Endoscopic ampullectomy: a technical review.
2015
Background and aim: This article provides a practical review
to undertaking safe endoscopic ampullectomy and highlights some
of the common difficulties with this technique as well as offering
strategies to deal with these challenges.
Methods: We conducted a review of studies regarding
endoscopic ampullectomy for ampullary neoplasms with special
focus on techniques.
Results: Accurate preoperative diagnosis and staging of
ampullary tumors is imperative for predicting prognosis and
determining the most appropriate therapeutic approach. The
optimal technique for endoscopic ampullectomy is dependent on the
lesions size. En bloc resection is recommended for lesions confined
to the papilla. There is no significant evidence to support the
submucosal injection before ampullectomy. There is no consensus
regarding the optimal current and power output for endoscopic
ampulectomy. The benefits of a thermal adjunctive therapy remain
controversial. A prophylactic pancreatic stent reduces the incidence
and severity of pancreatitis post-ampullectomy.
Conclusions: Endoscopic ampullectomy is a safe and
efficacious therapeutic procedure for papillary adenomas in
experienced endoscopist and it can avoid the need for surgical
intervention.
Keywords:
- Correction
- Source
- Cite
- Save
- Machine Reading By IdeaReader
65
References
17
Citations
NaN
KQI