Papillary Stenosis and Cholangitis Caused by Endoscopic Mucosal Resection of Ampullary Adenoma.
- Author:
Jung Joon CHOI
1
;
Myung Hwan KIM
;
Gi Deog KIM
;
Jung Kwon KIM
;
Jin Tae PARK
;
Dong Ryeul OH
;
Wook Jang SEO
;
Won Jang KIM
;
Sung Koo LEE
;
Young Il MIN
;
Eun Sil YU
;
Mi Jung KIM
Author Information
1. Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. mhkim@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Ampulla of Vater;
Adenoma;
Endoscopic mucosal resection;
Cholangitis
- MeSH:
Adenoma*;
Ampulla of Vater;
Cholangitis*;
Constriction, Pathologic*;
Hemorrhage;
Pancreatitis;
Stents
- From:Korean Journal of Gastrointestinal Endoscopy
2003;27(4):249-253
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Adenomas of the major duodenal papilla are rare but clinically important since they are a premalignant condition. Endoscopic mucosal resection has emerged as the first line therary for ampullary adenoma. However, various complications such as pancreatitis, bleeding or duodenal perforation have been reported after endoscopic mucosal resection. To our knowledge, cholangitis has not been reported as a complication of the procedure in the literature. We report a case of papillary stenosis and cholangitis caused by endoscopic mucosal resection of ampullary adenoma. We performed the endoscopic biliary spincterotomy followed by biliary stenting and cholangitis was successfully controlled.