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Recent Advances in Endoscopic Papillectomy for Ampulla of Vater Tumors: Endoscopic Ultrasonography, Intraductal Ultrasonography, and Pancreatic Stent Placement

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영어Since it was first described nearly three decades ago, endoscopic papillectomy (EP) has been utilized as a less invasive, alternative therapy for adenoma of the major duodenal papilla. In this article, we review the recent advances in EP, especially those pertaining to endoscopic ultrasonography (EUS), intraductal ultrasonography (IDUS), and pancreatic stent placement for the prevention of postpapillectomy pancreatitis. Because EUS and IDUS have similar diagnostic accuracies, either modality can be used for the preprocedural evaluation of ampullary tumors. Nevertheless, further technical refinements are required for a more precise evaluation. Given the paucity of data on the usefulness of EUS and/or IDUS during follow-up after EP, a well-designed study is warranted. Furthermore, pancreatic stent placement appears to have a protective effect against postpapillectomy pancreatitis; however, a prospective, randomized, controlled study with a larger number of patients is needed to assess this finding. Moreover, since pancreatic stent placement after EP is not always successful, various novel techniques have been developed to ensure reliable stent placement. Despite the recent advances in EP, further technical refinements and studies are needed to confirm their efficacy.

Abstract

Since it was first described nearly three decades ago, endoscopic papillectomy (EP) has been utilized as a less invasive, alternative therapy for adenoma of the major duodenal papilla. In this article, we review the recent advances in EP, especially those pertaining to endoscopic ultrasonography (EUS), intraductal ultrasonography (IDUS), and pancreatic stent placement for the prevention of postpapillectomy pancreatitis. Because EUS and IDUS have similar diagnostic accuracies, either modality can be used for the preprocedural evaluation of ampullary tumors. Nevertheless, further technical refinements are required for a more precise evaluation. Given the paucity of data on the usefulness of EUS and/or IDUS during follow-up after EP, a well-designed study is warranted. Furthermore, pancreatic stent placement appears to have a protective effect against postpapillectomy pancreatitis; however, a prospective, randomized, controlled study with a larger number of patients is needed to assess this finding. Moreover, since pancreatic stent placement after EP is not always successful, various novel techniques have been developed to ensure reliable stent placement. Despite the recent advances in EP, further technical refinements and studies are needed to confirm their efficacy.

참고문헌 (52)

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관련 논문AI추천

Current Status of Endoscopic Papillectomy for Ampullary Tumors문종호, 이윤나, 최현종거트앤리버 소화기연관학회협의회 · Gut and Liver2014 · 제8권 제6호Prophylactic Pancreatic Stent Placement for Endoscopic Duodenal Ampullectomy: A Single-Center Retrospective Study민양원, 윤환식, 이광혁, 이규택, 이종균, 이풍렬, 장우익거트앤리버 소화기연관학회협의회 · Gut and Liver2014 · 제8권 제3호Ampullary Adenoma Treated by Endoscopic Double-Snare Retracting PapillectomyHajime Higuchi, Hiromitsu Soma, Kaori Kameyama, Keita Saeki, Naohisa Yahagi, Naoteru Miyata, Shigenari Hozawa, Takanori Kanai, Yohei Masugi, Yoshiyuki Yamagishi, Yuji Nakamura거트앤리버 소화기연관학회협의회 · Gut and Liver2015 · 제9권 제5호Unsolved problems in endoscopic papillectomyHong Joo Kim, Nam Hee Kim소화기인터벤션의학회 · International Journal of Gastrointestinal Intervention2020 · 제9권 제1호십이지장 주유두 선종의 내시경 유두절제술 후 발생한 담관염과 담즙 역류를 동반한 췌담관 협착 1예김태균, 민보영, 박원형, 박현경, 방제소, 변종훈, 송대근, 양수현대한소화기내시경학회 · Clinical Endoscopy2009 · 제39권 제1호Long-term Outcomes of Endoscopic Intraductal Radiofrequency Ablation for Ampullary Adenoma with Intraductal Extension after Endoscopic Snare Papillectomy박도현, 서동완, 송태준, 오동욱, 이상수, Cho Sung Hyun, Kim Myung-Hwan, Lee Sung Koo거트앤리버 소화기연관학회협의회 · Gut and Liver2023 · 제17권 제4호

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