ENDOSCOPIC FULL-THICKNESS RESECTION OF A DUODENAL GIST WITH EXTRALUMINAL COMPONENT BY NOTES: TRACTION AND SUTURES

A 68 year-old male with previous history of Billroth I reconstruction, and radical cystectomy with Bricker, presented with a 2.5cm GIST with extraluminal component confirmed histologically on the third duodenal part.

Due to difficulty for laparoscopy, an endoscopic resection was decided.

First, incision was performed to expose the pseudocapsule.

Double-clip and rubber-band traction was applied to help the full-thickness resection.

Retroperitoneal dissection was performed.

A clip-with-line traction was applied to introduce the lesion into the luminal side and finish the resection. Specimen was recovered, and endoscopic suturing was performed.

Patient was discharged without complications.

Histology showed a low-risk GIST.

Publication History

Article published online:
14 April 2022