Abstract
Backgrounds: Tumors of the duodenal major papilla are difficult to diagnose histologically, endoscopic papillectomy is performed as a method of complete biopsy. Due to a few of clinical evidence, this technique has not yet become established. We evaluated the safety of endoscopic papillectomy in 20 patients treated at our hospital.
Methods: Endoscopic papillectomy was performed on 20 patients at our hospital from October 2002 to April 2007. The patients consisted of 11 men and 9 women with a median age of 68.9 years (range: 34 to 89 years). The bile duct and the pancreatic duct drainage were performed after resection as possible.
Results: A local bleeding was occurred in 6 patients, which was controlled endoscopically and needed no blood transfusion.3 patients occured pancreatitis, but it was recovered after 3 days. The presence (n=15) or absence (n=5) of a pancreatic duct drainage did not correlate with subsequent pancreatitis (p=NS). One patient occurred cholangitis, but it was recovered by conservative therapy. There was neither perforation nor any fatal complications.
Conclusions: We could perform endoscopic papillectomy of the tumor with duodenal major papilla safely.
