Underwater Endoscopic Papillectomy

The endoscopic papillectomy is a safe and effective technique, with a cure rate of > 83 %.

Case We present a resection variant, using intraluminal water to facilitate resection.

Endoscopic examination reveals a benign-looking lesion in the papillary region. Technique: We proceed to instill abundant intraluminal fluid. This measure facilitates the lesion protrudes into the duodenal lumen, which practically floats on the liquid intraluminal, easily fit inside the loop. The lesion is cut and extracted.

Conclusion Underwater resection facilitates the intraluminal exteriorization of the papillary lesion and its subsequent capture with the polypectomy loop, avoiding the need for other mucosal elevation alternatives.

Citation: Rodriguez-D´Jesús A. OP92V UNDERWATER ENDOSCOPIC PAPILLECTOMY. Endoscopy 2021; 53: S39.

Publication History

Article published online:
19 March 2021