Endoscopic snare papillectomy for tumors of the duodenal papillae

Gastrointestinal Endoscopy
Chi-Liang ChengGlen A Lehman


Tumors of the major and the minor duodenal papillae can be malignant or premalignant, and traditionally are treated by surgical excision. This study evaluated the safety and the outcome of endoscopic snare resection of such tumors. All patients with tumors of the major or the minor papilla treated by endoscopic snare resection over a 10-year period (1994-2003) were identified from an ERCP database. Patients with tumors that had endoscopic features of malignancy and those proven to be cancerous by biopsy were excluded. Papillectomy was performed by electrosurgical snare resection. A pancreatic stent usually was placed before or after excision. Residual tumor was eradicated by repeated procedures. Endoscopic surveillance was at the discretion of the endoscopist. Seventy snare resections were performed in 55 patients (mean age 59 years). Histopathologic diagnoses were the following: adenoma (45 patients; 7 with focal high-grade dysplasia, 6 with intraductal extension), adenocarcinoma (5), carcinoid tumor (2), gastric heterotopia (1), and normal histology (2). Fourteen patients had familial adenomatous polyposis. Of the 39 patients with isolated extraductal adenoma per cholangiogram, two underwent surgical resection because of pers...Continue Reading


May 1, 1991·Gastrointestinal Endoscopy·P B CottonN Nickl
Aug 1, 1990·Archives of Surgery·K J BjorkP Mucha
Aug 1, 1988·Endoscopy·R LambertF Berger
Mar 1, 1988·Annals of Surgery·S GalandiukM V Sivak
Mar 1, 1993·Gastrointestinal Endoscopy·K F BinmoellerN Soehendra
Mar 1, 1993·Gastrointestinal Endoscopy·S E Silvis
Oct 27, 1997·American Journal of Surgery·A SauvanetJ Belghiti
Jun 8, 1999·Journal of the American College of Surgeons·W T CreasmanH R Menck
Apr 24, 2001·Endoscopy·Z ZádorováJ Hajer
Jul 30, 2002·Gastrointestinal Endoscopy·Ian D NortonMaurits J Wiersema
Jan 28, 2004·Gastrointestinal Endoscopy·Marc F CatalanoDouglas A Howell

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