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. 2024 Feb 17;9(6):295-297.
doi: 10.1016/j.vgie.2024.02.012. eCollection 2024 Jun.

Pushing the boundaries: circumferential endoscopic submucosal dissection in distal duodenum

Affiliations

Pushing the boundaries: circumferential endoscopic submucosal dissection in distal duodenum

Fatih Aslan et al. VideoGIE. .

Abstract

Video 1Pushing the boundaries: circumferential endoscopic submucosal dissection in distal duodenum (7.58 seconds).

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Conflict of interest statement

The authors disclosed no financial relationships relevant to this publication.

Figures

Figure 1
Figure 1
Endoscopic view with white-light imaging of circumferential duodenal adenoma.
Figure 2
Figure 2
A, Distance of the adenoma to the papilla after indigo carmine dye (approximately 4 cm). B, Endoscopic view with indigo carmine dye of circumferential duodenal adenoma.
Figure 3
Figure 3
A, View of the resection area after endoscopic submucosal dissection. B, Diagrammatic view of the resection area after endoscopic submucosal dissection.
Figure 4
Figure 4
A, Endoscopic view of the closed resection area with overstitch and hemostatic clips. B, Diagrammatic view of the resection area after endoscopic submucosal dissection.
Figure 5
Figure 5
The histologic examination revealed an adenoma of intestinal type (H&E, orig. mag. × 2).
Figure 6
Figure 6
A, Cicatricial area with remaining Prolene suture after 4 months. B, Texture and color enhancement imaging view of the cicatricial area.

References

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    1. Hasatani K., Yoshida N., Aoyagi H., et al. Usefulness of the clip-and-snare method using the pre-looping technique for endoscopic submucosal dissection of gastric neoplasia: a randomized controlled trial. Ann Gastroenterol. 2022;35:48–55. - PMC - PubMed
    1. Kato M., Takatori Y., Sasaki M., et al. Water pressure method for duodenal endoscopic submucosal dissection (with video) Gastrointest Endosc. 2021;93:942–949. - PubMed
    1. Akimoto T., Goto O., Sasaki M., et al. Endoscopic suturing promotes healing of mucosal defects after gastric endoscopic submucosal dissection: endoscopic and histologic analyses in in vivo porcine models (with video) Gastrointest Endosc. 2020;91:1172–1182. - PubMed

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