Duodenal Neuroendocrine Tumour Resection with a New Duodenal Full-Thickness Resection Device

摘要

Most well-differentiated, non-functional duodenal neuroendocrine tumours (NETs) limited to the mucosa/submucosa can be treated effectively with endoscopic resection [ ]. A full-thickness resection device (FTRD; Ovesco Endoscopy®) enables endoscopic transmural resection of suitable lesions with a fast minimally invasive technique [ ]. A colonic FTRD was used for duodenal lesions as an “off-label” indication with good clinical outcomes and a complication rate comparable to duodenal endoscopic mucosal resection [ ]. A duodenal FTRD (d-FTRD) with smaller diameter (19.5 vs. 21 mm), balloon-assisted insertion and less clip interdental space was developed allowing easier upper oesophageal sphincter passage and minimising bleeding risk.