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Create a Free AccountAnatomy - Small intestine
Subpyloric tunneling endoscopic submucosal dissection: a novel technique for safe and successful removal of a challenging duodenal submucosal lesion
Owing to their anatomic location, submucosal lesions in the proximal duodenal bulb can be challenging to resect by EMR. Here, we present a novel endoscopic submucosal dissection (ESD) technique for successful removal of a duodenal submucosal lesion (Video 1, available online at www.VideoGIE.org ).Duodenal endoscopic submucosal dissection and sutured defect closure across a lumen-apposing metal stent
Patients with gastric bypass anatomy face unique challenges and limited options with respect to endoscopy in the bypassed portion of the stomach and duodenum.1 Here we introduce a novel technique for EUS-guided creation of a temporary access tract and demonstrate various therapeutic interventions that can be safely and effectively performed across the access tract in the bypassed duodenum (Video 1, available online at www.VideoGIE.org ).Successful removal of duodenal submucosal tumors with endoscopic submucosal dissection
Endoscopic submucosal dissection (ESD) in the duodenal bulb is technically challenging because of the thin wall and perpendicular angulation of the duodenum. However, ESD allows for the en bloc resection of both mucosal and submucosal lesions, which may theoretically allow for lower recurrence rates. We present 2 cases of ESD for resection of submucosal neoplasms in the duodenal bulb, and we highlight techniques and strategies for successful resection (Video 1, available online at www.VideoGIE.org ).
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