Endoscopic submucosal dissection for a duodenal ampullary adenoma with high-grade dysplasia.

Wonderful resection to watch. What settings did you use and was this under water or saline immersion?

Endocut I 141 for incision and dissection and soft Coag 80 W for coagulation. Erbe 300s

Artist.

Fantastic- looks wonderful under water How did you close the defect

We did not close the defect. We placed pancreatic and biliary stents and used the vacuum tube I developed for two days, followed by gradual progression of oral intake

Nice . Closure in D2 can be a pain and the Endovac and stents helped it heal 👍

Good job

You’re an artist with technique, fantastic vid.