Gericke M, Mende M, Schlichting U, Niedobitek G, Faiss S. Repeat full-thickness resection device use for recurrent duodenal adenoma: A case report. World J Gastrointest Endosc 2020; 12(6): 193-197 [PMID: 32843929 DOI: 10.4253/wjge.v12.i6.193]
Corresponding Author of This Article
Maximilian Gericke, MD, Staff Physician, Department of Gastroenterology, Sana Klinikum Lichtenberg, Fanningerstrasse 32, Berlin 13065, Germany. maximilian.gericke@sana-kl.de
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Jun 16, 2020; 12(6): 193-197 Published online Jun 16, 2020. doi: 10.4253/wjge.v12.i6.193
Repeat full-thickness resection device use for recurrent duodenal adenoma: A case report
Maximilian Gericke, Matthias Mende, Uwe Schlichting, Gerald Niedobitek, Siegbert Faiss
Maximilian Gericke, Matthias Mende, Siegbert Faiss, Department of Gastroenterology, Sana Klinikum Lichtenberg, Berlin 13065, Germany
Uwe Schlichting, Gerald Niedobitek, Department of Pathology, Sana Klinikum Lichtenberg, Berlin 13065, Germany
Author contributions: Gericke M and Faiss S were involved in conceptualization, literature review, writing original draft, revising, editing and final approval; Mende M was involved in investigation, data curation and editing; Schlichting U and Niedobitek G were involved in investigation, visualisation and editing; all authors have read and approve the final manuscript.
Informed consent statement: Informed consent was obtained from the patient.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Maximilian Gericke, MD, Staff Physician, Department of Gastroenterology, Sana Klinikum Lichtenberg, Fanningerstrasse 32, Berlin 13065, Germany. maximilian.gericke@sana-kl.de
Received: March 3, 2020 Peer-review started: March 3, 2020 First decision: April 22, 2020 Revised: April 25, 2020 Accepted: May 16, 2020 Article in press: May 16, 2020 Published online: June 16, 2020 Processing time: 104 Days and 13.1 Hours
Abstract
BACKGROUND
Endoscopic full-thickness resection of adenomas or subepithelial tumors is a novel and promising endoscopic technique. There have been several recent studies of full-thickness resection device (FTRD) use in the colon, but data regarding its use and efficacy in the duodenum are still limited.
CASE SUMMARY
A 64-year-old female underwent resection of a recurrent adenoma of 7 mm in size in the duodenum after FTRD use for an adenoma eight months prior. The biopsies revealed a low-grade adenoma. The adenoma was removed using the gastroduodenal FTRD, and the pathology results revealed clear margins. Except for minor bleeding that was treated by argon plasma coagulation, no further complications occurred.
CONCLUSION
Repeat use of the FTRD appears to be a safe and efficacious approach for the treatment of recurrent duodenal lesions. Further prospective studies are needed to investigate the long-term safety and utility of repeat FTRD use after Endoscopic full-thickness resection.
Core tip: Endoscopic full-thickness resection using the full-thickness resection device (FTRD) is a promising technique for resection of adenomas but has not been extensively investigated in duodenal adenomas. We present a case of a recurrent duodenal adenoma after previous full-thickness resection with successful use of repeat FTRD.
