Dear colleagues!

We are glad to present the clinical case - Over-the-scope Clip-Assisted Endoscopic Full-Thickness Resection of Duodenal Bulb Neuroendocrine Tumor.

 

• Endoscopic full-thickness resection (EFTR) 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 - the patient was discharged to home from the PACU the same day.

Final pathology:

• Grade 2 Neuroendocrine tumor
• Negative margins
• 6 cm

Instrument: Full Thickness Resection Device (FTRD System) produced by Ovesco AG (Germany)