69-year-old man who underwent gastroscopy for dyspepsia that founded a 1cm granular
lesion in second duodenal portion, next to papilla. Biopsies diagnosed a low-grade
follicular lymphoma. Extension study was performed which did not find local or distant
spread. After assessment with haematology and general surgery, it was decided to perform
an endoscopic submucosal resection with band ligation (Captivator system). In bloc
resection was not possible, that’s why we performed a piece-meal resection in 2 pieces.
Previously, the lesion extend was marked-off with argon and submucosal infiltration
was performed with glycerol-indigocarmin. 2 years follow-up, the patient is still
in complete remission.