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LAPAROSCOPIC SEGMENTAL DUODENECTOMY WITH DUODENOJEJUNOSTOMY FOR A NON-AMPULLARY DUODENAL ADENOMA WITH LOW GRADE DYSPLASIA
Michael Choi*, Miguel Burch, Alexander Ayzengart
Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA

Case Report: A 60 year-old female was found to have a tubular adenoma with low grade dysplasia in the third portion of the duodenum measuring 3 cm x 2.5 cm. Due to extensive fibrosis after initial polypectomy and ablation, a second and third attempt at submucosal injection and endoscopic resection were unsuccessful and resulted in duodenal microperforation requiring bowel rest, TPN, and IV antibiotics. The patient was referred for surgical resection and underwent laparoscopic segmental duodenectomy with a side-to-side duodenojejunostomy. Endoscopy was utilized to localize the adenoma intraoperatively.


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