Long-term recurrence after endoscopic versus surgical ampullectomy of sporadic ampullary adenomas: a systematic review and meta-analysis

被引:5
作者
Garg, Rajat [1 ]
Thind, Komal [2 ]
Bhalla, Jaideep [2 ]
Simonson, Marian T. [3 ]
Simons-Linares, C. Roberto [1 ]
Singh, Amandeep [1 ]
Joyce, Daniel [4 ]
Chahal, Prabhleen [1 ]
机构
[1] Cleveland Clin Fdn, Digest Dis & Surg Inst, Dept Gastroenterol Hepatol & Nutr, 9500 Euclid Ave, Cleveland, OH 44195 USA
[2] Cleveland Clin, Dept Internal Med, Cleveland, OH USA
[3] Cleveland Clin, Alumni Lib, Cleveland, OH USA
[4] Cleveland Clin, Digest Dis & Surg Inst, Dept Hepatopancreaticobiliary Surg, Cleveland, OH USA
来源
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2023年 / 37卷 / 07期
关键词
Endoscopic ampullectomy; Surgical ampullectomy; Papillectomy; Transduodenal resection; Pancreaticoduodenal resection; Ampullary adenoma; Ampulla; MAJOR DUODENAL PAPILLA; TRANSDUODENAL AMPULLECTOMY; SNARE PAPILLECTOMY; LESIONS OUTCOMES; PUBLICATION BIAS; BENIGN-TUMORS; FOLLOW-UP; RESECTION; EXCISION; VATER;
D O I
10.1007/s00464-023-10083-0
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background and aimsAmpullary adenomas are treated both surgically and endoscopically, however, data comparing both techniques are lacking. We aimed to compare long-term recurrence of benign sporadic adenomas after endoscopic (EA) and surgical ampullectomy (SA).MethodsA comprehensive literature search of multiple databases (until December 29, 2020) was performed to identify studies reporting outcomes of EA or SA of benign sporadic ampullary adenomas. The outcome was recurrence rate at 1 year, 2-year, 3 year and 5 years after EA and SA.ResultsA total of 39 studies with 1753 patients (1468 EA [age 61.1 +/- 4.0 years, size 16.1 +/- 4.0 mm], 285 SA [mean age 61.6 +/- 4.48 years, size 22.7 +/- 5.4 mm]) were included in the analysis. At year 1, pooled recurrence rate of EA was 13.0% (95% confidence interval [CI] 10.5-15.9], I-2 = 31%) as compared to SA 14.1% (95% CI 9.5-20.3 I-2 = 15.8%) (p = 0.82). Two (12.5%, [95% CI, 8.9-17.2] vs. 14.3 [95% CI, 9.1-21.6], p = 0.63), three (13.3%, [95% CI, 7.3-21.6] vs. 12.9 [95% CI, 7.3-21.6], p = 0.94) and 5 years (15.7%, [95% CI, 7.8-29.1] vs. 17.6% [95% CI, 6.2-40.8], p = 0.85) recurrence rate were comparable after EA and SA. On meta-regression, age, size of lesion or enbloc and complete resection were not significant predictors of recurrence.ConclusionEA and SA of sporadic adenomas have similar recurrence rates at 1, 2, 3 and 5 years of follow up.
引用
收藏
页码:5022 / 5044
页数:23
相关论文
共 88 条
[1]   Endoscopic papillectomy of benign ampullary lesions: Outcomes from a multicenter study [J].
Attila, Tan ;
Parlak, Erkan ;
Alper, Emrah ;
Disibeyaz, Selcuk ;
Cicek, Bahattin ;
Odemis, Bulent .
TURKISH JOURNAL OF GASTROENTEROLOGY, 2018, 29 (03) :325-334
[2]  
Bassan Milan, 2012, J Interv Gastroenterol, V2, P23
[3]   Ampullectomy for adenoma of the papilla and ampulla of Vater [J].
Beger, HG ;
Staib, L ;
Schoenberg, MH .
LANGENBECKS ARCHIVES OF SURGERY, 1998, 383 (02) :190-193
[4]   ENDOSCOPIC SNARE EXCISION OF BENIGN ADENOMAS OF THE PAPILLA OF VATER [J].
BINMOELLER, KF ;
BOAVENTURA, S ;
RAMSPERGER, K ;
SOEHENDRA, N .
GASTROINTESTINAL ENDOSCOPY, 1993, 39 (02) :127-131
[5]   Endoscopic resection of benign tumors of the duodenal papilla without and with intraductal growth [J].
Bohnacker, S ;
Seitz, U ;
Nguyen, D ;
Thonke, F ;
Seewald, S ;
DeWeerth, A ;
Ponnudurai, R ;
Omar, S ;
Soehendra, N .
GASTROINTESTINAL ENDOSCOPY, 2005, 62 (04) :551-560
[6]  
Bohra AK, 2002, ULSTER MED J, V71, P121
[7]   Endoscopic resection of ampullary tumors: 12-year review of 21 cases [J].
Boix, Jaume ;
Lorenzo-Zuniga, Vicente ;
Moreno de Vega, Vicente ;
Domenech, Eugeni ;
Angel Gassull, Miquel .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2009, 23 (01) :45-49
[8]  
Borenstein M., 2009, introduction to meta-analysis, DOI [DOI 10.1002/9780470743386.CH13, https://doi.org/10.1002/9780470743386.ch16, DOI 10.1002/9780470743386.CH16, 10.1002/9780470743386, DOI 10.1002/9780470743386.CH24]
[9]   The management of tumors of the ampulla of vater by local resection [J].
Branum, GD ;
Pappas, TN ;
Meyers, WC .
ANNALS OF SURGERY, 1996, 224 (05) :621-627
[10]   The natural history of untreated duodenal and ampullary adenomas in patients with familial adenomatous polyposis followed in an endoscopic surveillance program [J].
Burke, CA ;
Beck, GJ ;
Church, JM ;
van Stolk, RU .
GASTROINTESTINAL ENDOSCOPY, 1999, 49 (03) :358-364