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Endoscopy 2020; 52(S 01): S102
DOI: 10.1055/s-0040-1704312
DOI: 10.1055/s-0040-1704312
ESGE Days 2020 oral presentations
Friday, April 24, 2020 14:30 – 16:30 Exploring the underworld: Upper GIsubmucosal therapy Wicklow Meeting Room 1
DEFINITIVE ENDOSCOPIC TREATMENT FOR NEUROENDOCRINE DUODENAL TUMOR WITH ENDOSCOPIC SUBMUCOSAL DISSECTION AND FULL-THICKNES RESECTION
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Publikationsverlauf
Publikationsdatum:
23. April 2020 (online)
70-year-old woman with comorbidity. 15 mm well-differentiated neuroendocrine tumor in the duodenal bulb. The multidisciplinary team meeting decided endoscopic treatment. EMR was attempted, but due to the non-lifting sign, we performed an ESD. Severe fibrosis / infiltration on the muscular layer was found. Traction strategy with clips and rubber band allowed complete en bloc ESD. The vertical margin was positive. The patient was a poor surgical candidate so endoscopic full-thickness resection was planned. The clip was deployed but the preloaded snare broke. A conventional snare was used. No residual tumor was detected. CT scan and scintigraphy were negative at 6 months.
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