Endoscopic mucosal resection and endoscopic submucosal dissection of non-ampullary duodenal lesions

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Source: NICE

Guidance issued

IPG Number: IPG359

Summary

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) of non-ampullary duodenal lesions.

Description

This procedure can be used to treat abnormalities in the lining of the part of the small intestine near the stomach (the duodenum). A long camera (endoscope) is inserted through the mouth, oesophagus and stomach to view the affected area. A solution is injected into the wall of the duodenum, and then the abnormal parts of the lining are removed with special instruments. The aim of the procedure is to avoid the need for open surgery, and to obtain a good-quality sample for examination under the microscope.

OPCS-4 Code(s):

Details

Arrangement:

Special

Topic area:

Diagnostic procedures
Digestive system
Surgical procedures

Specialty:

Gastroinstestinal surgery
Gastroenterology

Specialist advice has been sought from:

• Association of upper Gastrointestinal Surgeons of GB and Ireland
• British Society of Gastroenterology
• The Association of Laparoscopic Surgeons of Great Britain and Ireland.

Date notified to NICE:

10 diciembre 2008

Guidance issue date:

27 octubre 2010

Contact details:

Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA

Links:

	IPG359 Endoscopic mucosal resection and endoscopic submucosal dissection of non-ampullary duodenal lesions: guidance	27 October 2010
	IPG359 Endoscopic mucosal resection and endoscopic submucosal dissection of non-ampullary duodenal lesions: understanding NICE guidance	27 October 2010
	IPG359 Endoscopic mucosal resection and endoscopic submucosal dissection of non-ampullary duodenal lesions: understanding NICE guidance (MS Word format)	27 October 2010
	IPG359 Endoscopic mucosal resection and endoscopic submucosal dissection of non-ampullary duodenal lesions: audit support	27 October 2010
	Endoscopic mucosal resection and endoscopic submucosal dissection of non-ampullary duodenal lesions: consultation comments	27 October 2010
	Endoscopic mucosal resection and endoscopic submucosal dissection of non-ampullary duodenal lesions - Equality Impact Assessment	08 November 2010
	Endoscopic mucosal resection and endoscopic submucosal dissection of non-ampullary duodenal lesions - Consultation Document	24 May 2010
	Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) of non-ampullary duodenal lesions - Overview	24 May 2010

This page was last updated: 15 November 2010

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