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유두팽대부 종양의 내시경 유두절제술

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Author(s)
Kwang Bum Cho
Keimyung Author(s)
Cho, Kwang Bum
Department
Dept. of Internal Medicine (내과학)
Journal Title
Korean Journal of Helicobacter Upper Gastrointestinal Research
Issued Date
2022
Volume
22
Issue
4
Keyword
Ampulla of Vater/surgeryEndoscopyPapillectomy
Abstract
Ampullary tumors originate from the ampulla of Vater and are often discovered incidentally during an upper endoscopy. These tumors usually occur sporadically and may be benign or malignant in nature. Tumor growth clinically presents with cholestasis, pancreatitis, and bleeding. Patients with ampullary adenomas are often asymptomatic; however, removal of these lesions is recommended in view of their malignant potential. Following advances in endoscopic techniques and the accumulation of experience, considering high recurrence, mortality, and morbidity rates associated with surgery, endoscopic papillectomy may be useful as first-line treatment for adenomatous lesions with ambiguous malignant changes or focal intraepithelial carcinoma. Although it is relatively safe and easy to perform, the operation is a high-level procedure that may be associated with serious complications. It should be performed by an experienced endoscopist at a well-equipped hospital/center with emergency facilities and support personnel. Accurate resection is associated with high treatment success rates. Most complications are mild and can be treated medically. Pancreatitis is the most common complication, and pancreatic duct stenting is useful for prophylaxis. Recurrence may occur, and is more frequently observed during segmental resection; therefore, close periodic follow-up is essential. Although there are no unified indications or guidelines for endoscopic papillectomy, endoscopic papillectomy may be safe and effective for management of ampullary adenomas. Careful patient selection and follow-up are mandatory.
Alternative Title
Endoscopic Papillectomy for Ampullary Tumors
Keimyung Author(s)(Kor)
조광범
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2671-826X
Source
https://www.helicojournal.org/journal/view.php?doi=10.7704/kjhugr.2022.0047
DOI
10.7704/kjhugr.2022.0047
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44665
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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