[fusion_builder_container hundred_percent=”no” equal_height_columns=”no” menu_anchor=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”center center” background_repeat=”no-repeat” fade=”no” background_parallax=”none” parallax_speed=”0.3″ video_mp4=”” video_webm=”” video_ogv=”” video_url=”” video_aspect_ratio=”16:9″ video_loop=”yes” video_mute=”yes” overlay_color=”” video_preview_image=”” border_size=”” border_color=”” border_style=”solid” padding_top=”” padding_bottom=”” padding_left=”” padding_right=””][fusion_builder_row][fusion_builder_column type=”1_1″ layout=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” border_position=”all” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding_top=”” padding_right=”” padding_bottom=”” padding_left=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” center_content=”no” last=”no” min_height=”” hover_type=”none” link=””][fusion_text columns=”” column_min_width=”” column_spacing=”” rule_style=”default” rule_size=”” rule_color=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=””]
Endoscopic Mucosectomy Case Study 1: Flat Duodenal Adenoma
Background
An 83-year-old male with a history of iron deficiency anemia underwent upper endoscopy and was found to have a 3 cm sessile adenoma in the second portion of the duodenum extending over two folds. Biopsies showed tubular adenoma without dysplasia. He was referred to IESMG for consideration of mucosectomy.
Treatment
Saline was injected into the submucosa to raise the adenoma from the underlying muscle layer. Piecemeal resection was performed using a monofilament mucosectomy snare. The resection margins were fulgurated with argon plasma coagulation.
Outcome
Follow-up endoscopy with biopsies six months later showed scarring with no residual or recurrent adenoma.
[/fusion_text][fusion_text columns=”” column_min_width=”” column_spacing=”” rule_style=”default” rule_size=”” rule_color=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=””]
- Large sessile adenoma in the duodenum.
- Post mucosectomy
[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]