Endoscopic "Two-Step Method" for resection of a large tumor at the major duodenal papilla: A case report (with video).
Dan Wu, DaYong Sun, ChaoHui Niu et al.
✦ AI-curated · Sources linked
Case in brief
A 75-year-old female presented with abdominal distension and was found to have a giant laterally spreading tumor at the major duodenal papilla. Endoscopic resection was performed using a novel 'Two-Step Method,' allowing for safe removal of the tumor in two sessions. The patient recovered well, with no complications or recurrence noted during a 12-month follow-up.
What made this case unusual
This case highlights the use of a novel 'Two-Step Method' for the endoscopic resection of a large tumor at the major duodenal papilla, which is rarely reported in the literature.
Diagnostic / clinical pearl
Clinicians should consider the 'Two-Step Method' for endoscopic resection of large duodenal tumors when single-session resection is not feasible due to limited operative space.
Why it matters
This case contributes to the limited literature on endoscopic management of large duodenal tumors, suggesting a viable technique for similar cases.