Abstract

KRONER, Paul Thomas et al. Endoscopic Mucosal Resection of Jejunal Polyps using Double-Balloon Enteroscopy. GE Port J Gastroenterol [online]. 2015, vol.22, n.4, pp.137-142. ISSN 2341-4545.  https://doi.org/10.1016/j.jpge.2015.04.005.

Background: There are only two single case reports describing double-balloon enteroscopy (DBE)-assisted endoscopic mucosal resection (EMR) of the jejunum. The aim of this case series was to evaluate the feasibility and utility of DBE-assisted EMR in patients with familial and non-familial jejunal polyps. Patients and methods: Observational, open-label, retrospective, single-arm case series in two hospitals. Results: Eight patients underwent DBE assisted jejunal EMR. Median age of  patients was 42 years (range 24-62 years), male: female ratio 1.5:1. DBE was done through the antegrade (i.e. oral) route in all patients. Four patients had FAP; two had Peutz-Jeghers syndrome, one had a sporadic adenoma and one had a bleeding jejunal polyp, which on histological examination turned out to be lipoma. 3/8 underwent piece-meal EMR. No immediate adverse events occurred. Conclusions: This is the first case series presenting the technical details, feasibility and outcomes of EMR of the small bowel. EMR of the jejunum is feasible and safe during DBE.

Keywords : Double-Balloon Enteroscopy; Intestinal Mucosa; Intestinal Polyps; Jejunum.

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