Vicente Lorenzo-Zúñiga1*, Vicente Moreno de Vega2 and Jaume Boix Valverde3
1Endoscopy Unit, Hospital Universitari i Politècnic La Fe, Valencia, Spain
2Endoscopy Unit, Hospital Universitari Germans Trias i Pujol, Badalona, Spain
3Endoscopy Unit, Hospital HM Sant Jordi, Barcelona, Spain
*Corresponding Author: Vicente Lorenzo-Zúñiga, Endoscopy Unit, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Received: March 25, 2021; Published: May 06, 2021
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.
Keywords: Intraluminal Duodenal Diverticulum (IDD); Platelet-Rich Plasma (PRP); Endoscopic Diverticulectomy
Citation: Vicente Lorenzo-Zúñiga., et al. “Endoscopic Diverticulectomy with Platelet-Rich Plasma of Intraluminal Duodenal Diverticulum”. Acta Scientific Gastrointestinal Disorders 4.6 (2021): 12-13.
Copyright: © 2021 Vicente Lorenzo-Zúñiga., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.