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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2020; 11(03): 242-244
DOI: 10.1055/s-0040-1713834
Case Report

Resection of a Nonampullary Adenoma with the New Gastroduodenal Full-Thickness Resection Device

Maximilian Gericke
1   Department of Gastroenterology, Sana Klinikum Lichtenberg, Berlin, Germany
,
Matthias Mende
1   Department of Gastroenterology, Sana Klinikum Lichtenberg, Berlin, Germany
,
Dirk Hartmann
2   Department of Gastroenterology, Katholisches Klinikum Mainz, Germany
,
Siegbert Faiss
1   Department of Gastroenterology, Sana Klinikum Lichtenberg, Berlin, Germany
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Abstract

Introduction Surgical resection of adenomas or subepithelial tumors in the duodenum has a high morbidity compared with endoscopic resection which also has a significant risk of complication. Endoscopic full-thickness resection has shown its feasibility and safety in the colorectum and in the upper gastrointestinal tract.

Patient and Methods We present the new gastroduodenal full-thickness resection device (FTRD) for full-thickness resection in a patient with a recurrent nonlifting adenoma in the nonampullary duodenum.

Results The procedure was successful with R0 resection without major complications. A control gastroscopy showed no recurrence of the adenoma.

Conclusion The gastroduodenal FTRD seems to be a promising new technique for resecting nonlifting adenomas in the nonampullary duodenum.

Keywords

endoscopic full-thickness resection - FTRD - duodenum - duodenal adenoma


Publication History

Article published online:
22 June 2020

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