Video Comment on Miura et al.

Yoshimasa Miura et al. Duodenal endoscopic submucosal dissection is feasible using the pocket-creation method

This study evaluated the safety and efficacy of duodenal endoscopic submucosal dissection (ESD) using the pocket-creation method (PCM) for 28 lesions compared with the conventional method for 17 lesions. En bloc resection was more complete (100 % vs. 88 %; P = 0.07) and the perforation rate was lower (7 % vs. 29 %; P = 0.046) with the PCM compared with the conventional method. Nonetheless, ESD of duodenal lesions should be performed by well-trained expert endoscopists with extensive experience in ESD who are able to recognize the need for immediate surgical intervention.