Clinical practice guidelines for duodenal cancer 2021

Kenji Nakagawa, Masayuki Sho, Mitsuhiro Fujishiro, Naomi Kakushima, Takahiro Horimatsu, Ken ichi Okada, Mikitaka Iguchi, Toshio Uraoka, Motohiko Kato, Yorimasa Yamamoto, Toru Aoyama, Takahiro Akahori, Hidetoshi Eguchi, Shingo Kanaji, Kengo Kanetaka, Shinji Kuroda, Yuichi Nagakawa, Souya Nunobe, Ryota Higuchi, Tsutomu FujiiHiroharu Yamashita, Suguru Yamada, Yukiya Narita, Yoshitaka Honma, Kei Muro, Tetsuo Ushiku, Yasuo Ejima, Hiroki Yamaue, Yasuhiro Kodera

Research output: Contribution to journalReview articlepeer-review

13 Citations (Scopus)


Duodenal cancer is considered to be a small intestinal carcinoma in terms of clinicopathology. In Japan, there are no established treatment guidelines based on sufficient scientific evidence; therefore, in daily clinical practice, treatment is based on the experience of individual physicians. However, with advances in diagnostic modalities, it is anticipated that opportunities for its detection will increase in future. We developed guidelines for duodenal cancer because this disease is considered to have a high medical need from both healthcare providers and patients for appropriate management. These guidelines were developed for use in actual clinical practice for patients suspected of having non-ampullary duodenal epithelial malignancy and for patients diagnosed with non-ampullary duodenal epithelial malignancy. In this study, a practice algorithm was developed in accordance with the Minds Practice Guideline Development Manual 2017, and Clinical Questions were set for each area of epidemiology and diagnosis, endoscopic treatment, surgical treatment, and chemotherapy. A draft recommendation was developed through a literature search and systematic review, followed by a vote on the recommendations. We made decisions based on actual clinical practice such that the level of evidence would not be the sole determinant of the recommendation. This guideline is the most standard guideline as of the time of preparation. It is important to decide how to handle each case in consultation with patients and their family, the treating physician, and other medical personnel, considering the actual situation at the facility (and the characteristics of the patient).

Original languageEnglish
Pages (from-to)927-941
Number of pages15
JournalJournal of Gastroenterology
Issue number12
Publication statusPublished - Dec 2022
Externally publishedYes


  • Clinical practice guidelines
  • Duodenal cancer
  • The Japan duodenal cancer guideline committee
  • Treatment

ASJC Scopus subject areas

  • Gastroenterology


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