PDF icon Download PDF
Open Access
CC BY 4.0 · Endoscopy 2024; 56(S 01): E862-E863
DOI: 10.1055/a-2408-8556
E-Videos

An optional choice for closing the duodenal defect after endoscopic full-thickness resection: endoscopic hand-suturing

Yong Liu‡
1   Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
,
Hoi-loi Ng‡
1   Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
,
Shi-Bo Song
2   Endoscopy Center, Peking University First Hospital, Beijing, China
,
Shun He
1   Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
,
Gui-Qi Wang
1   Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
› Author Affiliations

Supported by: Sanming Project of Medicine in Shenzhen SZSM2019110080
Supported by: Chinese Academy of Medical Sciences for CAMS Innovation Fund for Medical Sciences 22021-I2M-1-061
Supported by: Beijing Hope Run Special Fund of Cancer Foundation of China LC2022B35 Clinical Trial: Registration number (trial ID): ISRCTN38499247, Trial registry: ISRCTN.org, Type of Study:
› Further Information
Also available ateRef
 
 PDF Download Permissions and Reprints

A 51-year-old man went to hospital for routine examination and a 0-IIa lesion was found in the descending part of the duodenum, which the pathologic result showed to be a neuroendocrine tumor, Grade 1 ([Fig. 1] a). Endoscopic ultrasonography showed the lesion to be located in the muscularis mucosae and submucosal layer, and partly associated with the muscularis propria. After preoperative discussion and consent from the patient, our team decided to perform endoscopic full-thickness resection to remove the lesion ([Fig. 1] b). After resection, endoscopic hand-suturing was used to close the defect uneventfully ([Fig. 1] c, d, e, [Video 1]).

Zoom
Fig. 1 Endoscopic views. a 0-IIa lesion located in the descending part of the duodenum. b The defect after endoscopic full-thickness resection. c, d Endoscopic hand-suturing. e The wound after endoscopic hand-suturing. f The scar in the descending part of the duodenum after 3 months.
Demonstration of a duodenal defect completely closed using endoscopic hand-suturing after endoscopic full-thickness resection. This method is an option for closing defects located in the duodenum and an alternative to clip closure and laparoscopic suturing.Video 1

The patient was discharged after 7 days, with no bleeding, perforation, or abdominal infection after the procedure. No complications occurred during follow-up, and routine gastroscopy confirmed a good recovery ([Fig. 1] f).

After successful application of endoscopic hand-suturing in gastric and rectal defects [1] [2], our team attempted this technique to suture a duodenal defect. This case confirms the feasibility of endoscopic hand-suturing for closing a defect located in the duodenum, providing an alternative option to clip closure and laparoscopic suturing. (Informed consent was obtained from the patient to publish these images.)

Endoscopy_UCTN_Code_TTT_1AO_2AO

Endoscopy E-Videos https://eref.thieme.de/e-videos

E-Videos is an open access online section of the journal Endoscopy, reporting on interesting cases and new techniques in gastroenterological endoscopy. All papers include a high-quality video and are published with a Creative Commons CC-BY license. Endoscopy E-Videos qualify for HINARI discounts and waivers and eligibility is automatically checked during the submission process. We grant 100% waivers to articles whose corresponding authors are based in Group A countries and 50% waivers to those who are based in Group B countries as classified by Research4Life (see: https://www.research4life.org/access/eligibility/).

This section has its own submission website at https://mc.manuscriptcentral.com/e-videos.


 

Conflict of Interest

The authors declare that they have no conflict of interest.


Correspondence

Gui-Qi Wang, MD
Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
17 Panjiayuannanli
Beijing, 100021
China   

Publication History

Article published online:
14 October 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany


  Permissions and Reprints
Zoom
Fig. 1 Endoscopic views. a 0-IIa lesion located in the descending part of the duodenum. b The defect after endoscopic full-thickness resection. c, d Endoscopic hand-suturing. e The wound after endoscopic hand-suturing. f The scar in the descending part of the duodenum after 3 months.