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

World Journal of Gastrointestinal Endoscopy
Ammar B NassriBruno de Souza Ribeiro

Abstract

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. 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 clip-assisted eFTR s of subepithelial lesions in the duodenum. 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.

References

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Citations

Nov 27, 2019·Surgical Endoscopy·Gianluca Andrisani, Francesco Maria Di Matteo
Oct 5, 2021·GE Portuguese Journal of Gastroenterology·Joana CarvãoDiogo Libânio

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Methods Mentioned

BETA
dissection
biopsies
biopsy
surgical resection

Software Mentioned

eFTR

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