2023 Volume 37 Issue 2 Pages 194-202
In 2021, the Japanese Gastroenterological Endoscopy Society and the Japanese Biliary Association issued clinical practice guidelines for endoscopic papillectomy (EP), and the European Society of Gastrointestinal Endoscopy (ESGE) also issued guidelines. Both guidelines summarized the indications, techniques, and short- and long-term results of EP in the current situation. EP for papillary adenoma without intraductal extension has been reported with good results, and it is good indication for EP. Efforts are being made to reduce complications, but their frequency is still high. Because relatively high recurrence rates (7-23%) have been reported, long-term follow-up is also necessary. There are still many issues to be resolved, such as treatment strategies for carcinoma in adenoma cases, horizontal extension cases, and cases with intraductal extension. A comprehensive review of the current status and issues of EP will be presented, focusing on the contents of the guidelines and adding the results of recent studies.
