Endoscopic Endolooping for Giant Brunner’s Gland Adenoma

ABSTRACT Brunner's gland adenoma (BGA) is a rare benign tumor of the duodenum, it is most found during routine esophagogastroduodenoscopy (EGD). a 52-year-old male patient presented with melena and severe anemia, EGD showed a large wide base polypoidal lesion arise from the anterior wall of duodenal bulb, biopsy taken by biopsy forceps, revealed BGA. After patient's consent, EGD and Endolooping done aiming for ischemia and autoamputation, 2 weeks later I repeat EGD with complete loss of duodenal lesion, we report this technique for the first time to treat large BGA.