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Endoscopic Papillectomy

Sara Teles de Campos¹, Marco J Bruno²

¹Department of Gastroenterology, Digestive Unit, Champalimaud Foundation, Avenida de Brasília, Lisbon 1400-038, Portugal.

Gastrointestinal Endoscopy Clinics of North America

|June 12, 2022

Abstract:

Most ampullary lesions (ALs) are sporadic, involve the major papilla, and are premalignant (adenomas). They are often diagnosed as an incidental finding during endoscopy or imaging procedures. Diagnosis and staging of ALs include endoscopic, histologic, and radiological evaluations. Currently, endoscopic papillectomy is the preferred treatment for ALs in most situations. In this article, we will describe the diagnostic work-up and focus on the endoscopic treatment, including indications, technique, outcomes, complications, and follow-up.

Keywords:

Ampullary lesions Endoscopic papillectomy Endoscopic retrograde cholangiopancreatography Endoscopic ultrasound Radiofrequency ablation

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