ASGE DDW Videos from Around the World | 2024-ENDOSCOPIC SUBMUCOSAL DISSECTION OF DUODENAL HIGH GRADE ADENOMA WITH SEVERE SUBMUCOSAL FIBROSIS UTILITY OF WATER PRESSURE AND CLIP LINE RETRACTION IN DIFFICULT SITUATION

ENDOSCOPIC SUBMUCOSAL DISSECTION OF DUODENAL HIGH GRADE ADENOMA WITH SEVERE SUBMUCOSAL FIBROSIS UTILITY OF WATER PRESSURE AND CLIP LINE RETRACTION IN DIFFICULT SITUATION

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Video Transcription

Video Summary

The video transcript discusses the challenges and techniques involved in performing endoscopic resection of non-ampullary duodenal adenomas, focusing on a specific case study of a 67-year-old man with a 2.5cm duodenal lesion. The procedure required switching from conventional EMR to ESD due to poor lifting of the lesion, with detailed descriptions of the techniques used, including water pressure and clipline assistance for submucosal dissection. Despite technical difficulties, the lesion was successfully removed with clear margins, demonstrating the potential of duodenal ESD in cases where EMR is not possible. Surveillance endoscopy six months later showed no recurrence, highlighting the success of the procedure.

Asset Subtitle

Hon Chi Yip

Meta Tag

Concept Endoscopic Mucosal Resection

Concept Non-Ampullary Duodenal Adenoma

Concept Duodenal Endoscopic Submucosal Dissection

Concept Underwater Endoscopic Mucosal Resection

Concept Submucosal Fibrosis

Keywords

endoscopic resection

non-ampullary duodenal adenomas

EMR

ESD

duodenal lesion

Endoscopic Mucosal Resection

Non-Ampullary Duodenal Adenoma

Duodenal Endoscopic Submucosal Dissection

Underwater Endoscopic Mucosal Resection

Submucosal Fibrosis