Endoscopic diverticulectomy with platelet-rich plasma of intraluminal duodenal diverticulum

Autor: Lorenzo-Zúñiga García, Vicente María, Moreno de Vega, Vicente, Boix Valverde, Jaume
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Popis: Background: Procedure-related bleeding remains a common complication after endoscopic diverticulectomy of intraluminal duodenal diverticulum (IDD). The optimal endoscopic approach to IDD has not been established. Platelet-rich plasma (PRP) has proven biological properties to reduce risk of bleeding. Materials and Methods: The authors describe a novel technique in which endoscopic diverticulectomy was performed with prior submucosal injection of PRP (IRB approval PT-16-002). Case Report: A 62-year-old woman with a large IDD like a “windsock” underwent endoscopic diverticulectomy with PRP obtained from a sample of patient’s blood. IDD was resected with EMR technique using a standard polypectomy snare. No immediate or delayed bleeding was noted. Follow-up endoscopy 3 months later revealed complete mucosal healing and open communication to the distal duodenum. Conclusion: Endoscopic diverticulectomy with PRP is an option in patients with IDD Medicina
Databáze: OpenAIRE