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Volume 2, Issue 7, Pages (July 2017)

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1 Volume 2, Issue 7, Pages 182-184 (July 2017)
En bloc resection of a large symptomatic duodenal lipoma by endoscopic submucosal dissection  Chuncheng Wu, MD, Juliana F. Yang, MD, Qinghua Tan, MD, Qiongying Zhang, RN, Bing Hu, MD  VideoGIE  Volume 2, Issue 7, Pages (July 2017) DOI: /j.vgie Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

2 Figure 1 Gastroduodenoscopic view showing a huge cylindrical mass in the duodenum, with a smooth surface and soft texture. VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

3 Figure 2 EGD view showing no involvement of the ampulla.
VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

4 Figure 3 A Forrest type 2B ulcer at the most distal end of the mass.
VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

5 Figure 4 Abdominal enhanced CT showing a low-density lesion protruding from the descending part to the ascending part of duodenum. VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

6 Figure 5 EUS view revealing that the lesion was hyperechoic and originated from the submucosal layer. VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

7 Figure 6 Microscopic view showing that the tumor is mainly composed of mature adipocytes without atypia or mitotic figures consistent with benign lipoma. VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions

8 Figure 7 Two months later, EGD view showing the healed resection site.
VideoGIE 2017 2, DOI: ( /j.vgie ) Copyright © 2017 American Society for Gastrointestinal Endoscopy Terms and Conditions


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