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Efficacy of Hypertonic Saline-Epinephrine Local Injection Around the Anal Side before Endoscopic Papillectomy for Ampullary Tumors

Okano N, Igarashi Y, Ito K, Mizutani S, Nakagawa H, Watanabe K, Yamada Y, Yoshimoto K, Kimura Y, Iwasaki S, Takuma K, Hara S, Kishimoto Y

Background/Aims: Bleeding is a complication of endoscopic snare papillectomy for ampullary tumors. This study aimed to investigate the clinical efficacy of hypertonic saline-epinephrine (HSE) local injection before endoscopic papillectomy for...
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The Safety of Radiofrequency Ablation Using a Novel TemperatureControlled Probe for the Treatment of Residual Intraductal Lesions after Endoscopic Papillectomy

Choi YH, Yoon SB, Chang JH, Lee IS

Background/Aims: Treatment of residual intraductal lesions after endoscopic papillectomy for ampullary adenomas is relatively difficult. Few studies have been conducted using intraductal radiofrequency ablation (RFA) in the treatment of such...
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Successful Endoscopic Resection of Tubulovillous Adenoma Arising in Choledochocele

Lee SH, Paik Kh, Jang HB, Park JH, Kim JO, Park WS

Choledochocele is the least common type of choledochal cyst. Choledochocele has a potential for carcinogenesis, but only a handful of cases with concurrent ampullary carcinoma have been reported. We recently...
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Management of Remnant or Recurrent Lesions after Endoscopic Papillectomy

Yasuda I, Kobayashi S, Takahashi K, Nanjo S, Mihara H, Kajiura S, Ando T, Tajiri K, Fujinami H

Endoscopic papillectomy (EP) for ampullary adenomas achieves cure rates ranging from 76% to 90%, and recurrence rates are as high as 33%. If remnant or recurrent lesions after prior EP...
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Unsolved problems in endoscopic papillectomy

Kim NH, Kim HJ

This article highlights some of the unanswered challenges in performing safe and effective endoscopic papillectomy (EP) as well as offering strategies to deal with these challenges. The authors conducted a...
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Tranexamic Acid-Induced Acute Renal Cortical Necrosis in Post-Endoscopic Papillectomy Bleeding

Ko DH, Kim TH, Kim JW, Gu JJ, Yoon BH, Oh JH, Hong SG

Acute renal failure can be the result of acute renal cortical necrosis (RCN), which commonly occurs from complications occurring during pregnancy. RCN is rarely caused by medications, although tranexamic acid,...
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Safety of duodenal ampullectomy for benign periampullary tumors

Kim AL, Choi YI

BACKGROUNDS/AIMS: Surgical resection, such as pancreaticoduodenectomy (PD), is used for treatment of benign periampullary tumors, but high morbidity and mortality resulting from PD can be a huddle. The aim of...
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Two Cases of Endoscopic Papillectomy for Neuroendocrine Tumor Arising from Minor Papilla

Kim MH, Yeo SJ, Kim KJ, Jung MK, Cho CM, Seo AN, Bae HI

Most of neuroendocrine tumors are usually found in the gastrointestinal tract. Recently, the incidence of gastrointestinal neuroendocrine tumors seems to have increased. However, only a few cases of neuroendocrine tumor...
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A Gangliocytic Paraganglioma of the Ampulla of Vater Removed by Endoscopic Resection

Jung JH, Yoo BM, Um YJ, Cho H, Ahn YH, Yang MJ, Hwang JC, Kim JH

Gangliocytic paraganglioma (GP) is an extremely rare tumor that mostly occurs in the periampullary area of the duodenum. It is characterized by benign behavior and favorable outcomes, but sometimes shows...
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The Prevention of Pancreatitis after Endoscopic Papillectomy; Stent versus No Stent

Cho CM

Endoscopic papillectomy (EP) has been considered to be a less invasive, alternative therapy to surgery for ampullary adenoma. However, complication rates after EP could not be ignored, when compared to...
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Ampullary Adenoma Treated by Endoscopic Double-Snare Retracting Papillectomy

Soma H, Miyata N, Hozawa S, Higuchi H, Yamagishi , Nakamura Y, Saeki K, Kameyama K, Masugi Y, Yahagi N, Kanai T

We report herein improved methods for the safe and successful completion of endoscopic papillectomy (EP). Between January 2008 and November 2011, 12 patients underwent double-snare retracting papillectomy for the treatment...
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Recent Advances in Endoscopic Papillectomy for Ampulla of Vater Tumors: Endoscopic Ultrasonography, Intraductal Ultrasonography, and Pancreatic Stent Placement

Han J, Lee DW, Kim HG

Since it was first described nearly three decades ago, endoscopic papillectomy (EP) has been utilized as a less invasive, alternative therapy for adenoma of the major duodenal papilla. In this...
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Current Status of Endoscopic Papillectomy for Ampullary Tumors

Moon JH, Choi HJ, Lee YN

Detection of tumors of the ampulla of Vater, including ampullary adenoma, has been improved by routine screening endoscopic procedures and imaging modalities. Endoscopic resection by endoscopic papillectomy is rapidly replacing...
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The Role of Endoscopy in Diagnosis and Treatment of Ampullary Tumor

Lee HS, Bang S

  • KMID: 2448448
  • Korean J Pancreas Biliary Tract.
  • 2014 Jul;19(3):121-127.
Tumors of the major duodenal papilla, also known as ampullary tumor, are rare with an approximate 5% incidence of all gastrointestinal neoplasm. These tumors seem to be detected more frequently...
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Clinicopathologic Characteristics Associated with Complications and Long-Term Outcomes of Endoscopic Papillectomy for Adenoma

Shim CN, Chung MJ, Bang S, Park SW, Song SY, Chung JB, Park JY

PURPOSE: Endoscopic papillectomy (EP) is currently employed for the treatment of ampullary adenoma. This study aimed to evaluate the clinical, endoscopic, and histologic characteristics related to complications and long-term outcomes...
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Prophylactic Pancreatic Stent Placement for Endoscopic Duodenal Ampullectomy: A Single-Center Retrospective Study

Chang WI, Min YW, Yun HS, Lee KH, Lee JK, Lee KT, Rhee PL

  • KMID: 1774565
  • Gut Liver.
  • 2014 May;8(3):306-312.
BACKGROUND/AIMS: We investigated the efficacy of prophylactic pancreatic stent placement for preventing postprocedure pancreatitis in patients undergoing endoscopic papillectomy. METHODS: This retrospective study included 82 consecutive patients who underwent endoscopic papillectomy...
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Acute Acalculous Cholecystitis without Cholangitis As a Complication of Endoscopic Snare Papillectomy for Ampullary Adenoma

Lim J, Kim BW, Lee MY, Kim JS, Ji JS, Choi H

  • KMID: 2448442
  • Korean J Pancreas Biliary Tract.
  • 2014 Apr;19(2):90-93.
Endoscopic snare papillectomy (ESP) for ampulla of Vater tumor (AVT) has been performed successfully instead of surgical ampullectomy (SA) because ESP is a less invasive procedure than SA. Hemorrhage, perforation...
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Endosonographic Preoperative Evaluation for Tumors of the Ampulla of Vater Using Endoscopic Ultrasonography and Intraductal Ultrasonography

Okano N, Igarashi Y, Hara S, Takuma K, Kamata I, Kishimoto , Mimura T, Ito K, Sumino Y

BACKGROUND/AIMS: In recent years, endoscopic snare papillectomy has been performed to treat tumors of the ampulla of Vater. This procedure requires accurate preoperative evaluation. In this study, we diagnosed the...
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Wire-Guided Endoscopic Snare Retrieval of Proximally Migrated Pancreatic Stents after Endoscopic Papillectomy for Ampullary Adenoma

Yoon LY, Moon JH, Choi HJ, Min SK, Cha SW, Cheon YK, Cho YD, Lee MS, Kim JS

  • KMID: 2284247
  • Gut Liver.
  • 2011 Dec;5(4):532-535.
With the increasing use of pancreatic duct (PD) stents after endoscopic papillectomy (EP), complications such as proximal migration of the stent have become increasingly prevalent. A PD stent that migrates...
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Role of transduodenal ampullectomy for tumors of the ampulla of Vater

Kim J, Choi SH, Choi DW, Heo JS, Jang KT

PURPOSE: Tumors arising from the ampulla of Vater can be benign or malignant. Recently, endoscopic papillectomy has been employed in the management of benign ampulla of Vater tumors; however, surgical...
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