ERCP-ENDOSCOPIC AMPULLECTOMY PERFORATION

ENDOSCOPIC AMPULLECTOMY PERFORATION - TO CLIP OR NOT TO CLIP?

Video Transcription

Video Summary

In this video, an endoscopic amphilectomy procedure is performed on a 65-year-old male patient with a large ampullary lesion. The lesion is successfully removed using a polypectomy snare, but a suspected perforation is discovered at the base of the defect. However, further examination reveals that it is actually a dilated pancreatic duct. The pancreatic duct is stented, and the specimen is found to be positive for somatostatinoma. Follow-up shows no recurrence at one year. The video emphasizes the importance of careful inspection to manage complications and avoid unnecessary clipping, which can lead to adverse outcomes. The video transcript is co-authored by Sandeep Lattakia, with additional authors Anirudh Pratap Singh, Pradev Inoulu, Azimuddin Haja, and Mohan Ramchandani.

Asset Subtitle

Honorable Mention

Keywords

endoscopic amphilectomy

ampullary lesion

polypectomy snare

dilated pancreatic duct

somatostatinoma