ASGE International Sampler (On-Demand)-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 Duodenal Endoscopic Submucosal Dissection

Concept Poor Lifting

Concept Submucosal Fibrosis

Concept Perforation

Concept En Bloc Resection

Keywords

endoscopic resection

duodenal adenomas

ESD technique

submucosal dissection

surveillance endoscopy

Duodenal Endoscopic Submucosal Dissection

Poor Lifting

Submucosal Fibrosis

Perforation

En Bloc Resection