Korean Journal of Pancreas and Biliary Tract  2014;19(4):204-209

doi:10.15279/kpba.2014.19.4.204

A Case of Ampullary Neuroendocrine Tumor Treated by Endoscopic Papillectomy.

Hong Jin YOON 1 ; Young Hak JUNG ; Sung Eun CHOI ; Jung Soo PARK ; Yong Hoon KIM ; Hae Won KIM ; Sung Ill JANG ; Dong Ki LEE

Affiliations

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Keywords

Neuroendocrine tumor; Carcinoid tumor; Ampulla of Vater; Endoscopy

Country

Republic of Korea

Language

Korean

Abstract

Ampullary neuroendocrine tumor is rare but requires total resection for treatment. Traditionally, pancreatic duodenal resection has been recommended for treatment of ampullary neuroendocrine tumor. Because of the morbidity and mortality associated with surgical resection, endoscopic papillectomy is increasingly used in selected cases with low grade, no metastasis, and no invasion of the pancreatic or bile duct. We present a case of an ampullary neuroendocrine tumor which was successfully and completely resected via endoscopic papillectomy. Endoscopic papillectomy can be a viable alternative for the resection of neuroendocrine tumor at the major duodenal papilla in cases with high surgical risks.