Cryoballoon treatment of endoscopically unresectable duodenal adenomas

Cryoballoon treatment may be effective for non-circumferential flat duodenal adenomas that are not amenable to snare polypectomy or EMR, such as those with severe fibrosis from prior treatment. More than one treatment may be required. However, the treatments are safe and well-tolerated. Limited experience in two patients suggests that cryotherapy is not an effective treatment for bulky circumferential adenomas.