Minor Papilla Adenoma Management in Patients with Pancreas Divisum and Familial Adenomatous Polyposis

Lapp, R; Hutchins, Grant F.

doi:10.14309/crj.2013.17

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…In addition, an MRCP before the procedure is valuable in excluding other pancreaticobiliary disorders such as pancreatic divisum. 9 EUS and ERCP not only helps in pretreatment staging but also helps in deploying prophylactic pancreatic stents to decrease the risk of post-ERCP pancreatitis. Pancreatic stents also minimize the risk of stenosis of the pancreatic orifice.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Papillectomy for Major and Minor Papillary Adenoma in Familial Adenomatous Polyposis

et al. 2019

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Ampullary adenomas can occur sporadically or in the patients with adenomatous polyposis syndrome, including familial adenomatous polyposis (FAP) and MUTYH -associated polyposis. The potential for malignant transformation is high in the setting of FAP. Although endoscopic resection of major papillary adenoma has been well described, minor papilla adenomas are exceptionally rare. This is the second documented case of an endoscopic papillectomy in a patient with FAP with simultaneous ampullary adenoma of the major and minor papilla.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Papillectomy for Major and Minor Papillary Adenoma in Familial Adenomatous Polyposis

et al. 2019

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“…Duodenal tumors occur as sporadic lesions and are a common finding in patients with familial adenomatous polyposis (FAP) [1]. Up to 80 % of adult patients with FAP may develop duodenal tumors [2].…”

Section: Introductionmentioning

confidence: 99%

Endoscopic management of tumors of minor ampulla: a multicenter study

et al. 2022

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Background and study aims Papillary and duodenal carcinoma are aggressive cancers with poor 5-year survival rates. Papillectomy is a well-established treatment for early-stage carcinoma of the major papilla. Tumors arising in the minor papilla are relatively rare and there is little research available on the endoscopic management of these tumors. Patients and methods The purpose of this study was to establish the safety and efficacy of endoscopic papillectomy in the management of minor papillary tumors. A total of six patients undergoing ERCP for papillectomy for minor papillary tumor at four hospitals were included in this study over a period of 5 years. Results Papillectomy was technically successful in all six patients. Pathology revealed adenoma in three patients, adenoma with high-grade dysplasia in one patient, carcinoma in one patient, and carcinoid tumor in one patient. For follow-up, one patient had an additional tumor identified at 2 years which was found to be a recurrence of the original adenoma. This patient was treated with repeat papillectomy with no further evidence of recurrence. Conclusions In our pilot study, we demonstrate that endoscopic papillectomy appears safe and effective in the management of minor papillary tumors.

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“…En Colombia se han publicado reportes de casos y artículos que describen la experiencia local con respecto a la resección endoscópica de adenomas de la papila mayor (3,4). Los adenomas de la papila menor son lesiones mucho menos frecuentes que las de la papila mayor y solo se han descrito en reportes de casos (5)(6)(7)(8). Hasta el momento no se han descrito casos de papilectomía endoscópica de la papila menor en Colombia.…”

Section: Introductionunclassified