Effective endoscopic treatment for intraluminal duodenal diverticulum

We read with interest the article by Koike1 on a patient with recurrent acute pancreatitis caused by a fenestrated duodenal web: intraluminal duodenal diverticulum. On the basis of a duodenum-within-duodenum configuration on CT, a large fenestrated duodenal web on EGD, and a windsock appearance on upper GI series, duodenal intussusception caused by a fenestrated duodenal web was diagnosed. Although the duodenal web was surgically resected with a favorable outcome, we suspect that endoscopic treatment would be a safe and effective alternative.

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