{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T12:32:04Z","timestamp":1764333124411,"version":"3.41.2"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T00:00:00Z","timestamp":1643760000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["DEN Open"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Congenital duodenal diaphragm (CDD) is a rare disease that is usually diagnosed in the neonatal period; however, it is sometimes diagnosed later in the adult period. A 39\u2010year\u2010old woman was referred to our hospital due to tarry stool and anemia. Emergent esophagogastroduodenoscopy (EGD) revealed an obstructing membranous structure with a small orifice in the second portion of the duodenum, together with dilatation of the bulbar part. The membranous structure was accompanied by a Dieulafoy\u2010like vessel on the backside, which was considered to have caused tarry stool and anemia. The Dieulafoy\u2010like vessel was successfully treated by endoscopic hemostasis. Based on the computed tomographic gastrography and barium duodenography findings, it was diagnosed as CDD. Later, endoscopic resection of the diaphragm was conducted by an endoscopic submucosal dissection (ESD)\u2010based procedure, with the use of an electrosurgical grasping\u2010type scissor forceps (ClutchCutter [CC]). There were no procedure\u2010related complications. The definite diagnosis of CDD was made based on the observation of typical structures in a pathological examination. This is the first case report of adult CDD that was successfully treated by endoscopic resection using ESD\u2010based techniques with a CC.<\/jats:p>","DOI":"10.1002\/deo2.93","type":"journal-article","created":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T19:40:03Z","timestamp":1643830803000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["An adult case of congenital duodenal diaphragm that was successfully treated by endoscopic resection using a grasping\u2010type scissor forceps"],"prefix":"10.1002","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6677-6739","authenticated-orcid":false,"given":"Shin\u2010ichiro","family":"Fukuda","sequence":"first","affiliation":[{"name":"Depertment of Gastroenterology Saiseikai Fukuoka General Hospital  Fukuoka 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