ASGE DDW Videos from Around the World | 2024-PAPILLECTOMY FOR AMPULLARY ADENOMAS: AN EDUCATIONAL OVERVIEW AND CASE-BASED DEMONSTRATION

PAPILLECTOMY FOR AMPULLARY ADENOMAS: AN EDUCATIONAL OVERVIEW AND CASE-BASED DEMONSTRATION

Video Transcription

Video Summary

The video transcript discusses papillectomy for ampullary adenomas, which are prevalent benign lesions that can progress to carcinoma. Endoscopic resection is the recommended treatment for lesions under 2-3 cm, with confirmatory biopsies essential prior to resection. Complications can occur at a rate of 15-35%, with prophylactic pancreatic stent placement reducing the risk of pancreatitis. A case study of a 65-year-old female undergoing ampullectomy demonstrated successful resection of an ampullary adenoma with minimal intraductal extension. Margin ablation and surveillance ductoscopy were used to ensure complete eradication of the lesion. Long-term monitoring following resection is recommended by the ESGE.

Asset Subtitle

Honorable Mention
Danial Shaikh, Priyatham Gurram, Terry Jue

Meta Tag

Concept Major Duodenal Papilla

Concept Ampullary Adenoma

Concept Endoscopic Ampullectomy

Concept Malignant Potential

Concept Intraductal Extension

Keywords

papillectomy

ampullary adenomas

endoscopic resection

prophylactic pancreatic stent

long-term monitoring

Major Duodenal Papilla

Ampullary Adenoma

Endoscopic Ampullectomy

Malignant Potential

Intraductal Extension