{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T05:45:53Z","timestamp":1785303953331,"version":"3.55.0"},"reference-count":35,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T00:00:00Z","timestamp":1760313600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","igiejournal.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["iGIE"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.igie.2025.10.004","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:24:16Z","timestamp":1760660656000},"page":"151-160","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Predictors of local recurrence and piecemeal resection in duodenal underwater endoscopic mucosal resection"],"prefix":"10.1016","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0429-4814","authenticated-orcid":false,"given":"Daisuke","family":"Minezaki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7472-5210","authenticated-orcid":false,"given":"Teppei","family":"Akimoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motoki","family":"Sasaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoma","family":"Murata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuri","family":"Imura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Tojo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hinako","family":"Sakurai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kentaro","family":"Iwata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kurato","family":"Miyazaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teppei","family":"Masunaga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mari","family":"Mizutani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kumiko","family":"Kirita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koshiro","family":"Tsutsumi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michiko","family":"Nishikawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusaku","family":"Takatori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shintaro","family":"Kawasaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriko","family":"Matsuura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideomi","family":"Tomida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Nakayama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomohisa","family":"Sujino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaoru","family":"Takabayashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiro","family":"Mizukami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motohiko","family":"Kato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naohisa","family":"Yahagi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.igie.2025.10.004_bib1","doi-asserted-by":"crossref","first-page":"483","DOI":"10.3109\/00365529409092458","article-title":"Prospective study of prevalence and endoscopic and histopathologic characteristics of duodenal polyps in patients submitted to upper endoscopy","volume":"29","author":"Jepsen","year":"1994","journal-title":"Scand J Gastroenterol"},{"key":"10.1016\/j.igie.2025.10.004_bib2","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1046\/j.1440-1827.1999.00820.x","article-title":"Primary adenocarcinoma of the duodenum in the elderly: clinicopathological and immunohistochemical study of 17 cases","volume":"49","author":"Arai","year":"1999","journal-title":"Pathol Int"},{"key":"10.1016\/j.igie.2025.10.004_bib3","doi-asserted-by":"crossref","first-page":"1216","DOI":"10.1111\/jgh.15285","article-title":"The incidence of non-ampullary duodenal cancer in Japan: the first analysis of a national cancer registry","volume":"36","author":"Yoshida","year":"2021","journal-title":"J Gastroenterol Hepatol"},{"key":"10.1016\/j.igie.2025.10.004_bib4","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1111\/den.13538","article-title":"How I do it: endoscopic diagnosis for superficial non-ampullary duodenal epithelial tumors","volume":"32","author":"Nakayama","year":"2020","journal-title":"Dig Endosc"},{"key":"10.1016\/j.igie.2025.10.004_bib5","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1007\/s00535-022-01919-y","article-title":"Clinical practice guidelines for duodenal cancer 2021","volume":"57","author":"Nakagawa","year":"2022","journal-title":"J Gastroenterol"},{"key":"10.1016\/j.igie.2025.10.004_bib6","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1055\/s-2005-861287","article-title":"Follow-up after endoscopic snare resection of duodenal adenomas","volume":"37","author":"Apel","year":"2005","journal-title":"Endoscopy"},{"key":"10.1016\/j.igie.2025.10.004_bib7","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1055\/s-2008-1077619","article-title":"Endoscopic resection of sporadic duodenal adenomas: an efficient technique with a substantial risk of delayed bleeding","volume":"40","author":"L\u00e9pilliez","year":"2008","journal-title":"Endoscopy"},{"key":"10.1016\/j.igie.2025.10.004_bib8","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.gie.2008.04.061","article-title":"EMR of large, sessile, sporadic nonampullary duodenal adenomas: technical aspects and long-term outcome (with videos)","volume":"69","author":"Alexander","year":"2009","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.igie.2025.10.004_bib9","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1111\/den.12273","article-title":"Therapeutic outcomes of endoscopic resection for superficial non-ampullary duodenal tumor","volume":"26 Suppl 2","author":"Yamamoto","year":"2014","journal-title":"Dig Endosc"},{"key":"10.1016\/j.igie.2025.10.004_bib10","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1016\/j.gie.2018.05.002","article-title":"Outcomes of endoscopic resection for superficial duodenal epithelial neoplasia","volume":"88","author":"Yahagi","year":"2018","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.igie.2025.10.004_bib11","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/j.gie.2016.12.007","article-title":"Accuracy of biopsy for the preoperative diagnosis of superficial nonampullary duodenal adenocarcinoma","volume":"86","author":"Kinoshita","year":"2017","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.igie.2025.10.004_bib12","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1111\/den.13524","article-title":"Feasibility study comparing underwater endoscopic mucosal resection and conventional endoscopic mucosal resection for superficial non-ampullary duodenal epithelial tumor <20 mm","volume":"32","author":"Kiguchi","year":"2020","journal-title":"Dig Endosc"},{"key":"10.1016\/j.igie.2025.10.004_bib13","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1055\/a-1640-3236","article-title":"Outcomes of endoscopic resection for superficial duodenal tumors: 10 years' experience in 18 Japanese high volume centers","volume":"54","author":"Kato","year":"2022","journal-title":"Endoscopy"},{"key":"10.1016\/j.igie.2025.10.004_bib14","doi-asserted-by":"crossref","first-page":"E998","DOI":"10.1055\/a-0577-7546","article-title":"ESD versus EMR in non-ampullary superficial duodenal tumors: a systematic review and meta-analysis","volume":"6","author":"P\u00e9rez-Cuadrado-Robles","year":"2018","journal-title":"Endosc Int Open"},{"key":"10.1016\/j.igie.2025.10.004_bib15","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1016\/j.gie.2013.03.1330","article-title":"\u201cUnderwater\u201d EMR of sporadic laterally spreading nonampullary duodenal adenomas (with video)","volume":"78","author":"Binmoeller","year":"2013","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.igie.2025.10.004_bib16","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1016\/j.gie.2021.07.011","article-title":"Utility of underwater EMR for nonpolypoid superficial nonampullary duodenal epithelial tumors \u226420 mm","volume":"95","author":"Okimoto","year":"2022","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.igie.2025.10.004_bib17","doi-asserted-by":"crossref","first-page":"3191","DOI":"10.1111\/jgh.15638","article-title":"Resectability of underwater endoscopic mucosal resection for duodenal tumor: a single-center, retrospective pilot study","volume":"36","author":"Toya","year":"2021","journal-title":"J Gastroenterol Hepatol"},{"key":"10.1016\/j.igie.2025.10.004_bib18","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1016\/j.dld.2022.09.001","article-title":"Underwater versus conventional endoscopic mucosal resection for superficial non-ampullary duodenal epithelial tumors \u226420mm: a systematic review and meta-analysis","volume":"55","author":"Lv","year":"2023","journal-title":"Dig Liver Dis"},{"key":"10.1016\/j.igie.2025.10.004_bib19","doi-asserted-by":"crossref","first-page":"1482","DOI":"10.1007\/s10620-022-07715-1","article-title":"Underwater versus conventional endoscopic mucosal resection for superficial non-ampullary duodenal epithelial tumors: a systematic review and meta-analysis","volume":"68","author":"Lee","year":"2023","journal-title":"Dig Dis Sci"},{"key":"10.1016\/j.igie.2025.10.004_bib20","doi-asserted-by":"crossref","first-page":"E329","DOI":"10.1055\/a-0919-4357","article-title":"Underwater endoscopic mucosal resection of residual duodenal tumor","volume":"51","author":"Shichijo","year":"2019","journal-title":"Endoscopy"},{"key":"10.1016\/j.igie.2025.10.004_bib21","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1055\/a-1811-7025","article-title":"Endoscopic submucosal dissection for superficial gastrointestinal lesions: European Society of Gastrointestinal Endoscopy (ESGE) guideline \u2013 update 2022","volume":"54","author":"Pimentel-Nunes","year":"2022","journal-title":"Endoscopy"},{"key":"10.1016\/j.igie.2025.10.004_bib22","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1016\/j.gie.2009.11.043","article-title":"Nonampullary duodenal polyps: characteristics and endoscopic management","volume":"71","author":"Abbass","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.igie.2025.10.004_bib23","first-page":"169","article-title":"Endoscopic mucosal resection of sporadic duodenal nonampullary adenoma: outcomes of 130 patients with a long-term follow up in two tertiary French centers","volume":"34","author":"Hoibian","year":"2021","journal-title":"Ann Gastroenterol"},{"key":"10.1016\/j.igie.2025.10.004_bib24","doi-asserted-by":"crossref","first-page":"1270","DOI":"10.1016\/j.gie.2017.12.026","article-title":"Clinical outcome of EMR of sporadic, nonampullary, duodenal adenomas: a 10-year retrospective","volume":"87","author":"Tomizawa","year":"2018","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.igie.2025.10.004_bib25","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1080\/00365521.2018.1438508","article-title":"Endoscopic mucosal resection of non-ampullary sporadic duodenal adenomas: a retrospective analysis with long-term follow-up","volume":"53","author":"Valerii","year":"2018","journal-title":"Scand J Gastroenterol"},{"key":"10.1016\/j.igie.2025.10.004_bib26","doi-asserted-by":"crossref","first-page":"856","DOI":"10.14309\/ajg.0000000000002634","article-title":"Resectability of small duodenal tumors: a randomized controlled trial comparing underwater endoscopic mucosal resection and cold snare polypectomy","volume":"119","author":"Miyazaki","year":"2024","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.igie.2025.10.004_bib27","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/den.12183","article-title":"Guidelines for gastroenterological endoscopy in patients undergoing antithrombotic treatment","volume":"26","author":"Fujimoto","year":"2014","journal-title":"Dig Endosc"},{"key":"10.1016\/j.igie.2025.10.004_bib28","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1111\/den.13184","article-title":"Guidelines for gastroenterological endoscopy in patients undergoing antithrombotic treatment: 2017 appendix on anticoagulants including direct oral anticoagulants","volume":"30","author":"Kato","year":"2018","journal-title":"Dig Endosc"},{"key":"10.1016\/j.igie.2025.10.004_bib29","doi-asserted-by":"crossref","first-page":"371","DOI":"10.5946\/ce.2020.147","article-title":"Efficacy of underwater endoscopic mucosal resection for superficial non-ampullary duodenal epithelial tumor","volume":"54","author":"Furukawa","year":"2021","journal-title":"Clin Endosc"},{"key":"10.1016\/j.igie.2025.10.004_bib30","doi-asserted-by":"crossref","first-page":"1010","DOI":"10.1016\/j.cgh.2021.06.043","article-title":"Nonrecurrence rate of underwater EMR for \u226420-mm nonampullary duodenal adenomas: a multicenter prospective study (D-UEMR study)","volume":"20","author":"Yamasaki","year":"2022","journal-title":"Clin Gastroenterol Hepatol"},{"key":"10.1016\/j.igie.2025.10.004_bib31","first-page":"154","article-title":"Underwater endoscopic mucosal resection for superficial nonampullary duodenal adenomas","volume":"50","author":"Yamasaki","year":"2018","journal-title":"Endoscopy"},{"key":"10.1016\/j.igie.2025.10.004_bib32","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1002\/aid2.13207","article-title":"Evaluation of factors associated with en bloc colonic underwater endoscopic mucosal resection","volume":"8","author":"Chen","year":"2021","journal-title":"Adv Dig Med"},{"key":"10.1016\/j.igie.2025.10.004_bib33","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1007\/s10620-021-06925-3","article-title":"Feasibility study of partial submucosal injection technique combining underwater EMR for superficial duodenal epithelial tumors","volume":"67","author":"Takatori","year":"2022","journal-title":"Dig Dis Sci"},{"key":"10.1016\/j.igie.2025.10.004_bib34","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1111\/den.14103","article-title":"Efficacy of partial injection underwater endoscopic mucosal resection for superficial duodenal epithelial tumor: propensity score-matched study (with video)","volume":"34","author":"Takatori","year":"2022","journal-title":"Dig Endosc"},{"key":"10.1016\/j.igie.2025.10.004_bib35","first-page":"977","article-title":"External drainage of bile and pancreatic juice after endoscopic submucosal dissection for duodenal neoplasm: feasibility study (with video)","volume":"33","author":"Fukuhara","year":"2021","journal-title":"Dig Endosc"}],"container-title":["iGIE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2949708625001335?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2949708625001335?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T02:32:21Z","timestamp":1783650741000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2949708625001335"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":35,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["S2949708625001335"],"URL":"https:\/\/doi.org\/10.1016\/j.igie.2025.10.004","relation":{},"ISSN":["2949-7086"],"issn-type":[{"value":"2949-7086","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Predictors of local recurrence and piecemeal resection in duodenal underwater endoscopic mucosal resection","name":"articletitle","label":"Article Title"},{"value":"iGIE","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.igie.2025.10.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc. on behalf of American Society for Gastrointestinal Endoscopy.","name":"copyright","label":"Copyright"}]}}