ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Session 10 - Video Case Discussion 1

Session 10 - Video Case Discussion 1 - Basics of Ampullectomy Strategy

Video Transcription

Video Summary

The video discusses the basics of ampullectomy and restriction strategies for patients with ampullary adenomas. Ampullary adenomas are benign neoplasms that have a high potential for malignant transformation. The recommended treatment options include surgical procedures such as Whipple procedure or local surgical excision, as well as endoscopic ampullectomy. The video follows the case of a 64-year-old female with familial adenomatous polyposis (FAP) who underwent endoscopic evaluation and potential endoscopic resection for an 18mm ampullary adenoma with low-grade dysplasia. The speaker emphasizes the importance of confirming the presence of adenomatous tissue, evaluating the best treatment option, and performing EUS prior to resection to assess for ductal extension. The procedure of ampullectomy is explained, including the use of a snare to remove the lesion and the placement of stents in the pancreatic and bile ducts. The importance of post-procedure care, including surveillance and follow-up, is also discussed.

Asset Subtitle

Ryan Law

Keywords

ampullectomy

ampullary adenomas

endoscopic evaluation

EUS

post-procedure care