Endoscopical En Bloc resection of a large duodenal adenoma with focal high dysplasia : hydroxypropyl methylcellulose as a safe lifting agent in a large duodenal adenoma EMR

Cinzia Quondamcarlo; Stefano Pontone; Alessandra Panarese; Daniele Pironi; Paolo Pontone; Angelo Filippini

doi:10.1007/s11605-011-1521-y

Endoscopical En Bloc resection of a large duodenal adenoma with focal high dysplasia : hydroxypropyl methylcellulose as a safe lifting agent in a large duodenal adenoma EMR

J Gastrointest Surg. 2011 Aug;15(8):1480-1. doi: 10.1007/s11605-011-1521-y. Epub 2011 Apr 12.

Authors

Cinzia Quondamcarlo¹, Stefano Pontone, Alessandra Panarese, Daniele Pironi, Paolo Pontone, Angelo Filippini

Affiliation

¹ Department of Surgical Sciences, Sapienza University of Rome, V. le Regina Elena 324, 00161, Rome, Italy.

PMID: 21484484
DOI: 10.1007/s11605-011-1521-y

Abstract

Endoscopic mucosal resection is a potential alternative to surgery when submucosal invasion and lymph node involvement are excluded. We describe an en bloc resection of a large, focal, high-grade tubulovillous nonampullary adenoma of duodenal wall using hydroxypropyl methylcellulose as a lifting agent.

Publication types

Case Reports

MeSH terms

Adenoma / pathology
Adenoma / surgery*
Aged
Duodenal Neoplasms / pathology
Duodenal Neoplasms / surgery*
Duodenoscopy / methods*
Female
Humans
Hypromellose Derivatives
Injections
Intestinal Mucosa / surgery
Methylcellulose / administration & dosage
Methylcellulose / analogs & derivatives*

Substances

Hypromellose Derivatives
Methylcellulose