A CASE OF DUODENAL ADENOMA DEVELOPING AT THE ADJACENT REGION OF PAPILLA OF VATER TREATED BY ENDOSCOPIC POLYPECTOMY

Takayoshi OCHI; Toshiyuki SUZUKI; Eiji KOBAYASHI; Nobuo YOSHIOKA; Yutaka OGAWA; Takanori INAGAKI; Sadasuke SUZUKI; Yasuo NAITO; Yoshihisa TSUKAMOTO; Masahiro MITAKE

doi:10.11280/gee1973b.34.594

Takayoshi OCHI, Toshiyuki SUZUKI, Eiji KOBAYASHI, Nobuo YOSHIOKA, Yutaka OGAWA, Takanori INAGAKI, Sadasuke SUZUKI, Yasuo NAITO, Yoshihisa TSUKAMOTO, Masahiro MITAKE

Author information

Takayoshi OCHI
Department of Internal Medicine, Kariya General Hospital
Toshiyuki SUZUKI
2nd Department of Internal Medicine, Nagoya University
Eiji KOBAYASHI
2nd Department of Internal Medicine, Nagoya University
Nobuo YOSHIOKA
2nd Department of Internal Medicine, Nagoya University
Yutaka OGAWA
2nd Department of Internal Medicine, Nagoya University
Takanori INAGAKI
2nd Department of Internal Medicine, Nagoya University
Sadasuke SUZUKI
2nd Department of Internal Medicine, Nagoya University
Yasuo NAITO
2nd Department of Internal Medicine, Nagoya University
Yoshihisa TSUKAMOTO
Masahiro MITAKE

JOURNAL FREE ACCESS

1992 Volume 34 Issue 3 Pages 594-598_1

DOI https://doi.org/10.11280/gee1973b.34.594

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Abstract

A 80-year-old man was admitted to our hospital complaining of general fatigue due to liver cirrhosis. Routine upper endoscopic examination showed a flat elevated lesion on the anal edge of papilla of Vater. The lesion was 15 mm in diameter and whitish. It was consisted of conglomerated small nodules. Biopsy specimen revealed tubular adenoma. Endoscopic ultrasonography (EUS) showed the lesion as a slightly hyperechoic area. EUS also revealed the duonenal muscular layer and papillary bile and pancreatic duct to maintain the normal structere. We performed endoscopic polypectomy and succeeded. EUS was very useful for judging the indication of polypectomy in our case.

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