ASGE DDW Videos from Around the World | 2025-ENDOSCOPIC FULL-THICKNESS RESECTION OF A DUODENAL GASTROINTESTINAL TUMOR IN THE SECOND PORTION OF THE DUODENUM

ENDOSCOPIC FULL-THICKNESS RESECTION OF A DUODENAL GASTROINTESTINAL TUMOR IN THE SECOND PORTION OF THE DUODENUM

Video Transcription

Video Summary

A 65-year-old man was found to have a submucosal duodenal GIST during a routine EGD. After imaging and biopsy confirmed it as a low-grade tumor, endoscopic submucosal dissection with full thickness resection (ESD-EFTR) was performed. Despite the procedural challenges of the duodenal location, the GIST was successfully and safely removed without complications. The patient recovered well and was doing fine at a 3-month follow-up. This case supports ESD-EFTR as a viable, minimally invasive alternative to surgical resection for duodenal GISTs, demonstrating the efficacy of endoscopic methods, including suturing, to manage such complex cases.

Keywords

duodenal GIST

endoscopic submucosal dissection

full thickness resection

minimally invasive

endoscopic suturing