ASGE DDW Videos from Around the World | 2025-ENDOSCOPIC RESECTION OF CIRCUMFERENTIAL ADENOMA OF THE DUODENUM ASSOCIATED WITH PREEMPTIVE VACUUM THERAPY TO PREVENT LATE PERFORATION

ENDOSCOPIC RESECTION OF CIRCUMFERENTIAL ADENOMA OF THE DUODENUM ASSOCIATED WITH PREEMPTIVE VACUUM THERAPY TO PREVENT LATE PERFORATION

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Video Transcription

Video Summary

A 51-year-old woman underwent a successful endoscopic mucosal resection to remove a circumferential adenoma in the duodenum as an alternative to the high-risk Whipple procedure. The process involved piecemeal resection, papillectomy, and stent placement. Endoluminal vacuum therapy was employed to prevent perforation, aiding patient recovery. Postoperatively, she experienced duodenal stenosis, which required four balloon dilation sessions. Six months later, no tumor recurrence was observed. This case highlights that endoscopic treatment with adequate preemptive measures, such as EVT and EBD, can safely manage duodenal lesions in a single session while ensuring long-term effectiveness.

Asset Subtitle

Ada Alexandrina Brom dos Santos Soares

Keywords

endoscopic mucosal resection

duodenal adenoma

endoluminal vacuum therapy

balloon dilation

tumor recurrence