ASGE International Sampler (On-Demand)-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

Meta Tag

Concept Upper Gastrointestinal Bleeding

Concept Ampullary Mass

Concept Endoscopic Ampullary Adenoma Resection

Concept Gangliocytic Paraganglioma

Concept Hemodynamic Stabilization

Keywords

hematemesis

ampullary lesion

PCV transfusions

pancreatic duct stent

submucosal lesion

Upper Gastrointestinal Bleeding

Ampullary Mass

Endoscopic Ampullary Adenoma Resection

Gangliocytic Paraganglioma

Hemodynamic Stabilization