Endoscopic management of ampulla of Vater tumor
نویسنده
چکیده
Tumors of the ampulla of Vater can cause symptoms and signs of abdominal pain, jaundice, anemia due to occult gastrointestinal bleeding, recurrent pancreatitis, abnormal liver function tests, biliary or pancreatic duct dilation on imaging studies. Traditional treatments for ampullary tumors are surgical approaches, including transduodenal local resection or pancreaticoduodenectomy (PD). The former has the lower morbidity and mortality rates, but are associated with higher recurrence rates. On the other hand, PD are known with higher mortality rates, despite of the low recurrence rate.
منابع مشابه
Role of transduodenal ampullectomy for tumors of the ampulla of Vater
PURPOSE Tumors arising from the ampulla of Vater can be benign or malignant. Recently, endoscopic papillectomy has been employed in the management of benign ampulla of Vater tumors; however, surgical resection is the treatment of choice. The aim of this study was to define indications and suggest a role for transduodenal ampullectomy in the management of ampulla of Vater tumors. METHODS We re...
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Here, a case of a patient with incidental finding of a carcinoid tumor of the ampulla of Vater, who was treated with endoscopic snare papillectomy, is reported. A 62-year-old male was admitted to our hospital due to a carcinoid tumor of the ampulla of Vater, which was found during follow-up endoscopy after an endoscopic mucosal resection of early gastric cancer. No lymphadenopathy or visceral m...
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PATIENT Female, 45 FINAL DIAGNOSIS: Neuroendocrine tumor Symptoms: Abdominal pain Medication: - Clinical Procedure: - Specialty: Gastroenterology and Hepatology. OBJECTIVE Unusual setting of medical care. BACKGROUND Neuroendocrine tumor of the ampulla of Vater is extremely rare and is generally a low-grade endocrine cell tumor. The merits of radical vs. local resection remain uncertain. C...
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BACKGROUND/AIMS In recent years, endoscopic snare papillectomy has been performed to treat tumors of the ampulla of Vater. This procedure requires accurate preoperative evaluation. In this study, we diagnosed the focal extension of such tumors by using endoscopic ultrasonography (EUS) and intraductal ultrasonography (IDUS), and examined the indications for endoscopic snare papillectomy. METHO...
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BACKGROUND Limited resection is reserved for patients with high operative risk or benign adenomas. We aimed to define indications for limited resection of early ampulla of Vater carcinoma with curative intent through detailed preoperative examinations and histopathological evaluations. METHODS We performed a retrospective cohort study of all consecutive Japanese patients who underwent resecti...
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We report a case of coexisting poorly differentiated endocrine carcinoma and conventional adenocarcinoma in the ampulla of Vater. A 70-year-old female had a recent history of symptoms and signs related to obstructive jaundice. An initial endoscopic biopsy of the ampulla of Vater showed a poorly differentiated endocrine carcinoma in the lamina propria of duodenal mucosa. The tumor could also be ...
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