Endoscopic Banding for Duodenal Carcinoid TumorsVijay Anand, Sathyanesan Jeswanth, Perumal Senthil Kumar, Palaniappan Ravichandran, Govindan Manoharan Institute of Surgical gastroenterology, Government Stanley medical college, Chennai

Introduction:  Carcinoids of the duodenum are rare and have an indolent course. Most of these patients have been conventionally subjected to extensive surgery based on the site of the tumor. In this report, we have explored the safety and feasibility of endoscopic banding for such tumors. This to our best knowledge is only the second such report in English medical literature.  Case report:  In a 50-year-old woman with history of abdominal pain and vomiting, upper gastrointestinal endoscopy revealed a 0.5 cm umbilicated nodular lesion along the medial wall of the first part of duodenum. Biopsy of the lesion confirmed it to be a carcinoid, and endoscopic ultrasonography (EUS) showed the carcinoid was confined to the submucosa. Endoscopic banding with resection of the lesion was done. Patient tolerated the procedure well and is asymptomatic on follow-up.  Conclusion:  Small duodenal carcinoids confined to the submucosa can be safely and effectively managed by endoscopic banding and preoperative. Larger studies in patients with duodenal carcinoids tumors are needed to confirm these promising results.