Endoscopy 2022; 54(S 01): S13
DOI: 10.1055/s-0042-1744582
Abstracts | ESGE Days 2022
ESGE Days 2022 Oral presentations
11:00–12:00 Thursday, 28 April 2022 Club A. Endoscopic treatment for gastric and duodenal tumors

D-LECS: LAPAROSCOPIC AND ENDOSCOPIC COOPERATIVE SURGERY FOR TREATMENT OF A LARGE NON-AMPULLARY DUODENAL LESION

D. de Frutos
1   Puerta de Hierro University Hospital, Gastroenterology and Hepatology. Endoscopy Unit, Majadahonda, Spain
,
J. Santiago
1   Puerta de Hierro University Hospital, Gastroenterology and Hepatology. Endoscopy Unit, Majadahonda, Spain
,
J.L. Lucena
2   Puerta de Hierro University Hospital, Gastrointestinal Surgery department, Majadahonda, Spain
,
M.D. Chaparro
2   Puerta de Hierro University Hospital, Gastrointestinal Surgery department, Majadahonda, Spain
,
M.R. Sánchez-Yuste
3   Puerta de Hierro University Hospital, Pathology department, Majadahonda, Spain
,
D. Martín
4   Infanta Cristina University Hospital, Gastroenterology and Hepatology, Parla, Spain
,
B. Botella
4   Infanta Cristina University Hospital, Gastroenterology and Hepatology, Parla, Spain
,
I.J. Omella
1   Puerta de Hierro University Hospital, Gastroenterology and Hepatology. Endoscopy Unit, Majadahonda, Spain
,
S. Blanco
1   Puerta de Hierro University Hospital, Gastroenterology and Hepatology. Endoscopy Unit, Majadahonda, Spain
,
A. Herreros-de-Tejada
1   Puerta de Hierro University Hospital, Gastroenterology and Hepatology. Endoscopy Unit, Majadahonda, Spain
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Case Report A 72-year-old man with a 60 mm 0-Is+IIa lesion located at the second portion of duodenum (D2) was referred for endoscopic treatment in our hospital.

The operating room was prepared with laparoscopy and endoscopy equipment. Firstly, surgeons laparoscopically release D2. Then, duodenal ESD was performed achieving en-bloc resection without severe intra-procedural complications. Finally, the mucosal-submucosal defect is identified laparoscopically and a sero-muscular reinforce suture is performed. 72 hours post-procedure a moderate episode of upper-GI bleeding was registered which was successfully managed conservatively. Histopathological analysis of the specimen revealed a 60x47 mm tubulovillous adenoma with high-grade dysplasia, R0



Publication History

Article published online:
14 April 2022

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