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Michael F. Appel, MD; Phillip S. Bentlif, MD

Arch Surg. 1976;111(3):301.

Abstract
• A 36-year-old man had a major hematemesis because of a Brunner gland adenoma in the postbulbar portion of the duodenum. Three months later, the adenoma was successfully removed electively via endoscopic polypectomy. This is the first patient reported, to our knowledge, to have this technique for a bleeding Brunner gland adenoma.

Endoscopic surgery is a relatively new development, and the technique of polypectomy has been used primarily in the colon. Surgery via upper gastrointestinal endoscopy promises to be as useful, although a somewhat different set of precautions applies.

(Arch Surg 111:301, 1976)

Author Affiliations
From the departments of surgery and internal medicine, Baylor College of Medicine, and the sections of general and thoracic surgery and gastroenterology, Kelsey-Seybold Clinic, Houston.

Footnotes
Accepted for publication July 15, 1975.

Reprint requests to Kelsey-Seybold Clinic, 6624 Fannin St, Houston, TX 77025 (Dr Appel).

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