Wide-field underwater EMR followed by line-assisted complete closure for a large duodenal adenoma

Post written by Hiroko Nakahira, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. Nakahira_headshot

Underwater endoscopic mucosal resection (EMR) was performed for a large duodenal adenoma in a patient with familial adenomatous polyposis, and the mucosal defect after underwater EMR was closed with line-assisted complete closure technique.

Endoscopic mucosal resection for a large duodenal adenoma is considered to be risky and sometimes surgical operation is performed. Endoscopic submucosal dissection (ESD) is occasionally performed with a lengthy operation time and severe adverse events. We could indicate less-invasive endoscopic therapy for a large duodenal adenoma.

A large duodenal adenoma in a patient with familial adenomatous polyposis can be managed safely with underwater EMR and invasive surgery or risky endoscopic therapy can be avoided.

Read the full article online.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.

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