Volume 3, Issue 9, Pages (September 2018)

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Volume 3, Issue 9, Pages 275-278 (September 2018) Successful removal of duodenal submucosal tumors with endoscopic submucosal dissection Phillip S. Ge, MD, Christopher C. Thompson, MD, MHES, Hiroyuki Aihara, MD, PhD VideoGIE Volume 3, Issue 9, Pages 275-278 (September 2018) DOI: 10.1016/j.vgie.2018.07.003 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Patient 1. A, 6-mm submucosal lesion in the duodenal bulb. B, Circumferential incision. C, Rubber band traction method used to facilitate visualization of the submucosal dissection plane. D, En bloc resection. E, Sutured closure of the resection defect to avoid delayed perforation. F, Final en bloc resection specimen showing negative margins. G, Histopathologic view of resection specimen (H&E, orig. mag. ×12.5). H, Follow-up endoscopic view at 6 months showing no evidence of recurrence. VideoGIE 2018 3, 275-278DOI: (10.1016/j.vgie.2018.07.003) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Patient 2. A, 7-mm submucosal lesion in the duodenal bulb. B, Tapered distal attachment cap used to facilitate visualization of the submucosal dissection plane. C, En bloc resection. D, Advancement of endoscopic suturing device. E, Resection defect sutured closed to avoid delayed perforation. F, Final en bloc resection specimen showing negative margins. G, Histopathologic view of resection specimen (H&E, orig. mag. ×12.5). H, Follow-up endoscopic view at 6 months showing no evidence of recurrence. VideoGIE 2018 3, 275-278DOI: (10.1016/j.vgie.2018.07.003) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions