Endoscopic snare ampullectomy for resection of benign ampullary neoplasms

Martin, Austin; Haber, GB; Kortan, PP; Raijman, Isaac; Abedi, Mahmood; DuVall, G.A.; Dorais, JA; Silva, S

doi:10.1016/s0016-5107(97)80458-0

Cited by 31 publications

(15 citation statements)

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“…The overall complication rate was 27%; procedurerelated pancreatitis occurred in 15% and papillary stenosis in 7% of patients. Two additional studies have been published only in abstract form: In those by Greenspan et al [11] and Martin et al [18], the success rates were 75 and 60%, respectively. Notably, both groups of investigators recommend routine placement of a pancreatic duct stent to decrease the frequency of postprocedure papillary stenosis.…”

Section: Discussionmentioning

confidence: 99%

Safety and long-term follow-up of endoscopic snare excision of ampullary adenomas

Katsinelos¹,

Paroutoglou²,

Kountouras

et al. 2006

Surg Endosc

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Section: Discussionmentioning

confidence: 99%

Safety and long-term follow-up of endoscopic snare excision of ampullary adenomas

Katsinelos¹,

Paroutoglou²,

Kountouras

et al. 2006

Surg Endosc

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“…This endoscope allows an adequate assessment of the morphological features of the lesion. Thus the following features are suggestive of benign disease: 1) a regular margin; 2) absence of ulceration or spontaneous bleeding; and 3) a soft consistency (21). Furthermore, the side-viewing endoscope enables an easy acquisition of tissue by biopsy at the time of procedure.…”

Section: Endoscopic Evaluationmentioning

confidence: 99%

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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“…There are a few other studies that have critically evaluated papillectomy for ampullary neoplasms with a much smaller number of patients. 6,[10][11][12] We report a large single-center experience with patients referred for endoscopic management of ampullary neoplasms over the past decade and specifically evaluate the outcomes in patients with ampullary adenomatous lesions.…”

mentioning

confidence: 99%