Duodenal polypectomy of Brunner's gland hyperplasia using a novel laparoscopic technique. A case report.

Brunner's gland hyperplasia rarely is associated with clinical problems, and it accounts for only about 10% of benign tumors of duodenum. Therapeutic intervention is indicated when Brunner's gland hyperplasia evokes symptoms such as indigestion, bleeding, or obstruction. Endoscopic intervention (esophagogastroduodenoscopy) often can be used effectively, and in some cases may be preferable because of its minimal invasivencss. However, when the lesion is too large to pass through the endoscopic snare, endoscopic treatment is not possible. In these cases, a laparoscopic procedure may provide a novel approach to resection of the polyp, while still serving as a minimally invasive approach. We report the case of a 28-year-old woman with a large duodenal polyp treated by laparoscopic polypectomy.