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World J Gastrointest Endosc. 2020 Jun 16;12(6):193-197. doi: 10.4253/wjge.v12.i6.193.

Repeat full-thickness resection device use for recurrent duodenal adenoma: A case report.

World journal of gastrointestinal endoscopy

Maximilian Gericke, Matthias Mende, Uwe Schlichting, Gerald Niedobitek, Siegbert Faiss

Affiliations

  1. Department of Gastroenterology, Sana Klinikum Lichtenberg, Berlin 13065, Germany. [email protected].
  2. Department of Gastroenterology, Sana Klinikum Lichtenberg, Berlin 13065, Germany.
  3. Department of Pathology, Sana Klinikum Lichtenberg, Berlin 13065, Germany.

PMID: 32843929 PMCID: PMC7415228 DOI: 10.4253/wjge.v12.i6.193

Abstract

BACKGROUND: Endoscopic full-thickness resection of adenomas or subepithelial tumors is a novel and promising endoscopic technique. There have been several recent studies of full-thickness resection device (FTRD) use in the colon, but data regarding its use and efficacy in the duodenum are still limited.

CASE SUMMARY: A 64-year-old female underwent resection of a recurrent adenoma of 7 mm in size in the duodenum after FTRD use for an adenoma eight months prior. The biopsies revealed a low-grade adenoma. The adenoma was removed using the gastroduodenal FTRD, and the pathology results revealed clear margins. Except for minor bleeding that was treated by argon plasma coagulation, no further complications occurred.

CONCLUSION: Repeat use of the FTRD appears to be a safe and efficacious approach for the treatment of recurrent duodenal lesions. Further prospective studies are needed to investigate the long-term safety and utility of repeat FTRD use after Endoscopic full-thickness resection.

©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.

Keywords: Case report; Duodenal adenoma; Duodenum; Endoscopic full-thickness resection; Endoscopy; Full-thickness resection device

Conflict of interest statement

Conflict-of-interest statement: The authors declare that they have no conflict of interest.

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