Background: 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.
Case Summary: 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.
Conclusion: 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.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6379745 | PMC |
| http://dx.doi.org/10.4253/wjge.v11.i2.168 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Present situation of minimally invasive surgical treatment for early gastric cancer.
World J Gastrointest Oncol
April 2024
The First Clinical Medical School, Lanzhou University, Lanzhou 730000, Gansu Province, China.
Article Synopsis
- Minimally invasive surgery uses advanced tools to treat issues in the body with smaller incisions, achieving similar outcomes to traditional surgery while reducing trauma and recovery time.
- It is particularly beneficial for gastric cancer patients, offering options like endoscopic mucosal resection and laparoscopic techniques, which minimize blood loss and psychological stress.
- Innovations in these techniques, such as band-assisted EMR and closed LECS, enhance precision and effectiveness for various stages of early gastric cancer treatment.
Correction: Flat-based over-the-scope clip-assisted endoscopic full-thickness resection of a duodenal neuroendocrine tumour: a safe alternative to endoscopic submucosal dissection.
Endoscopy
July 2022
Institute of Gastrosciences and Liver diseases, Apollo Gleneagles Hospital, Kolkata, India.
Over-the-scope clip-assisted endoscopic full-thickness resection has potential to treat complex nonampullary duodenal lesions: a single-center case series.
BMC Gastroenterol
December 2021
Department of Gastroenterology, Beijing Friendship Hospital, National Clinical Research Center for Digestive Diseases, Beijing Digestive Disease Center, Beijing Key Laboratory for Precancerous Lesion of Digestive Diseases, Capital Medical University, No. 95, Yongan Road, Xicheng District, Beijing, 10050, China.
Background And Aims: The duodenum is considered a challenging area for the endoscopic resection of lesions. This study aimed to evaluate the efficacy and safety of over-the-scope clip (OTSC)-assisted endoscopic full-thickness resection (EFTR) for complex nonampullary duodenal lesions unsuitable for conventional resection techniques.
Methods And Patients: We conducted a retrospective case review of 13 consecutive patients with complex nonampullary duodenal tumors that were unsuitable for conventional resection techniques; these patients underwent EFTR assisted with OTSC at Beijing Friendship Hospital, Capital Medical University from September 2015 to September 2020.
Flat-based over-the-scope clip-assisted endoscopic full-thickness resection of a duodenal neuroendocrine tumour: a safe alternative to endoscopic submucosal dissection.
Endoscopy
July 2022
Institute of Gastrosciences and Liver diseases, Apollo Gleneagles Hospital, Kolkata, India.
The Role of Endoscopy in Small Bowel Neuroendocrine Tumors.
Clin Endosc
November 2021
Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Small bowel neuroendocrine tumors (NETs) represent approximately one-third of NETs of the gastrointestinal tract, and their incidence is increasing. When determining if endoscopic resection is appropriate, endoscopic ultrasound is used to assess the lesion size and depth of invasion for duodenal NETs. A number of techniques, including endoscopic mucosal resection (EMR), band-assisted EMR (band-EMR), endoscopic submucosal dissection (ESD), and over-the-scope clip-assisted endoscopic full-thickness resection (EFTR), have been studied; however, the best technique for endoscopic resection remains unclear.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!