Preoperative biopsies are required to diagnose superficial duodenal epithelial tumours because a non-invasive endoscopic method for accurate diagnosis has not been established. However, biopsies cause scarring of the lesion. Kinoshita… Click to show full abstract
Preoperative biopsies are required to diagnose superficial duodenal epithelial tumours because a non-invasive endoscopic method for accurate diagnosis has not been established. However, biopsies cause scarring of the lesion. Kinoshita et al. reported that 24.6% of the duodenal lesions considered applicable for conventional endoscopic mucosal resection (C-EMR) were treated by endoscopic submucosal dissection (ESD) because of a non-lifting sign caused by biopsies 1 . However, duodenal ESD is challenging, even for experts 2 . Underwater EMR (UEMR) is a recently developed technique considered as easy and safe for resecting fibrotic colorectal polyps and small duodenal adenomas 3-5 . This article is protected by copyright. All rights reserved.
               
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