial neoplasms in the general population is relatively uncommon, occurring in less than 1% of patients undergoing upper endoscopy.1 However, with increasing widespread use of endoscopy, the incidence of duodenal polyps is likely to rise. Approximately 30% to 85% of duodenal adenomas can progress to malignancy.1 Therefore, early detection and removal of duodenal adenomas before malignant transformation represents a key opportunity to prevent future cancer.

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