ASGE DDW Videos from Around the World | 2025-SAFETY AND EFFICACY OF A NOVEL TECHNIQUE UNDERWATER AMPULLECTOMY

SAFETY AND EFFICACY OF A NOVEL TECHNIQUE UNDERWATER AMPULLECTOMY

Video Transcription

Video Summary

Underwater endoscopic mucosal resection (EMR) is an innovative technique for removing ampullary adenomas, offering a safer alternative to traditional methods with reduced risks of bleeding and perforation. This approach involves immersing the duodenum in sterile water, naturally lifting the adenoma for precise excision. A case involving a 68-year-old female with cardiac issues demonstrated the technique's success, achieving complete resection without complications. The underwater EMR minimizes thermal damage, enhancing patient safety and reducing adenoma recurrence rates compared to conventional methods. Overall, underwater ampullectomy is a promising and effective method for treating ampullary adenomas.

Asset Subtitle

Rahul Anand

Keywords

underwater EMR

ampullary adenomas

patient safety

adenoma recurrence

innovative technique