Endoscopic treatment of ampullary tumors
Epublication WebSurg.com, Jun 2018;18(06). URL: http://websurg.com/doi/lt03en13624
In this authoritative lecture, Dr. Guido Costamagna presents a technical description of the endoscopic management of ampullomas. After identifying the tumor, submucosal injection could be performed at the tumor if necessary. An endoscopic snare is then placed around the tumor to resect it ‘en bloc’. Sphincterotomy is performed after tumor resection to prevent biliary stenosis and a plastic stent is placed at the pancreatic duct to reduce any incidence and severity of acute pancreatitis. If the ampullary tumor extends to the bile duct, ERCP-guided radiofrequency ablation could be applied in patients who do not want any aggressive tumor resection.