Over-the-scope clip -assisted endoscopic full-thickness resection
- Over-the-scope Clip-Assisted Endoscopic Full-Thickness Resection of Duodenal Bulb Neuroendocrine Tumor.
- Endoscopic full-thickness resection (EFTR) it allows for diagnosis and potentially definitive treatment of GI wall lesion.
- Traditionally resection is performed first, followed by defect closure with over-the-scope (OTS) clips or endoscopic suture.
- OTS clip-assisted technique allows address of the defect prior to full-thickness resection.
- 70F with history of obesity and peptic ulcer disease presents 11 months following laparoscopic gastric sleeve.
- Referred for upper endoscopy.
- Duodenal mass biopsies consistent with well differentiated neuroendocrine tumor.
- The patient elected for endoscopic resection.
- Procedure tolerated without complication.
- Patient was discharged to home from the PACU the same day.
Final pathology:
- Grade 2 Neuroendocrine tumor
- Negative margins
- 1X1X0.6 cm
Instrument: Full Thickness Resection Device (FTRD System) produced by Ovesco AG (Germany).
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