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

• 作者: Gerald Niedobitek Matthias Mende Maximilian Gericke Siegbert Faiss Uwe Schlichting
• 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: Endoscopic full-thickness resection Full-thickness resection device DUODENUM Duodenal adenoma Endoscopy Case report
• 年，卷（期）: 2020,（6）
• 页码范围: 193-197
• 页数: 5页
• 分类号: R73

摘要

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.