Endoscopic papillectomy for ampullary neoplasms

Abstract

Currently, endoscopic papillectomy (EP) has been accepted as an alternative therapy to surgery in ampullary adenoma. However, the endoscopic procedures have not yet standardized. We collected the data from 204 EP procedures performed in our institute from 1993 to 2014. The diagnostic approach using EUS and IDUS, as well as the preventive EP measures for frequent complications using pancreatic stenting and wound close by clipping were reported. We also made the technical review of our EP procedures in comparison with other reports.