Over the scope clip assisted endoscopic full thickness resection

Overthescope ClipAssisted Endoscopic FullThickness Resection of Duodenal Bulb Neuroendocrine Tumor. Endoscopic fullthickness resection (EFTR) it allows for diagnosis and potentially definitive treatment of GI wall lesion. Traditionally resection is performed first, followed by defect closure with overthescope (OTS) clips or endoscopic suture. OTS clipassisted technique allows address of the defect prior to fullthickness resection. 70F with history of obesity and peptic ulcer disease presents 11 months following laparoscopic gastric sleeve. Referred for upper endoscopy. Duodenal mass biopsies consistent with well differentiated neuroendocrine tumor. The patient elected for endoscopic resection. Procedure tolerated without complication. Patient was discharged to home from the PACU the same day. Final pathology: Grade 2 Neuroendocrine tumor Negative margins 1X1X0. 6 cm Instrument: Full Thickness Resection Device (FTRD System) produced by Ovesco AG (Germany).