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Table 1 Treatment of duodenal polyps depending on Spigelman stage

From: Over-The-Scope-Clip pre-mounted onto a double balloon enteroscope for fast and successful closure of post-EMR jejunal perforation: case report

Spigelman stage

Points

Treatment

0-I

0–4

None

II

5–6

Consider ETa + CPb

III

7–8

ETa + CPb

IV

9–12

Surgery (PPPDc)

  1. aET, endoscopic therapy
  2. bCP, chemoprevention with non-steroidal anti-inflammatory drugs (NSAIDs)
  3. cPPPD, pancreas and pylorus preserving pancreaticoduodenectomy