P2181 - Novel Trans-Pyloric Gastric Fixation to Facilitate ESD Resection of a Large Duodenal Brunner Gland Subpithelial Mass

Omar Saab, MD¹, Mohamed Abdallah, MD², Xuefeng Zhang, MD³, Amit Bhatt, MD^4
1Cleveland Clinic Foundation, Westlake, OH; ²Cleveland Clinic, Cleveland, OH; ³Cleveland Clinic Foundation, Cleveland, OH; ⁴Digestive Disease Institute, Cleveland Clinic, Cleveland, OH

Introduction: Brunner gland proliferative lesions are uncommon benign tumors of the duodenum. Endoscopic resection poses challenges due to its location and potential for bleeding complications and perforations.

Case Description/Methods: We present a video demonstrating traction-wire anchoring-assisted endoscopic submucosal dissection (ESD) for the en-bloc resection of duodenal masses in 2 cases of Brunner gland proliferative lesions, these cases presented with gastrointestinal obstructive symptoms. The procedure aims to enhance visualization and facilitate safe resection without complications (bleeding and perforation).

Discussion: Both cases underwent successful en-bloc resection of duodenal masses using traction-wire anchoring-assisted ESD. The procedure was completed efficiently with direct visualization of the lesion stalk, ensuring complete resection and minimizing the risk of bleeding and perforation. Traction-wire anchoring-assisted ESD is a promising technique for the safe and effective removal of Brunner gland proliferative lesions in the duodenum. This approach offers enhanced control of bleeding sources and facilitates straightforward visualization and resection of these lesions.


Disclosures:


Omar Saab, MD¹, Mohamed Abdallah, MD², Xuefeng Zhang, MD³, Amit Bhatt, MD⁴. P2181 - Novel Trans-Pyloric Gastric Fixation to Facilitate ESD Resection of a Large Duodenal Brunner Gland Subpithelial Mass, ACG 2024 Annual Scientific Meeting Abstracts. Philadelphia, PA: American College of Gastroenterology.