ASGE DDW Videos from Around the World | 2024-ENDOSCOPIC EXCISION OF A LARGE SUBPEDUNCULATED TUMOR ARISISNG FROM THE DISTAL MARGIN OF THE AMPULLA CAUSING MASSIVE GI BLEED

ENDOSCOPIC EXCISION OF A LARGE SUBPEDUNCULATED TUMOR ARISISNG FROM THE DISTAL MARGIN OF THE AMPULLA CAUSING MASSIVE GI BLEED

Back to course

Video Transcription

Video Summary

A 67-year-old patient presented with hematemesis and melena and was diagnosed with a bulky pedunculated ampullary lesion. The patient, with a history of diabetes, was found to have low hemoglobin levels and was treated with resuscitation and PCV transfusions. Imaging revealed a submucosal lesion with intense enhancement. A pancreatic duct stent was placed, and the lesion was removed successfully. Post-procedure, the patient recovered well and was discharged. Follow-up showed no recurrence of the lesion, although the pancreatic duct stent had migrated.

Asset Subtitle

Pankaj Desai

Meta Tag

Concept Ampullary Mass

Concept Gangliocytic Paraganglioma

Concept Endoscopic Ampullary Adenoma Resection

Concept Upper Gastrointestinal Bleeding

Concept Endoscopy

Keywords

ampullary lesion

hematemesis

melena

resuscitation

PCV transfusions

Ampullary Mass

Gangliocytic Paraganglioma

Endoscopic Ampullary Adenoma Resection

Upper Gastrointestinal Bleeding

Endoscopy