Safety and efficacy of over-the-scope clip-assisted full thickness resection of duodenal subepithelial tumors:A case report

• 作者: Ahmad Alkhasawneh Ammar B Nassri Bruno de Souza Ribeiro James S Scolapio Miguel H Malespin
• 来源期刊: 世界胃肠内镜杂志:英文版(电子版)
• 学科: 医学
• 关键词: Case report DUODENUM CARCINOID Endoscopic full thickness RESECTION
• 年，卷（期）: 2019,（2）
• 页码范围: 168-173
• 页数: 6页
• 分类号: R

摘要

BACKGROUND Over-the-scope clip-assisted endoscopic full thickness resection(eFTR)of subepithelial tumors is a novel and promising endoscopic technique.Recently,there have been prospective studies investigating its use for colonic masses,but data regarding its use and efficacy in the duodenum are limited to a few reports.CASE SUMMARY A 65-year-old African American female presents for evaluation of persistent gastroesophageal reflux disease not responsive to medical treatment.A 1 cm nodule was incidentally found in the duodenum and biopsies revealed a low grade well differentiated neuroendocrine tumor.The nodule was removed using over-the-scope clip-assisted eFTR and pathology revealed clear margins.We review the available literature with a discussion on the efficacy and safety of clipassisted eFTR s of subepithelial lesions in the duodenum.CONCLUSION Clip assisted eFTR appears to be a safe and efficacious treatment approach to duodenal subepithelial lesions.Further prospective studies are needed to investigate the long-term utility and safety of clip-assisted eFTR in the management of subepithelial duodenal lesions.