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Endoscopic Mucosal Resection of Jejunal Polyps using Double-Balloon Enteroscopy.
Paul Thomas Kröner1, Aytekin Sancar1, Lucia C Fry2
1Basil I. Hirschowitz Endoscopic Center of Excellence, Division of Gastroenterology and Hepatology, University of Alabama at Birmingham, Birmingham, USA.
GE Portuguese Journal of Gastroenterology
|September 5, 2017
Summary
Double-balloon enteroscopy (DBE)-assisted endoscopic mucosal resection (EMR) is a feasible and safe method for removing jejunal polyps. This case series demonstrates its utility in patients with familial and non-familial conditions.
Area of Science:
- Gastroenterology
- Endoscopy
- Surgical Oncology
Background:
- Limited data exists on double-balloon enteroscopy (DBE)-assisted endoscopic mucosal resection (EMR) for jejunal polyps.
- Previous reports include only two single case studies.
Purpose of the Study:
- To evaluate the feasibility and utility of DBE-assisted EMR for jejunal polyps.
- To assess outcomes in patients with familial and non-familial jejunal polyps.
Main Methods:
- An observational, open-label, retrospective, single-arm case series.
- Eight patients underwent DBE-assisted jejunal EMR via the antegrade route.
- Histological examination confirmed diagnoses including familial adenomatous polyposis, Peutz-Jeghers syndrome, sporadic adenoma, and jejunal lipoma.
Main Results:
- DBE-assisted jejunal EMR was successfully performed in all eight patients.
- No immediate adverse events were reported.
- Three patients underwent piece-meal EMR.
Conclusions:
- This case series presents the first detailed technical aspects, feasibility, and outcomes of EMR in the small bowel.
- EMR of the jejunum is a feasible and safe procedure when performed with DBE.
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