Safe Endoscopic Resection Using a Detachable Snare: Large Pedunculated Brunner's Gland Hyperplasia

We report a case of Brunner's gland hyperplasia that was resected by an endoscopic polypectomy using a two-channel fiberscope and a detachable snare. A 59-year-old woman had tarry stool and anemia. Upper endoscopy revealed a large pedunculated polyp that arose from the anterior wall of the duodenal bulb. As we thought this polyp to be the source of bleeding, we performed an endoscopic removal. The lesion was removed by using a detachable snare without any complications. The resected specimen revealed a Brunner's gland hyperplasia. Endoscopic resection using the detachable snare was found to be a useful method for the prevention of the polypectomy-related bleeding in the treatment of Brunner's gland hyperplasia.