Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 14, 2015; 21(34): 10041-10044
Published online Sep 14, 2015. doi: 10.3748/wjg.v21.i34.10041
Ligation-assisted endoscopic submucosal resection with circumferential mucosal incision for duodenal carcinoid tumor
Hideaki Harada, Satoshi Suehiro, Takanori Shimizu, Yasushi Katsuyama, Kenji Hayasaka, Hideto Ito
Hideaki Harada, Satoshi Suehiro, Takanori Shimizu, Yasushi Katsuyama, Kenji Hayasaka, Department of Gastroenterology, New Tokyo Hospital, Chiba 270-2232, Japan
Hideto Ito, Department of Surgery, New Tokyo Hospital, Chiba 270-2232, Japan
Author contributions: Harada H wrote the manuscript and performed the endoscopic procedure; Suehiro S, Shimizu T, Katsuyama Y, Hayasaka K and Ito H managed the patient and provided valuable help on comments.
Supported by New Tokyo Hospital, Chiba, Japan.
Institutional review board statement: This procedure was reviewed and approved by the New Tokyo Hospital Institutional Review Committee.
Informed consent statement: The procedure participant provided informed written consent.
Conflict-of-interest statement: The authors declare no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Hideaki Harada, MD, Director, Department of Gastroenterology, New Tokyo Hospital, 1271 Wanagaya, Matsudo, Chiba 270-2232, Japan. nerimaendo@hotmail.co.jp
Telephone: +81-47-7118700 Fax: +81-47-3928718
Received: February 21, 2015
Peer-review started: March 3, 2015
First decision: April 13, 2015
Revised: April 27, 2015
Accepted: June 10, 2015
Article in press: June 10, 2015
Published online: September 14, 2015
Core Tip

Core tip: This report presents the case of a 64-year-old female with duodenal carcinoid tumor treated by ligation-assisted endoscopic submucosal resection (ESMR-L) with circumferential mucosal incision (CMI). Band ligation was effective in resecting the duodenal carcinoid tumor after CMI. The post-procedural course was uneventful without bleeding and perforation. Histopathological examination showed clear tumor margins at deeper tissue levels. Thus, ESMR-L with CMI can be effective for the management of duodenal carcinoid tumors.