Underwater endoscopic submucosal resection with a ligation device for a duodenal neuroendocrine tumor
Yuichiro Mikuriya, Kazuo Shiotsuki, Nobuhisa Minakata, Kohei Takizawa, Shin Maeda · 2025
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Description
Yuichiro Mikuriya and co-authors (2025) describe a case where doing an endoscopic procedure underwater solved a visibility problem. The patient was an eighty-three-year-old man with a small, six-millimeter neuroendocrine tumor in his duodenum. The planned technique removes such tumors by banding them and cutting below the band. Its weakness is the banding device itself: its tapered tube narrows and darkens the view, making precise capture hard in air.
Filling the gut with water instead changes the optics. Water magnifies naturally and floats the tissue, opening the view. Under water, the team could see the lesion clearly and resect it precisely, as their video shows. The report presents the underwater variant as a practical fix for a known blind spot of the banding method, at least for small duodenal tumors like this one.
Catalog record
| CREATOR | Yuichiro Mikuriya, Kazuo Shiotsuki, Nobuhisa Minakata, Kohei Takizawa, Shin Maeda |
|---|---|
| YEAR | 2025 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 3 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |