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Create a Free AccountAnatomy - Small intestine
Endoscopic full-thickness resection of well-differentiated T2 neuroendocrine tumors in the duodenal bulb: a case series
Endoscopic therapies have moved to the forefront in the removal of small, well-differentiated duodenal neuroendocrine tumors (NETs). Classic procedures used to address small tumors, especially those less than 1 cm in diameter, are banding without resection, ligation endoscopic mucosal resection, or endoscopic submucosal dissection. Endoscopic full-thickness resection (EFTR) is a procedure developed recently that allows for sealing off of the tissue surrounding the tumor before full-thickness removal.Clip band ligation ablation
Band ligation–assisted endoscopic mucosal resection (BL-EMR) is an established procedure to remove esophageal, gastric, and rectal mucosal and submucosal lesions.1 Not infrequently, small duodenal carcinoids or neuroendocrine tumors (NETs) are found during routine endoscopy. These tumors are located in the submucosal and mucosal layers. Although there are reports of managing small duodenal NETs with BL-EMR,2 there are risks of perforation.3
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