Repeat full-thickness resection device use for recurrent duodenal adenoma: A case report

Figure 1 Illustration of the full-thickness resection device procedure. A and B: Grasping forceps are advanced through the working channel of the endoscope; C: The target lesion is grasped and pulled into the cap; D: The over-the-scope clip is deployed and creates a full-thickness plication of the gastrointestinal wall; E: The pseudopolyp is resected above the over-the-scope clip with the preloaded snare (Courtesy of Ovesco Endoscopy AG, Tuebingen, Germany, with permission).

Figure 2 Full-thickness resection of the duodenal adenoma. A: Endoscopic image of the recurrent adenoma. Marks were made by argon plasma coagulation; B: Endoscopic view with the mounted full-thickness resection device; C: View after resection with a correctly placed over-the-scope clip; D: Resection specimen; E: Histology of the specimen showing a small low-grade adenoma with R0 resection.