Endoscopic ampullectomy: a technical review.

Area of Science:

• Gastroenterology
• Endoscopic Surgery

Background:

• Ampullary neoplasms require precise management.
• Endoscopic ampullectomy offers a minimally invasive approach.

Purpose of the Study:

• To review safe endoscopic ampullectomy techniques.
• To highlight and address common challenges in the procedure.

Main Methods:

• Systematic review of studies on endoscopic ampullectomy.
• Focus on procedural techniques and outcomes.

Main Results:

• Preoperative diagnosis and staging are crucial.
• Technique selection depends on lesion size; en bloc resection is preferred for papillary lesions.
• Prophylactic pancreatic stenting reduces post-procedure pancreatitis.
• Submucosal injection and thermal adjunctive therapies lack strong evidence.

Conclusions:

• Endoscopic ampullectomy is safe and effective for papillary adenomas in experienced hands.
• It serves as an alternative to surgical intervention.