Endoscopic snare papillectomy of adenocarcinoma of the major duodenal papilla

Jung, Saera; Kim, Myung–Hwan; Seo, Dong–Wan; Lee, Sung‐Koo

doi:10.1067/mge.2001.117765

Cited by 38 publications

(17 citation statements)

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“…[46][47][48][49][50][51] Although endoscopic removal of ampullary adenocarcinoma has been described, this cannot be endorsed for routine management. 52,53 There are no definitive guidelines regarding the size or diameter above which endoscopic removal of ampullary adenomas should not be attempted. Many authors recommend that lesions 4 cm not be treated endoscopically, although there are reports of successful endoscopic resection of ampullary lesions of greater size.…”

Section: Ampullary Adenomasmentioning

confidence: 99%

The role of endoscopy in ampullary and duodenal adenomas

Chathadi¹,

Khashab²,

Acosta³

et al. 2015

Gastrointestinal Endoscopy

166

122

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Section: Ampullary Adenomasmentioning

confidence: 99%

The role of endoscopy in ampullary and duodenal adenomas

Chathadi¹,

Khashab²,

Acosta³

et al. 2015

Gastrointestinal Endoscopy

166

122

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“…5 Ampullary tumors confined to the ampulla, without submucosal or ductal infiltration are amenable for endoscopic resection. [11][12][13][14][15] This is because neither vascular invasion, lymphatic permeation, nor lymph node metastasis is observed in patients when the disease is restricted to the duodenal mucosa. 15,16 Thus, accurate preoperative staging of ampullary tumors is critical in determining resectability, type of resection and predicting prognosis.…”

Section: Introductionmentioning

confidence: 99%

Staging accuracy of ampullary tumors by endoscopic ultrasound: Meta‐analysis and systematic review

Trikudanathan

Njei

Attam

et al. 2014

Digestive Endoscopy

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“…The presence of an ampullary adenocarcinoma warrants surgical resection if the candidate is fit. However, there have been sporadic case reports where such malignancies have been removed endoscopically [22, 23, 24, 25, 26]. However, debate surrounding their management exists, as some groups speculate that the progression from adenoma to carcinoma is a low percentage, whilst others argue that the quality of forceps biopsy via endoscopy may miss occult foci of adenocarcinoma within the adenoma [7].…”

Section: Discussionmentioning

confidence: 99%

Intussuscepting Ampullary Adenoma: An Unusual Cause of Gastric Outlet Obstruction Leading to Cavitating Lung Lesions

McCluney

Balarajah

Giakoustidis

et al. 2016

Case Rep Gastroenterol

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Ampullary adenomas are a rare clinical entity, occurring at a rate of 0.04–0.12% in the general population. They are premalignant lesions which have the capability to progress to malignancy, and they should be excised if they are causing immediate symptoms and/or are likely to degenerate to carcinoma. Intestinal intussusception in adults is rare and, unlike in children, is often due to a structural pathology. Intussuscepting duodenal/ampullary adenomas have been reported in the literature on 13 previous occasions, however never before with this presentation. We report the case of a woman who presented with a 1-year history of recurrent chest infections. She was treated with numerous antibiotics, whilst intermittent symptoms of recurrent vomiting and weight loss were initially attributed to her lung infections. A chest CT demonstrated multiple cavitating lung lesions, whilst an obstructing polypoid mass was noted at D2 on dedicated abdominal imaging. Due to ongoing nutritional problems, she had a semi-urgent pancreaticoduodenectomy. Intraoperative findings demonstrated a large mass at D2 with a duodeno-duodenal intussusception. Histological analysis reported a duodenal, ampullary, low-grade tubular adenoma, 75 × 28 × 30 mm in size, with intussusception and complete resection margins. The patient recovered well and was discharged on postoperative day 10, with no complications to date. Ampullary adenomas may present with obstruction of the main gastrointestinal tract and/or biliary/pancreatic ducts. Common presentations include gastric outlet obstruction, gastrointestinal bleeding or acute pancreatitis. This unique presentation should remind clinicians of the need to investigate recurrent chest infections for a possible gastrointestinal cause.

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Endoscopic snare papillectomy of adenocarcinoma of the major duodenal papilla

Cited by 38 publications

References 0 publications

The role of endoscopy in ampullary and duodenal adenomas

The role of endoscopy in ampullary and duodenal adenomas

Staging accuracy of ampullary tumors by endoscopic ultrasound: Meta‐analysis and systematic review

Intussuscepting Ampullary Adenoma: An Unusual Cause of Gastric Outlet Obstruction Leading to Cavitating Lung Lesions

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