ASGE DDW Videos from Around the World | 2024-ENDOSCOPIC FULL THICKNESS RESECTION FOR DUODENAL SUBMUCOSAL TUMOR

ENDOSCOPIC FULL THICKNESS RESECTION FOR DUODENAL SUBMUCOSAL TUMOR

Video Transcription

Video Summary

Endoscopy is recommended for resecting duodenum submucosal tumors, especially if malignant potential is suspected. Despite its 50-70% accuracy, resection is advised for tumors over 2 cm or in certain locations. The procedure involves careful dissection to avoid adverse events, with attention to factors like size and location. Endoscopy per-string suture, using clips and nylon loops, aids in closing mucosal defects post-resection. A case study of a 66-year-old female with a 2 cm tumor demonstrated successful resection and closure, resulting in minimal complications and effective treatment.

Asset Subtitle

Tze-Yu Shieh

Keywords

Endoscopy

Duodenum

Submucosal tumors

Resection

Malignant potential