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Endoscopic snare resection of an intrapapillary pedunculated villous adenoma presenting as acute recurrent pancreatitis

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Abstract

Tumors of the papillary region are an unusual and heterogeneous group of neoplasms that arise from the major papilla, the ampulla of Vater, and the peripapillary duodenum. Benign adenomas of the papilla of Vater are an increasingly recognized condition in those with familial adenomatous polyposis syndromes as well as sporadic cases. Papillary adenoma is a recognized but rare cause of acute pancreatitis. We describe a patient who presented with acute recurrent pancreatitis that was attributed to an intrapapillary pedunculated villous adenoma. Following diagnosis by endoscopic needle knife sphincterotomy and endoscopic retrograde cholangiopancreatography, endoscopic snare resection of the adenoma resulted in symptomatic improvement.

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Authors and Affiliations

  1. Department of Endoscopy and Motility Unit, Central Hospital, Ethnikis Aminis 41, TK 546 35, Thessaloniki, Greece

    P. Katsinelos, I. Pilpilids, G. Paroutoglou, P. Tsolkas, I. Galanis, S. Dimiropoulos, P. Kapelidis, G. Fotiadis, E. Georgiadou & A. Iliadis

  2. Department of Istopathology, Central Hospital, Ethnikis Aminis 41, TK 546 35, Thessaloniki, Greece

    R. Kotakidou & K. Panagiotopoulou

Authors
  1. P. Katsinelos
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  2. I. Pilpilids
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  3. G. Paroutoglou
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  4. P. Tsolkas
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  5. R. Kotakidou
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  6. K. Panagiotopoulou
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  7. I. Galanis
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  8. S. Dimiropoulos
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  9. P. Kapelidis
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  10. G. Fotiadis
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  11. E. Georgiadou
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  12. A. Iliadis
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Correspondence to P. Katsinelos.

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Katsinelos, P., Pilpilids, I., Paroutoglou, G. et al. Endoscopic snare resection of an intrapapillary pedunculated villous adenoma presenting as acute recurrent pancreatitis. Surg Endosc 18, 347 (2004). https://doi.org/10.1007/s00464-003-4240-y

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  • DOI: https://doi.org/10.1007/s00464-003-4240-y

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