Endoscopic Videolaparoscopic-assisted duodenal polypectomy: a case-video

Abstract Text A 42-years-old woman, due to sideropenic anemia and melena, underwent an esophagogastroduodenoscopy in which was found a large peduncolated polyp with the base in the duodenal bulb, whose head, measuring approximately 45 mm, could not be pull in the antrum for a safer polypectomy due. An Endoscopic VLS-assisted polypectomy was performed in which the surgeon press on the stomach and duodenal bulb under endoscopist instruction to push the polyp’s head in the antrum. Then a standard piecemeal hot snare polypectomy was performed. The pathologist analyses reveal an hamartomatous polyp without dysplasia and the patient underwent Peutz–Jeghers syndrome genetic test.