Low-cost technique for resection of a large duodenal lipoma with the aid of a modified polypectomy snare

摘要

Video 1 Resection of a large duodenal lipoma with the aid of a modified polypectomy snare. Georg Thieme Verlag. Please enable Java Script to watch the video.Download The modification consisted of removing the handle of the manual control device, such that the endoscope could be extracted from the stomach cavity, leaving the snare body inside of it in the same way that a guidewire would be used.The modified polypectomy snare was placed around the pylorus to act as a “trap.” Then, the endoscope tip was advanced through the snare into the duodenum where the lesion was grasped and pulled into the antrum. The modified snare was closed around the pseudopedicle, holding the lipoma in the antrum. The lipoma was resected using a second polypectomy snare, and the mucosal defect was closed with a hemoclip. The patient was discharged home without complications.A modified polypectomy snare can be a useful accessory tool when a therapeutic endoscope is not available.Endoscopy_UCTN_Code_TTT_1AO_2AGEndoscopy E-Videos https://eref.thieme.de/e-videos Endoscopy E-Videos is a free access online section, reporting on interesting cases and new techniques in gastroenterological endoscopy. All papers include a high quality video and all contributions are freely accessible online.This section has its own submission website at https://mc.manuscriptcentral.com/e-videos