Endoscopic papillectomy for the treatment of adenomas of the papilla of vater in 57 patients

Bohnacker, Sabine; Nguyen, Dzung; Thonke, Frank; Seitz, Uwe; Jaeckle, Stefan; Brand, Boris; Fritscher-Ravens, Annette; Soehendra, Nib

doi:10.1016/s0016-5085(00)84007-x

Cited by 2 publications

(3 citation statements)

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“…These results have also been confirmed by more recent studies [6,14,67]. Nearly 80% of the patients were managed endoscopically; most patients received therapy with a curative intent and some with palliative intent with low morbidity and only one death.…”

Section: Endoscopic Therapy Of Adenomas Of the Papilla Of Vatersupporting

confidence: 67%

“…Due to the low incidence of the disease, controlled therapy studies have not been conducted so far. Published results from surgical and endoscopic centers can hardly be compared because of significant differences in patient age, comorbidity, and general health status [57,43,33,53,42,13,8,25,12,67,18,4,6,14].…”

Section: Endoscopic Therapy Of Adenomas Of the Papilla Of Vatermentioning

confidence: 99%

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Rationale for endoscopic management of adenoma of the papilla of Vater: options and limitations

Vogt

Jakobs

Riemann

2001

Langenbeck's Arch Surg

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The decision for endoscopic or surgical excision of adenomas is determined by general health status, histology, size, location, and depth of the lesion. In carcinoma of the papilla of Vater it is important to assess the tumoral ductal infiltration correctly to determine whether endoscopic resection is a viable option. Intraductal ultrasound is essential before initiating treatment and it therefore contributes to conservative therapy in patients with tumors of the papilla of Vater. Temporary placement of a short pancreatic duct stent may protect against pancreatitis and might allow more excessive ablation of adenomatous tissue, especially around the pancreatic duct orifice. After endoscopic sphincterotomy, biliary and pancreatic endoprostheses can be inserted easily in cases of obstructed pathways or cholangitis and pancreatitis due to tumor obstruction. Argon plasma coagulation can be used to treat oozing tumor hemorrhages or to vaporize tumoral residues after endoscopic snare resection. Endoscopic surveillance is essential after surgical or endoscopic resection of adenomas of the papilla of Vater.

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Section: Endoscopic Therapy Of Adenomas Of the Papilla Of Vatersupporting

confidence: 67%

Section: Endoscopic Therapy Of Adenomas Of the Papilla Of Vatermentioning

confidence: 99%

Rationale for endoscopic management of adenoma of the papilla of Vater: options and limitations

Vogt

Jakobs

Riemann

2001

Langenbeck's Arch Surg

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“…Jg., Nr. 36 wurden von der gleichen Gruppe anhand einer größeren Fallzahl (n=51) mitgeteilt(6). Konsequenterweise sollten endoskopische Schlingenexzisionen nur für die Patienten angewandt werden, bei denen das perioperative Risiko auch für eine lokale Resektion sehr hoch ist bzw.…”

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Gutartige Tumore der Papilla Vateri

Treitschke

Beger²,

Meessen³

et al. 2000

Dtsch med Wochenschr

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Ampullectomy provides an adequate surgical treatment of benign adenoma of the ampulla of Vater. Accurate surgical technique and pre-, intra- and final histopathological diagnosis by an experienced pathologist are decisive factors in determining the ultimate outcome. If the histological findings as to benignity are unclear, resection of the head of the pancreas with preservation of the pylorus by an experienced surgeon is indicated.

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Endoscopic papillectomy for the treatment of adenomas of the papilla of vater in 57 patients

Cited by 2 publications

References 0 publications

Rationale for endoscopic management of adenoma of the papilla of Vater: options and limitations

Rationale for endoscopic management of adenoma of the papilla of Vater: options and limitations

Gutartige Tumore der Papilla Vateri

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