Endoscopic therapy of adenomas of the papilla of Vater. A retrospective analysis with long-term follow-up

Vogt, Michael

doi:10.1016/s1590-8658(00)80028-6

Cited by 68 publications

(48 citation statements)

References 10 publications

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“…Complications after endoscopic ampullectomy include pancreatitis (0%-25%), bleeding (0%-25%), perforation (0%-4%), cholangitis (0%-2%), and papillary stenosis (0%-8%) (4,6,9,11,13,44,(63)(64)(65) (Table I). The most serious complications are perforation, pancreatitis and delayed bleeding (44).…”

Section: Complications Of Ampullectomymentioning

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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Section: Complications Of Ampullectomymentioning

confidence: 99%

Endoscopic ampullectomy: A technical review

Espinel¹,

Pinedo²,

Ojeda³

et al. 2015

Rev Esp Enferm Dig

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“…By relapsing symptoms and because of the malignant potential of biliary adenomas a radical operation has to be recommended [9]. Unfortunately, frozen section of these biliary lesions has a limited accuracy, whereas the macroscopic classification due to endoscopic appearance is reported to be even more accurate than that by frozen section [10].…”

Section: Discussionmentioning

confidence: 99%

Intraoperative cholangioscopy in the management of biliary adenomas

Sotiropoulos

Lang

Holtmann

et al. 2004

Journal of Surgical Oncology

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“…Complications after endoscopic ampullectomy include bleeding (0%-25%), pancreatitis (0%-25%), perforation (0%-4%), papillary stenosis (0%-8%) and cholangitis (0%-2%) [4,6,9,11,13,62,[85][86][87] . Pancreatitis, perforation and delayed bleeding are the most severe complications [62] .…”

Section: Complications Of Ampullectomymentioning

confidence: 99%

Endoscopic management of adenomatous ampullary lesions

Espinel¹

2015

WJM

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Lesions of the ampulla of Vater represent an uncommon group of gastrointestinal malignancies. The majority of lesions of the ampulla of Vater are either adenomas or adenocarcinomas. Ampullary lesions are often incidental findings. Accurate preoperative diagnosis and staging of ampullary tumors is imperative for predicting prognosis and determining the most appropriate therapeutic approach. Endoscopic ampullectomy is a safe and efficacious therapeutic procedure that can obviate the need for potentially major surgical intervention. This review will provide the framework for the diagnosis and management of ampullary lesions from the perspective of the practicing gastroenterologist. Strategies for safe and successful endoscopic ampullectomy with a focus on accurate preoperative diagnosis and staging, resection technique, and management of complications are presented. Core tip: Adenomatous ampullary lesions are rare. Endoscopic retrograde cholangiopancreatography and endoscopic ultrasound (EUS) have changed the management of patients with these lesions. Endoscopic ampullectomy is a technique that has revolutionized the treatment of these lesions avoiding potential complications of surgery. We herein discuss the epidemiology, the role of EUS in the local staging and the role of endoscopy in the treatment of the adenomatous ampullary neoplasms.Espinel J, Pinedo E, Ojeda V, Guerra del Rio M. Endoscopic management of adenomatous ampullary lesions. World J REVIEW

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Endoscopic therapy of adenomas of the papilla of Vater. A retrospective analysis with long-term follow-up

Cited by 68 publications

References 10 publications

Endoscopic ampullectomy: A technical review

Endoscopic ampullectomy: A technical review

Intraoperative cholangioscopy in the management of biliary adenomas

Endoscopic management of adenomatous ampullary lesions

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