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

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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

Keywords

ampullary lesion

hematemesis

melena

resuscitation

PCV transfusions