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Espinel J, Pinedo E, Ojeda V, et al. Endoscopic management of adenomatous ampullary lesions. World J Methodol. 2015;5(3):127-35doi: 10.5662/wjm.v5.i3.127.
Espinel, J., Pinedo, E., Ojeda, V., & Del Rio, M. G. (2015). Endoscopic management of adenomatous ampullary lesions. World journal of methodology, 5(3), 127-35. https://doi.org/10.5662/wjm.v5.i3.127
Espinel, Jesús, et al. "Endoscopic management of adenomatous ampullary lesions." World journal of methodology vol. 5,3 (2015): 127-35. doi: https://doi.org/10.5662/wjm.v5.i3.127
Espinel J, Pinedo E, Ojeda V, Del Rio MG. Endoscopic management of adenomatous ampullary lesions. World J Methodol. 2015 Sep 26;5(3):127-35. doi: 10.5662/wjm.v5.i3.127. eCollection 2015 Sep 26. PMID: 26413485; PMCID: PMC4572025.
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World J Methodol. 2015 Sep 26;5(3):127-35. doi: 10.5662/wjm.v5.i3.127. eCollection 2015 Sep 26.

Endoscopic management of adenomatous ampullary lesions.

World journal of methodology

Jesús Espinel, Eugenia Pinedo, Vanesa Ojeda, Maria Guerra Del Rio

Affiliations

  1. Jesús Espinel, Department of Digestive Diseases, Hospital Universitario de León, 24071 León, Spain.

PMID: 26413485 PMCID: PMC4572025 DOI: 10.5662/wjm.v5.i3.127

Abstract

Lesions of the ampulla of Vater represent an uncommon group of gastrointestinal malignancies. The majority of lesions of the ampulla of Vater are either adenomas or adenocarcinomas. Ampullary lesions are often incidental findings. Accurate preoperative diagnosis and staging of ampullary tumors is imperative for predicting prognosis and determining the most appropriate therapeutic approach. Endoscopic ampullectomy is a safe and efficacious therapeutic procedure that can obviate the need for potentially major surgical intervention. This review will provide the framework for the diagnosis and management of ampullary lesions from the perspective of the practicing gastroenterologist. Strategies for safe and successful endoscopic ampullectomy with a focus on accurate preoperative diagnosis and staging, resection technique, and management of complications are presented.

Keywords: Ampullary adenoma; Endoscopic ampullectomy; Endoscopic ultrasound; Pancreatitis; Papillary tumors

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