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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2012; 03(S 05): 065-067
DOI: 10.4103/0976-5042.95036
Review Article
Society of Gastrointestinal Endoscopy of India

Endoscopic ampullectomy

Michael Bourke
Department of Gastroenterology, Westmead Hospital, Westmead, Australia
› Author Affiliations
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Publication History

Publication Date:
26 September 2019 (online)

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Abstract

Endoscopic ampullectomy offers a minimally invasive method of effectively treating non-invasive neoplasms of the ampulla of Vater and surrounding peri-ampullary region with high success and relative safety. These lesions would otherwise require surgical intervention, including pancreatico-duodenectomy. However, major complications may occur and a careful assessment of the patients comorbidities and their ability to tolerate adverse events needs to be factored into the treatment decision. Careful staging, often multi-modality is required, particularly for extensive lesions. Complete en-bloc excision of the entire neoplasm should be the goal with conventional papillary adenomas. Large lesions with extra-papillary extension currently require extended piecemeal excision, however with meticulous technique, recurrence is uncommon in longterm follow up.

Key words

Endoscopic ampullectomy - papillary adenoma; pancreatico-duodenectomy
 

  • References

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