Endoscopic papillectomy into the treatment of neoplastic lesions of vater papilla.
Curr Health Sci J
; 35(2): 92-7, 2009 Apr.
Article
em En
| MEDLINE
| ID: mdl-24778815
ABSTRACT
UNLABELLED Adenomas of the duodenal papilla are rare. The frequency of malignant adenomas is 15-30%. Villous adenoma is a premalignant lesion with the highest rate of transformation. Options for surgical treatment include endoscopic and ablation resection, transduodenal ampullectomy, duodeno-pancreatectomy. AIM:
Evaluation of the efficacy and safety of endoscopic papillectomy for ampullary adenomas. MATERIAL ANDMETHOD:
12 patients were selected (FM, 57, age range 37 - 68 years) with ampullary adenoma, treated by endoscopic papillectomy. Biliary sphincterotomy was performed in 6 cases; and pancreatic sphincterotomy was performed in 3 cases. Biliary stenting was performed in 2 cases; pancreatic stent was placed in 11 cases.RESULTS:
En bloc resection was performed in 8 cases, and piecemeal resection in 4 cases. Complete resection R0 was noted in 10 cases. Pathology examination has show tubulo-villous adenoma (5 patients); villous adenoma (4 patients), tubular adenoma (2 cases), adenocarcinoma (one case). Complications were immediate bleeding (2 cases) and pancreatitis (1 case). Follow-up endoscopy reveals no ductal stenosis or recurrence.CONCLUSION:
Endoscopic papillectomy is a safe and well-tolerated alternative to surgical treatment of ampullary adenoma.
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1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article