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- W2914939650 abstract "A 74 year old man with history of hypertension, chronic kidney disease, diabetes mellitus type 2 presented with two day history of melena. Hemoglobin remained stable. He underwent an upper endoscopy that showed a 2-3 cm periampullary mass concerning for malignancy just distal to the ampulla. Initial pinch biopsies were negative. Subsequent endoscopic ultrasound showed a 21 by 11 mm mass that was mucosal in origin without invasion through the muscularis propria. Core biopsies revealed a neuroendocrine (carcinoid tumor). Patient was referred to surgery however he declined surgical intervention and requested attempts for endoscopic removal. He underwent upper endoscopy with plan for endoscopic mucosal resection (EMR). 5 ml of epinephrine (1:20,000) was injected in and around tumor. A large hexagonal snare was used to remove tumor in one piece and retrieved with Roth net. A small defect in the duodenal mucosa was than clipped times three. Final pathology revealed well-differentiated neuroendocrine tumor; G1: Low grade with clear cautery margins. Watch the video: https://goo.gl/XSZMcX" @default.
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- W2914939650 date "2017-10-01" @default.
- W2914939650 modified "2023-10-18" @default.
- W2914939650 title "Large Periampullary Neuroendocrine Tumor Endoscopic Mucosal Resection" @default.
- W2914939650 doi "https://doi.org/10.14309/00000434-201710001-01618" @default.
- W2914939650 hasPublicationYear "2017" @default.
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