Abstract
Duodenal polyps are rare disease and laparotomy was required to treat these patients untill recently. However, we have successfully treated a patient with duodenal polyp by use of endoscopic polypectomy. case 56-year-old, male. Since 4 years before admitting N.C.C. Hospital, he have suffered from upper abdominal distress and epigastralgia. On admission he was healthy appesrence and there were no abnormalites in physical examination but glucose tolerence test disclosed that he had mild diabets mellitus. Upper G.l, series did not show any abnormalities, but x-ray examination of hypotonic duodenography demonstrated tumor shadow at the 2nd portion of the duodenum. Endoscopically it was observed that the tumor had long stalk and its head sometimes entered into the duodenal bulb. The head was round shape about 2cm in diameter and its surface was nodular, but there was no erosion on it. We used a fiberscope, Olympus, JF-D. The snare was passed through the instrumental channel connected its outer end to the high frequency wave coagulator and cut the polyp electrically. The resected polyp was cought with the widend snareloop and brought outside easily except slight troubles encountered when it passed through the pyloric ring. 2 week later, he left the hospital without any complications.
