Endoscopy 2020; 52(S 01): S267-S268
DOI: 10.1055/s-0040-1704843
ESGE Days 2020 ePoster presentations
Thursday, April 23, 2020 09:00 – 17:00 Stomach and small intestine ePoster area
© Georg Thieme Verlag KG Stuttgart · New York

SALINE-IMMERSION THERAPEUTIC ENDOSCOPY (SITE) COMBINED WITH ENDOSCOPIC SUBMUCOSAL DISSECTION (ESD) OF A RARE CAUSE OF INTUSSUSCEPTION: A GIANT BRUNNER GLAND ADENOMA

N Lazaridis
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, UK
,
A Murino
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, UK
,
F Solonos
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, UK
,
E Athanasiadou
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, UK
,
A Podesta
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, UK
,
R Raymond
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, UK
,
N Koukias
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, UK
,
A Skamnelos
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, UK
,
J Watkins
2   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Department of Cellular Pathology, London, UK
,
T Yano
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, UK
3   Jichi Medical University, Division of Gastroenterology, Department of Medicine, Shimotsuke, Japan
,
EJ Despott
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, UK
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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A 48-year-old woman presented with abdominal pain. An 80mm pedunculated lesion was identified, arising from the duodenal-site of the pyloric-ring and prolapsing into D3. The scope was retroflexed in the bulb to ensure direct visualisation of the stalk and saline-immersion-therapeutic-endoscopy(SITE) facilitated endoscopic-submucosal-dissection(ESD) was performed.

Histopathological analysis revealed a giant 60*34*24mmBrunner-gland-adenoma(BGA) without any evidence of dysplasia/malignancy.

BGAs are rare benign duodenal-tumors proliferating from normal Brunner-glands. BGAs represent about 5-10% of benign duodenal-tumours and have an estimated incidence of< 0.01%.

Consensus for optimal management of BGA is lacking. Careful endoscopic resection appears to be effective, minimally-invasive and safe even for giant lesions.