Endoscopic resection of benign tumors of the duodenal papilla without and with intraductal growth

Bohnacker, Sabine; Seitz, Uwe; Nguyen, Dzung; Thonke, Frank; Seewald, Stefan; deWeerth, Andreas; Ponnudurai, Ryan; Omar, Salem; Soehendra, Nib

doi:10.1016/j.gie.2005.04.053

Cited by 203 publications

(225 citation statements)

References 33 publications

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“…143 The risk of haemorrhage following ampullectomy ranges from 1% to 7% in published series. [144][145][146][147] No study was found that reported on endoscopic ampullectomy in patients taking aspirin or other antithrombotic agents. Some authors have stated that aspirin can be continued in patients at high thrombotic risk 148 but this should be assessed on an individual patient basis, as bleeding is a common complication and may be severe.…”

Section: Ampullectomymentioning

confidence: 99%

Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines

Vanbiervliet²,

et al. 2017

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Section: Ampullectomymentioning

confidence: 99%

Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines

Vanbiervliet²,

et al. 2017

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“…More recently, many other series have reported low morbidity and mortality with endoscopic therapy (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19). However, the role of endoscopic ampullectomy remains controversial and it is generally performed only in reference centers with expertise in interventional endoscopy.…”

Section: Endoscopic Ampullectomymentioning

confidence: 99%

“…Intraductal adenoma growth had less favorable outcomes compared with adenomas without intraductal growth (15). Predictors of success include: 1) age greater than 48 years; 2) male sex; 3) lesion size ≤ 25 mm; and 4) absence of a genetic predisposition to adenoma formation (e.g.…”

Section: Endoscopic Outcomesmentioning

confidence: 99%

“…Endoscopic ampullectomy may be considered in patients with smaller lesions that do not contain invasive carcinoma, and in patients who are poor surgical candidates (4)(5)(6). Many series have reported low morbidity and mortality with endoscopic therapy (4,(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19). Limited data support particular techniques for endoscopic resection of ampullary tumors (e.g.…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic ampullectomy: A technical review

Espinel¹,

Pinedo²,

Ojeda³

et al. 2015

Rev Esp Enferm Dig

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Background and aim:This article provides a practical review to undertaking safe endoscopic ampullectomy and highlights some of the common difficulties with this technique as well as offering strategies to deal with these challenges.Methods: We conducted a review of studies regarding endoscopic ampullectomy for ampullary neoplasms with special focus on techniques.Results: Accurate preoperative diagnosis and staging of ampullary tumors is imperative for predicting prognosis and determining the most appropriate therapeutic approach. The optimal technique for endoscopic ampullectomy is dependent on the lesions size. En bloc resection is recommended for lesions confined to the papilla. There is no significant evidence to support the submucosal injection before ampullectomy. There is no consensus regarding the optimal current and power output for endoscopic ampulectomy. The benefits of a thermal adjunctive therapy remain controversial. A prophylactic pancreatic stent reduces the incidence and severity of pancreatitis post-ampullectomy.Conclusions: Endoscopic ampullectomy is a safe and efficacious therapeutic procedure for papillary adenomas in experienced endoscopist and it can avoid the need for surgical intervention.

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“…With the development of endoscopic tools, the safety and the efficacy of endoscopic papillectomy has improved, and indications for endoscopic papillectomy have recently been expanded [2][3][4][5] . Recently, endoscopic papillectomy has been accepted as a viable alternative therapy to surgery in sporadic ampullary adenoma and has yielded high success and low recurrence rates [5,6] . However adenoma of the minor papilla has been reported in only a few cases [7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

Endoscopic papillectomy of minor papillar adenoma associated with pancreas divisum

Kanamori¹,

Kumada²,

Kiriyama³

et al. 2009

WJG

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Tumors of the minor papilla of the duodenum are quite rare. We successfully and safely treated an 18-mm adenoma of the minor papilla associated with pancreas divisum using endoscopic papillectomy. A 64-year-old man was admitted to our hospital for treatment of an asymptomatic mass in the minor papilla detected by upper gastrointestinal endoscopy. Endscopic analysis showed an 18-mm, whitish, sessile mass, located in the duodenum proximal to a normal-appearing major papilla. Endoscopic retrograde pancreatography did not reveal the pancreatic duct. Magnetic resonance cholangiopancreatography showed a lack of the ventral pancreatic duct. We suspected this case was associated with pancreatic divisum; therefore, we performed endoscopic papillectomy of the minor papilla tumor. Subsequently, endoscopic pancreatic stent placement in the minor papilla was done to prevent drainage disturbance. The patient has been asymptomatic without recurrence of tumor or stenosis of the Santorini orifice upon endoscopic examination for the past 2 years.

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Endoscopic resection of benign tumors of the duodenal papilla without and with intraductal growth

Cited by 203 publications

References 33 publications

Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines

Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines

Endoscopic ampullectomy: A technical review

Endoscopic papillectomy of minor papillar adenoma associated with pancreas divisum

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