Endoscopic papillectomy for ampullary adenomas
10.3760/cma.j.issn.1007-5232.2010.05.002
- VernacularTitle:十二指肠乳头腺瘤的内镜治疗
- Author:
Xingang SHI
;
Duowu ZOU
;
Zhendong JIN
;
Zhaoshen LI
- Publication Type:Journal Article
- Keywords:
Duodenal papilla,major;
Adenoma;
Endoscopic surgical procedures
- From:
Chinese Journal of Digestive Endoscopy
2010;27(5):229-233
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the endoscopic papillectomy (EP) for ampullary adenoma (AA). Methods The resection rate, complications, local residual rate and local recurrence of EP for AA at endoscopy center of Changhai Hospital were retrospectively reviewed. Results From July 2005 to July 2009, a total of 19 patients with endoscopically diagnosed and pathologically confirmed AA underwent EP, in which 18 cases were scattered AA (94. 7%) including 1 case of multiple adenomas in duodenum, and 1 (5.3%) was familial adenomatous polyposis (FAP). The lesion was resected en bloc in 11 cases (57.9%) , and piecemeal in 8 (42. 1%). All patients were followed up at a mean period of 24. 5 months (range 7-48 months). The residual rate after first EP was 21. 1% (4/19), and the total success rate was 89.5% (17/19). Short-term complications after EP included 3 cases of bleeding, 3 cases of mild acute pancreatitis and 2 cases of acute cholangitis. Long-term complications were 1 case of stenosis of the common bile duct (CBD) orifice accompanied with acute cholangitis, 1 case of CBD stone and 1 case of acute cholangitis after stent placement. No such severe complications as perforation or procedure-related death was observed.Conclusion EP is a safe and effective modality for ampullary adenoma.
