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Endoscopic Ampullectomy

  • Michael B. McCabe
  • Andrew Y. WangEmail author
Chapter

Abstract

Ampullary adenomas can occur sporadically or in the setting of hereditary syndromes and are believed to follow an adenoma-to-carcinoma sequence for malignant transformation. Ampullary lesions are being increasingly discovered at earlier stages and with a lower incidence of underlying malignancy. While traditionally managed with surgical resection, minimally invasive endoscopic ampullectomy—or more properly described as endoscopic papillectomy—has evolved into a viable alternative for resection in many cases of ampullary adenomas. This chapter examines the current thinking regarding the diagnosis, staging, and resection of ampullary adenomas, as well as the complications and outcomes associated with endoscopic papillectomy.

Keywords

Ampulla Ampullary adenoma Papillary adenoma Ampullectomy Papillectomy Endoscopic retrograde cholangiopancreatography (ERCP) Endoscopic ultrasound (EUS) Endoscopic mucosal resection (EMR) Familial adenomatous polyposis (FAP) 

Notes

Disclosures

Dr. Wang has received research support from Cook Medical on the topic of covered metal biliary stents. Dr. McCabe has nothing to disclose.

Supplementary material

Video 12.1

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of Gastroenterology and HepatologyUniversity of Virginia Health SystemCharlottesvilleUSA

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