ASGE DDW Videos from Around the World | 2023-ENDOSCOPIC SUBMUCOSAL DISSECTION FOR AMPULLARY PYLORIC GLAND ADENOMA

ENDOSCOPIC SUBMUCOSAL DISSECTION FOR AMPULLARY PYLORIC GLAND ADENOMA

Video Transcription

Video Summary

The video discusses endoscopic submucosal dissection (ESD) as a safe and effective method for resecting ampullary pyloric gland adenoma. Ampullary adenomas are at risk of becoming malignant, and resection is necessary. ESD has gained popularity over surgery due to its lower risk. Conventional endoscopic papillotomy carries the risk of incomplete resection and local recurrence. The video presents a case of successful block resection of an ampullary adenoma using ESD. The procedure involved somnucosal injection, mucosal injection, circumferential incision, dissection of the biliary pancreatic orifice, hemostasis, and pancreatic stenting. The patient experienced mild discomfort but had no complications and was discharged on day five. ESD can be a viable alternative to conventional endoscopic papillotomy.

Asset Subtitle

World Cup
Authors: Stephen KK Ng, Hon Chi Yip, Shannon M. Chan, Anthony Y. Teoh, Philip Wai Yan W. Chiu

Keywords

endoscopic submucosal dissection

ampullary pyloric gland adenoma

malignant risk

conventional endoscopic papillotomy

block resection