Mucosal defect closure after duodenal endoscopic submucosal dissection using the reopenable-clip over the line method.

ABSTRACT:

Introduction

Closure of mucosal defects after duodenal endoscopic submucosal dissection (ESD) is important to prevent postoperative adverse events. Previously, we devised an underwater reopenable-clip closure method for effective closure of mucosal defects under endoscopic guidance within the field of view. Recently, the usefulness of a method using a clip with a line passing through an accessory channel to close a mucosal defect has been reported. We also described a reopenable-clip over the line method (ROLM) to completely close margin and the muscular layers of mucosal defects using a clip line.

Case report

Our patient was a 70-year-old woman with a 40-mm duodenal tumor in the descending portion of the duodenum. The lesion was completely resected using ESD . In the result

SUBMITTER: Nomura T 

PROVIDER: S-EPMC8264231 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature